Company Registration Proposed Name:1ST CHOICE:*2ND CHOICE:State of Registration:* Registered Office:Street Address (NOT A PO Box):*State & Post Code:*Does the company occupy the premises?*YesNo Principal Business Office:Street Address (NOT A PO Box):State & Post Code: Special Instructions:Is this company to act as Trustee of a trust or fund?*YesNoIs this company to be a special purpose company?*YesNoIs this company to be a subsidiary of another company?*YesNoOther special instructions: Office and Shareholders' Information:Office and Shareholders' Information Name Residential Address DOB Town/City of birth TFN Number of Shares Position Actions Edit Delete There are no Shareholders. Add Shareholders Maximum number of shareholders reached. Where a company appoints a sole company director, we suggest that the director also be appointed as the company secretary to ensure that documents can be executed as per S.127 of the corporations Act. DIRECTOR, SECRETATY AND MEMBER CONSENTSI consent to act as director (and/or secretary, if applicable) of this company and where applicable, I apply for the shares specified above and agree to be bound by constitution of the company.As above – Officeholder/s please sign.*As above – Officeholder/s please select date.* Date Format: DD slash MM slash YYYY Please note that it is your responsibility to ensure that details above provided by you are correct, if not and a document needs to be changed as a result of a mistake in the details above, an extra fee will be charged.CommentsThis field is for validation purposes and should be left unchanged.