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Company / Business Name / ABN Registration

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    Company / Business Name / ABN Registration

    Self-declaration: I hereby declare that I am not disqualify to run the business in Australia. Are you eligible to operate the business?*

    • YesNoNot Sure

    A person cannot manage a business if they are: 1. a bankrupt, or have been convicted of certain types of offences under s206B of the Corporations Act. 2. have been convicted of certain types of offences under s32(1) of the Business Names Registration Act 2011. If a person has been convicted of certain types of offences they are automatically disqualified from managing a company for five years. ASIC can also disqualify or ban a person from managing a company for up to five years if: they have been involved in two or more failed (liquidated) companies in the last seven years, and a liquidator has lodged a report with ASIC for each of the companies about the companies' inability to pay its debts. It is a serious criminal offence to manage a company when disqualified.

    Proposed Company Name:*

    Proposed Company name subject to availability

    Proposed Business Name:

    Business Name subject to availability

    Total Number of Share Issued:

    Ordinary share / Preference share / other share; if you are not sure, Please contact our office for more details.

    Total Share Capital Amount:

    Ordinary share / Preference share / other share; if you are not sure, Please contact our office for more details.

    Amount Received per Share:

    Ordinary share / Preference share / another share; if you are not sure, Please contact our office for more details.

    Type of products and service it offer:*

    The industry business will be involved (i.e. Hospitality, Cleaning, Education Consultancy, Labour Hire etc.)

    Australian Taxation registration requirement*

    Base on nature and volume of transaction, registration require varies, please contact our office for more details

    Registered address of the proposed company*

    Street Address

    State / Province / Region

    City

    Country

    ZIP / Postal Code

    Business address of the company*

    Street Address

    State / Province / Region

    City

    Country

    ZIP / Postal Code

    Public Officer / Officeholder for ASIC and ABR Registration:*
    First Name

    Last Name

    Public Officer / Officeholder is authorised and responsible to communicate with Australian Government Authorities

    Director's Declaration: Do you understand the obligations as a director?*

    YesNoNot Sure

    As a director you must act honestly, in the best interests of the company, and with reasonable care at all times. Exercising your power as a director for a proper purpose, not allowing, agreeing or causing the business to be carried out in a way likely to create a substantial risk of serious loss to the company's creditors, taking the care, diligence and skill that a reasonable director would exercise in the same circumstances, ensuring the company can pay all its debts and has more assets than liabilities and complying with the Company Act. I consent to work as a Director/Public Officer or ABN holder

    Details of Shareholder, Director, and/or Public officer
    Position in the Company*

    You can pick multiple positions if you are holding more than one.

    First Name

    Last Name

    Address

    Street Address

    State / Province / Region

    City

    Country

    ZIP / Postal Code

    Email

    Mobile / Phone

    Date of Birth

    Tax File Number

    Number of Shareholding

    Amount paid

    Amount unpaid

    TFN is compulsory if you are Director, Secretary, or Public officer.

    Evidence of Identity: Photo ID*

    Accepted file types: jpg, png, gif, Max. file size: 11 MB.


    Please include an evidence of identity (Eg. Passport, Driving license, student id Card etc..)

    Evidence of Identity: Address ID*

    Accepted file types: jpg, png, gif, Max. file size: 11 MB.


    Please include an evidence of identity (Eg.Driving license, utility bill, Bank Statement, etc..)

    Queries and Comments:

    Signature

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