Company Registration Order Form

Company Registration Order Form
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Please select all that apply

Company details

ASIC register all names in upper case only. If you wish the company registers to show the name partly or wholly in lower case please indicate in ‘Special instructions’.

If Yes, please provide an ABN below

Please note: ASIC will only register a company with an identical business name, providing the owner of the business name is listed as a director and/or shareholder. In the event the owner is a trust, a copy of the trust deed is required to be sent to ASIC to confirm the name of trustee.

Australian Shelf Companies Pty Ltd provides a document preparation and registration service. Any person wishing to register a company should obtain advice from a legal practitioner or accountant to ensure the company is suitable for its intended use.

Consents

By completing and lodging this form, I/We confirm, as applicants for the company registration, that the required written consents of the proposed officers and members have been obtained prior to the registration of the company. I/We agree to be the applicant for the registration of the company and appoint Australian Shelf Companies Pty Ltd to act as my/our agent.

Registered office

If as above, please write 'as above'

Ultimate holding company (if applicable)

Details of proposed officers and/or member one

Please include full names of the person and the company name and ACN (if applicable)

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(ASIC require complete residential addresses. A post office box is acceptable for members only)

Signed consent

I hereby consent to be named in the ASIC Form 201 (application for registration as a company) as:
1. A Director and/or Secretary as indicated above; and
2. A Member (if indicated) who has agreed to take up the shares listed above and who has agreed to the terms of proposed Constitution

Please note that you will be required to sign a physical copy of this form

Details of proposed officers and/or member two

Please include full names of the person and the company name and ACN (if applicable)

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Last
(ASIC require complete residential addresses. A post office box is acceptable for members only)

Signed consent

I hereby consent to be named in the ASIC Form 201 (application for registration as a company) as:
1. A Director and/or Secretary as indicated above; and
2. A Member (if indicated) who has agreed to take up the shares listed above and who has agreed to the terms of proposed Constitution

Details of proposed officers and/or member three

Please include full names of the person and the company name and ACN (if applicable)

(ASIC require complete residential addresses. A post office box is acceptable for members only)

Signed consent

I hereby consent to be named in the ASIC Form 201 (application for registration as a company) as:
1. A Director and/or Secretary as indicated above; and
2. A Member (if indicated) who has agreed to take up the shares listed above and who has agreed to the terms of proposed Australian Shelf Companies Constitution

Details of proposed officers and/or member three

Please include full names of the person and the company name and ACN (if applicable)

First
Last
(ASIC require complete residential addresses. A post office box is acceptable for members only)

Signed consent

I hereby consent to be named in the ASIC Form 201 (application for registration as a company) as:
1. A Director and/or Secretary as indicated above; and
2. A Member (if indicated) who has agreed to take up the shares listed above and who has agreed to the terms of proposed Australian Shelf Companies Constitution

Details of proposed officers and/or member three

Please include full names of the person and the company name and ACN (if applicable)

First
Last
(ASIC require complete residential addresses. A post office box is acceptable for members only)

Signed consent

I hereby consent to be named in the ASIC Form 201 (application for registration as a company) as:
1. A Director and/or Secretary as indicated above; and
2. A Member (if indicated) who has agreed to take up the shares listed above and who has agreed to the terms of proposed Australian Shelf Companies Constitution

Sending