Purchase with standard changes

Please complete the form below to Purchase a a Shelf company with standard changes:

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
Issued share capital:

Must equal to 100%, no split 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:
DD slash MM slash YYYY
Residential address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Postal address:
PO Box

PO Box
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

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:
DD slash MM slash YYYY
Residential address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Postal address:
PO Box

PO Box
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

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:
DD slash MM slash YYYY
Residential address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Postal address:
PO Box

PO Box
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

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:
DD slash MM slash YYYY
Residential address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Postal address:
PO Box

PO Box
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Schedule of Shareholders
Add the details of shareholders:
Shareholder:
Number of shares:
Surname:
First names as per ID / Passport
Company / CC / Trust name

if applicable
Registration number of Company / CC / Trust

if applicable
Cellphone number:
Email
Address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Shareholder 2:
Number of shares:
Surname:
First names as per ID / Passport:
Company / CC / Trust name:

if applicable
Registration number of Company / CC / Trust:

if applicable
Cellphone number:
Email:
Address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Shareholder 3:
Number of shares:
Surname:
First names as per ID / Passport:
Company / CC / Trust name:

if applicable
Registration number of Company / CC / Trust:

if applicable
Cellphone number:
Email:
Address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code
Shareholder 4:
Number of shares:
Surname:
First names as per ID / Passport:
Company / CC / Trust name:

if applicable
Registration number of Company / CC / Trust:

if applicable
Cellphone number:
Email:
Address:
Street Address

Street Address
Address Line 2

Address Line 2
City

City
Province
Province
Postal Code

Postal Code

Contact information

Invoicing details

Company information

Schedule of directors

Director:

Director 2:

Director 3:

Director 4:

Schedule of Shareholders

Shareholder:

Shareholder 2:

Shareholder 3:

Shareholder 4: