Business Name Application

Page 1 of 2

All fields marked with * are required.

Please enter a valid email address. Please enter a place of birth Please enter a contact number. Please enter a valid email address.

Name of business

If you require an ABN click here and continue with a dual ABN and business name registration

Your preferred name may not be available due to a pre-existing registration or the similarity to an existing registered name.

Please select a registration cost

1st choice - Check availability
Please let us know your name.

2nd choice - Check availability

3rd choice - Check availability

Do you wish to secure the .com.au domain name for the business trading name? (Additional fee of $27 applies)
Invalid Input

Business Details

Address of Business:
Invalid Input

Address for Service of Notices:
Invalid Input

Email Address for ASIC Contact: (required)
This is an ASIC requirement*
Please enter a valid email address.

Mobile Phone Number for ASIC Contact by SMS:

 

Name of Holder (Owner) of Business Name:

First Holder Individual (Owner):

Surname:
Invalid Input

Given Names:
Invalid Input

Former or Maiden Name(s):
Invalid Input

ABN:
Invalid Input

Residential Address:
Invalid Input

Date of Birth:
Invalid Input

Place of Birth:*
Please enter a place of birth

Place of Birth (Town):
Please enter your town of birth.

Place of Birth (State):
Please enter your state of birth.

Country of Birth:
Please enter your country of birth.

Add Another Holder (Owner)
Invalid Input

Second Holder (Owner)

Surname / Company name:
Invalid Input

Given Names / Companies ACN:
Invalid Input

Former or Maiden Name(s):
Invalid Input

ABN: (If you require an ABN click here and continue with a duel ABN and business name registration)
Invalid Input

Residential Address:
Invalid Input

Date of Birth:
Invalid Input

Place of Birth:
Please enter a place of birth

Place of Birth (Town):
Please enter your town of birth.

Place of Birth (State):
Please enter your state of birth.

Country of Birth:
Please enter your country of birth.

Add Another Holder (Owner)
Invalid Input

Third Holder (Owner)

Surname / Company name:
Invalid Input

Given Names / Companies ACN:
Invalid Input

Former or Maiden Name(s):
Invalid Input

ABN: (If you require an ABN click here and continue with a duel ABN and business name registration)
Invalid Input

Residential Address:
Invalid Input

Date of Birth:
Invalid Input

Place of Birth:
Please enter a place of birth

Place of Birth (Town):
Please enter your town of birth.

Place of Birth (State):
Please enter your state of birth.

Country of Birth:
Please enter your country of birth.

Add Another Holder (Owner)
Invalid Input

Fourth Holder (Owner)

Surname / Company name:
Invalid Input

Given Names / Companies ACN:
Invalid Input

Former or Maiden Name(s):
Invalid Input

ABN: (If you require an ABN click here and continue with a duel ABN and business name registration)
Invalid Input

Residential Address:
Invalid Input

Date of Birth:
Invalid Input

Place of Birth (Town):
Please enter your town of birth.

Place of Birth:
Please enter a place of birth

Place of Birth (State):
Please enter your state of birth.

Country of Birth:
Please enter your country of birth.

OR if the holder (owner) is to be a company

Company Name:
Invalid Input

ACN:
Invalid Input

ABN:
Invalid Input

OR if the holder (owner) is to be a trust

Trust Name:
Invalid Input

ABN:
Invalid Input

If the Business Name is to be held by a Trust, details of at least one Representative (usually the Trustee) are required: If the Trustee is a Company, details of a director are required.

Surname / Company name:
Invalid Input

Former or Maiden Name(s):
Invalid Input

Given Names / Companies ACN:
Invalid Input

Residential Address:
Invalid Input

Date of Birth:
Invalid Input

Place of Birth:
Please enter a place of birth

Place of Birth (Town):
Please enter your town of birth.

Place of Birth (State):
Please enter your state of birth.

Country of Birth:
Please enter your country of birth.

Applicant Details

Applicant Details (Firm):
Invalid Input

Contact Person:
Invalid Input

Phone: (required)*
Please enter a contact number.

Fax:
Invalid Input

Full Address:
Invalid Input

Email Address: (required)*
Please enter a valid email address.

Additional Notes and/or instructions:
Invalid Input

Invalid Input

Payment

Payments are made securely by using PayPal or EFT. After you click on the purchase button you will be redirected to PayPal or the EFT screen for payment details.

Total Cost:
0.00 AUD

Payment Method

On submission, you will receive an email with your details for future reference/printing.