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COMPANY REGISTRATION
Rate: R1 395.00 (more than 5 directors,ad R150 per Director)

COMPANY DETAIL


Proposed Pty Names (In order of preference!)	1: 2: 3: 4: 5: 6:

Nature of Business (Business activities)

PERSONAL INFORMATION OF ALL THE DIRECTORS

Details of directors (Up to 50 directors)	DIRECTOR 1: 1. Full Names: 2. Surname: 3. ID Number: 4. Shares (%): [10% equals 100 shares] 5. E-Mail Address: 6. Street Address: 7. Postal Address: 8. Phone number: 9. Cell number: 10. Fax number: DIRECTOR 2: 1. Full Names: 2. Surname: 3. ID Number: 4. Shares (%): [10% equals 100 shares] 5. E-Mail Address: 6. Street Address: 7. Postal Address: 8. Phone number: 9. Cell number: 10. Fax number: DIRECTOR 3: 1. Full Names: 2. Surname: 3. ID Number: 4. Shares (%): [10% equals 100 shares] 5. E-Mail Address: 6. Street Address: 7. Postal Address: 8. Phone number: 9. Cell number: 10. Fax number: DIRECTOR 4: 1. Full Names: 2. Surname: 3. ID Number: 4. Shares (%): [10% equals 100 shares] 5. E-Mail Address: 6. Street Address: 7. Postal Address: 8. Phone number: 9. Cell number: 10. Fax number: If there are more than 4 directors in this company, please contact our office with the detail of the directors not stipulated in this form.

ADDRESS DETAIL FOR THE PROPOSED COMPANY

Street address of Company	STREET: CITY: PROVINCE: POSTAL CODE:

Postal address of Company	P.O. BOX: CITY: PROVINCE: POSTAL CODE:

CONTACT PERSON

Contact Name
Contact Surname
Phone
Fax
Cell
E-mail address