Company Order Form

Part 1: Your Details


 Your Name:  
Your Firm:  
Your Phone:  
Your Email:  

Part 2: Company Details


Name of Company:    

A company name must be unique, the best way to ascertain if a name is available is to go to the following ASIC page (this will open a new link enter names into the company name section and if nothing appears then the name that you want to use should be available).

Registered Office Address:   This must be a street address 
Principal Place of Business:   This must be a street address

Part 3: Company Directors and Officeholders


Person 1:    
Family Name:    
Given Names:    
Full Street Address:    
Date of Birth:   dd/mm/yyyy 
Place of Birth: Town/State/Country
Number of Shares:  
Class of Shares:    
 Beneficially Held? Yes   No*   
*If no, Details of Beneficial Owner: Complete if shares are held on behalf of another person, Trust or Super Fund 
Position Held:  Director   Secretary   


Person 2:
Family Name:
Given Names:
Full Street Address:
Date of Birth: dd/mm/yyyy
Place of Birth: Town/State/Country
Number of Shares:
Class of Shares:
Beneficially Held?  Yes   No*
*If no, Details of Beneficial Owner: Complete if shares are held on behalf of another person, Trust or Super Fund
 Position Held:  Director   Secretary  


Person 3:
Family Name:
Given Names:
Full Street Address:
Date of Birth: dd/mm/yyyy
Place of Birth: Town/State/Country
Number of Shares:
Class of Shares:
Beneficially Held?  Yes   No *
*If no, Details of Beneficial Owner: Complete if shares are held on behalf of another person, Trust or Super Fund
 Position Held:  Director   Secretary  


Person 4:
Family Name:
Given Names:
Full Street Address:
Date of Birth: dd/mm/yyyy
Place of Birth: Town/State/Country
Number of Shares:
Class of Shares:
Beneficially Held?  Yes   No*
*If no, Details of Beneficial Owner: Complete if shares are held on behalf of another person, Trust or Super Fund
Position Held:  Director  Secretary  


 Any further comments?  

Please note that the fee for setting up a company is $1,045.00. Once you've submitted the form we will contact you to organise payment.

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