Application For Registration Of A Company (Page 2 of 2) in pdf

Secretary(ies).

On incorporation the company will have

secretary(ies).

Note: Insert the number of persons who have consented to be a secretary of the proposed company. A company does not

have to appoint a secretary. Where no person is to be appointed insert “Nil”. Where a secretary(ies) are

appointed, the consent of each secretary must be included on a Form 3 and submitted with this application.

Shareholder(s).

On incorporation the company will have

shareholder(s).

Note: Insert the number of persons who have consented to acquire shares in the company following incorporation. The

consent of each shareholder must be included on a Form 4 and submitted with this application.

Constitution.

YES

Has the company adopted a constitution

(Place a cross (x) in the appropriate box.)

Note: A company does not need to adopt a constitution. Where a constitution has been adopted a certified copy must be

submitted with this form. A copy document must be certified in accordance with Section 9 of the Companies

Regulation.

10.

The following documents must be submitted with this form -

A copy of the notice of name reservation or an application for reservation of company

name - (Use Form 6):

Where the company has a constitution, a certified copy of the company’s constitution:

The consent of each director - (Use Form 2):

The consent of any secretary - (Use Form 3):

The consent of each shareholder - (Use Form 4).

Note: Any copy document must be certified in accordance with Section 9 of the Companies Regulation.

11.

Declaration and signature.

I certify that the information in this form is true and correct, and the copy of every document

submitted with this form is a true and correct copy of the original document.

Signature of Applicant: _____________________________________________________________

Name of Applicant: ________________________________________________________________

Proposed Role: _________________________________ Date: ______________________________

Note: This application must be signed by a proposed director or secretary of the proposed company.

Office use only.

Submitted by:...........................................................…...…

Submitted to the Office of the Registrar on:

Address: ........................................……………

...................….................................................……………

Telephone: ...................................................……………

Application For Registration Of A Company Page 2