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When completing this form, please use CAPITAL LETTERS.
Names must be entered in full - NO INITIALS.
Click here to check out name availability using the "ASIC Company Name Search" page.
(*) means required field
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Company Name:* |
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2nd Preference: |
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3rd Prefernce: |
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(It is the applicant's responsibility to ensure that the name does not conflict with any existing trading name(s)) |
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Is this company's SOLE purpose to act as a trustee of a self managed superannuation Fund? Please tick.
Yes
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Do you require a Common Seal...? (Additional charges apply)
If yes, please select from one of the two options below:
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| Rubber Seal |
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Companies can now be ordered on disc!
To order your company on disc, select from one of the options below.
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Do you require ABN application forms?: Yes No
Email Certificate (A.C.N): Yes
No
Binder
No Binder
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Does a business name exist under this company name you wish to incorporate? Yes: No:
If a Business name does exist, please supply its Business Registration NO:
Are all of the proprietors of the identically registered existing business name(s) to be shareholders in the new company? Yes: No:
If not, then please ensure you have written consents from all the proprietors to use this name as the company name before lodging this application. By submitting this application you agree that you have those written consents in your possession. |
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Principal Place of Business:*
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Registered Office:*
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Occupier's Name:
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State of Incorporation:*
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Very Important before you continue!
PLEASE SPECIFY THE EXACT NUMBER OF DIRECTORS:*
PLEASE SPECIFY THE EXACT NUMBER OF SECRETARIES:*
PLEASE SPECIFY THE EXACT NUMBER OF SHAREHOLDERS:*
Please attach an (Additional Members & Officeholders form) if required.
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type: |
Number: |
Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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COMPANY MEMBERS
AND OFFICE HOLDERS:
please attach an (Additional Members / Officeholders'
form) if required.
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Surname:
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or Company Name
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Given Names:
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ACN if Company
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Director ID:
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Address:
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Suburb:
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State:
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P/Code:
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Occupation:
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Date of Birth:
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(Suburb) of Birth: |
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(State) of Birth: |
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(Country) of Birth: |
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Director:
Secretary:
Chairman:
Public Officer:
Shareholder:
Shareholder ONLY (not a Director/Secretary):
Ultimate Holding Company:
This box should only be ticked if this SOLE shareholder is a company and is the Ultimate Holding Company.
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1st Class Share Type:
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Number:
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2nd Class Share Type:
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Number:
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Held in Trust?: |
Yes: No: |
If Yes, who is the beneficial owner of these shares? |
| Full Name (NO initials): | |
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| APPLICANT
DETAILS |
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Firm Name:*
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Street Address:*
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Postal Address:*
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Phone:*
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Email Address:*
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Confirm Email Address:*
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All documents will be couriered FREE to your office. |
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We confirm this order as specified herein,
that by submitting this form to Companies on Disc Pty Ltd I/We agree that we are responsible for
the full settlement of charges owing to Companies on Disc Pty Ltd and not our client we are ordering on behalf of.
I/We agree that we have in our possession written consents from every Director, Secretary and Member in accordance
with the Corporations Act 2001 to act in their respective capacities and that the shareholders have applied for shares.
Companies on Disc Pty Ltd cannot provide Legal/Accounting advice on an aspect of company formations.
It is the applicant's responsibility to ensure that all chosen new company registration name(s) do not conflict with any existing/registered
or otherwise trading name(s), trademarks, business names, company names, including obtaining written permission to use such names upon registration.
By completing and submitting this order I agree and understand the above requirements.
Company Creations does not accept any responsibility for applicants choice of company registration name(s).
Please contact qualified professionals or Companies on Disc Pty Ltd Solicitors KB Legals on (02) 9524 3555 or visit them on the web
at www.kblegals.com.au
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Contact Person:
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Date:
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| PAYMENT DETAILS: |
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Direct Deposit for 14 Day Account Price
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Direct Deposit for Prepay Price (for payments made today prior to incorporation)
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On Account (Current Account Holders ONLY)
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Direct Deposit/Transfer of Funds
Click here to request our bank account details or call 1300 302 155.
Please fax over Bank slip/Transfer slip upon completion of payment in order to process your order.
Direct Deposit Terms:
- First time customers who have not purchased from us previously and have not completed an application, must pay using on of the other methods listed
- Orders will not be processed until you have faxed/emailed/advised our office with receipt of the deposit. This is also a necessary step to qualify for the prepay price.
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Type of Accountant/Solicitor by definition would be: Chartered Accountant registered with the National Institute of Chartered Accountants - Solicitors registered with The Law Society, etc...
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| Full Name (Partner): | |
| The Partner must be an individual's name registered with an Institute at your firm. |
| Accountant/Solicitor Type:* | |
| Which Institute: | |
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Please Note: New clients details will need to be verified with the Institute in which the Accountant/Solicitor is registered
before an order can be processed. A 7 day account can only be established once the first order has been paid for upfront, and this payment has been cleared. |
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If you attempt to browse away from this page before submitting, you will lose all of your data.
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