ONLINE COMPANY REGISTRATION FORM
Should your company consist of more than 3 Shareholders or Directors please download a manual application form. Please complete all required sections below and submit:
PROPOSED NAME:
*
Please choose 2-4 names and add them with the most preferred name as name 1 and so on in descending order
ALTERNATIVE NAMES:
*
Main objective of Company (e.g. services offered by business):
*
Company's physical address:
*
Province:
*
Please Select
Gauteng
Limpopo
Mpumalanga
Free State
North West
Kwa-Zulu Natal
Eastern Cape
Northern Cape
Western Cape
Company's postal address:
*
Number of Directors:
1
2
3
If your company consist of more than 3 directors please download a manual application form.
Number of Shareholders:
1
2
3
If your company consist of more than 3 shareholders please download a manual application form.
Financial year end:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Shareholder/Director 1 Details:
Please select shareholder/director:
*
Please Select
Director
Shareholder
Both
Full Names:
*
Surname
*
ID Number
*
All Non-South African Citizens to provide their passport number.
E-mail address:
*
Cell Number:
Residential Address:
*
Postal Address:
*
Percentage Shares(%):
*
Shareholder/Director 2 Details:
Please select shareholder/director:
Please Select
Director
Shareholder
Both
Full Names:
Surname
ID Number
All Non-South African Citizens to provide their passport number.
E-mail address:
Cell Number:
Residential Address:
Postal Address:
Percentage Shares(%):
Shareholder/Director 3 Details:
Please select shareholder/director:
Please Select
Director
Shareholder
Both
Full Names:
Surname
ID Number
All Non-South African Citizens to provide their passport number.
E-mail address:
Cell Number:
Postal Address:
Residential Address:
Percentage Shares(%):
Shareholder/Director 4 Details:
Please select shareholder/director:
Please Select
Director
Shareholder
Both
Full Names:
Surname
ID Number
All Non-South African Citizens to provide their passport number.
E-mail address:
Cell Number:
Postal Address:
Residential Address:
Percentage Shares(%):
Shareholder/Director 5 Details:
Please select shareholder/director:
Please Select
Director
Shareholder
Both
Full Names:
Surname
ID Number
All Non-South African Citizens to provide their passport number.
E-mail address:
Cell Number:
Postal Address:
Residential Address:
Percentage Shares(%)
Shareholder/Director 6 Details:
Please select shareholder/director:
Please Select
Director
Shareholder
Both
Full Names:
Surname
ID Number
All Non-South African Citizens to provide their passport number.
E-mail address:
Cell Number:
Residential Address:
Postal Address:
Percentage Shares(%):
Contact Person:
Name and Surname:
*
Contact No.
Email
*
Where did you hear about us?
*
Internet
A Friend
Search Engine
Online Classifieds
Car Banner
Billboard
Radio
Please Select
I have read and understand the terms and conditions that apply and confirm the information provided above to be correct.
*
I accept
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