Own Name Company service enquiry

Please complete the form below to register an own name company:

Contact information
Name:*
Surname:*
Email:*
Contact Nmber:*
Company Name:
Message:
*
- I would like to complete my application further
Invoicing details
For invoicing purposes please provide us with the following details:
Name & Surname of person invoice should be made out to:*
This name must be the reference on the proof of payment
Contact number:*
Postal Address:*
Street Address Address Line 2 City Province Postal Code
Physical address:*
Street Address Address Line 2 City Province Postal Code
Company information
Add your company details:
Names to be reserved in order of preference
Qualify your name with a word describing the type of business
First choice:
Second choice:
Third choice:
Fourth choice:
Financial year-end:
Authorised share capital:
Recommended 1 000 NPV shares
Registered address of Company:
Street Address Address Line 2 City Province Postal Code
Postal address of Company:
PO Box Address Line 2 City Province Postal Code
Schedule of directors
Add the details of directors:
Director:
Surname:
First names:
Email:
Cellphone number:
Fax number:
Nationality:
ID number:
Copy of SA ID required
Date of Birth if not South African:
Date Format: DD slash MM slash YYYY
Residential address:
Street Address
Address Line 2
City
Province
Postal Code
Postal address:
PO Box
Address Line 2
City
Province
Postal Code
Director 2:
Surname:
First names:
Email:
Cellphone number:
Fax number:
Nationality:
ID number:
Copy of SA ID required
Date of Birth if not South African:
Date Format: DD slash MM slash YYYY
Residential address:
Street Address
Address Line 2
City
Province
Postal Code
Postal address:
PO Box
Address Line 2
City
Province
Postal Code
Director 3:
Surname:
First names:
Email:
Cellphone number:
Fax number:
Nationality:
ID number:
Copy of SA ID required
Date of Birth if not South African:
Date Format: DD slash MM slash YYYY
Residential address:
Street Address
Address Line 2
City
Province
Postal Code
Postal address:
PO Box
Address Line 2
City
Province
Postal Code
Director 4:
Surname:
First names:
Email:
Cellphone number:
Fax number:
Nationality:
ID number:
Copy of SA ID required
Date of Birth if not South African:
Date Format: DD slash MM slash YYYY
Residential address:
Street Address
Address Line 2
City
Province
Postal Code
Postal address:
PO Box
Address Line 2
City
Province
Postal Code

Contact information

Invoicing details

Company information

Schedule of directors

Director:

Director 2:

Director 3:

Director 4: