Corporate Affairs Commission - Application For Registration Of Business Name Page 3
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Attestation of Margistrate, Legal Practtioner or Police Officer of the rank of ASP and above where one of the proprietors
is a minor:
Name & Tel. No.:
______________________________________________________________________________
Address:
______________________________________________________________________________
Signature, Designation & Date: ________________________________________________________________________
Attestation of Director or Secretary of the Company where one of the proprietors is a company:
Name & Tel. No.:
______________________________________________________________________________
Address:
______________________________________________________________________________
Signature, Designation & Date: ________________________________________________________________________
G.
Date of Commencement of Business:
F.
Attestation :
I/We, the undersigned, being proprietor(s) of the above named business name hereby certify that the foregoing particulars
are, to the best of my/our knowledge and belief, correct and I/we undertake to notify the Registrar of Business Names
whenever any change is made or occurs in any of them other than the age of any of the proprietors.
___________________
_____________________
Proprietor
Proprietor
Beofre Me
Commissioner of Oaths
Note:
If there is insufficient space on the form to provide any information required, please attach a seperate sheet containing the information set
out in the prescribed form
Presented for filing by:
Name: ____________________________________________ Accreditation No. (if applicable): ______________________________
Address: ____________________________________________________________________________________________________
Tel. No. & E-mail: _______________________________________ Signature & Date: _____________________________________
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