Company Details We need some information to set your company up. Please complete the form below and agree to our terms and conditions. We also require a $500 deposit prior to starting the company registration process. Thank you Please provide an e-mail address for any queries example@example.com Proposed Name Has this business name already been registered Yes No N/A Brief Description of the business activity that the company will carry out Proposed registered office address Street Address Street Address Line 2 City State / Province Postal / Zip Code Will the operating address be the same as the registered address? Yes No Proposed registered business address (operating address) Street Address Street Address Line 2 City State / Province Postal / Zip Code Company Officers How many directors will there be? Select number Please provide full details for directors Director 1 * First Name Middle Name Last Name Former name if applicable Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Date of birth * - Day - Month Year Date Picker Icon Tax File Number * Country of birth * Town or city of birth * Director 2 First Name Middle Name Last Name Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Date of birth - Day - Month Year Date Picker Icon Tax File Number Country of birth Town or city of birth Director 3 First Name Middle Name Last Name Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Date of birth - Day - Month Year Date Picker Icon Tax File Number Country of birth Town or city of birth Director 4 First Name Middle Name Last Name Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Date of birth - Day - Month Year Date Picker Icon Tax File Number Country of birth Town or city of birth Company secretary Note you do not require a company secretary but you can select one Do you want to have a Company Secretary Yes No Is the Secretary one of the directors above? Yes No Company Secretary Name First Name Middle Name Last Name Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Date of birth - Day - Month Year Date Picker Icon Tax File Number Country of birth Town or city of birth Share structure If you have more than 4 Shareholders please send through information separately Share type: Ordinary Ordinary A Ordinary B No. of Shareholders 1 2 3 4 >4 Price of share: Shareholders Shareholder 1 name No . of Shares Fully paid yes no Beneficially held yes no select Yes or No Shareholder 2 name No . of Shares Fully paid yes no Beneficially held yes no Shareholder 3 name No . of Shares Fully paid yes no Beneficially held yes no Shareholder 4 name No . of Shares Fully paid yes no Beneficially held yes no Other Registration Required Please note a fee of $50 (excl.GST) is payable for each additional registrations GST: yes no TFN yes no ABN yes no PAYG yes no My Products prev next ( X ) AUD Please make a $550 payment to get the process started. Enter $550 in box above Total amount payable for Company Set-Up is $850 (excl. GST) Credit Card Details First Name Last Name Credit Card Number Security Code Card Expiration Approved by Name First Name Last Name Date - Month - Day Year Date Your company will be registered as soon as your deposit payment is received Save Submit Should be Empty:
