Company Application Form

Page 1 of 2

All fields marked with * are required.

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

Name of company

The cost of establishing a basic company is $599.

There is an additional fee of $145 for the registration of the company with respect to ABN and GST registration

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

2nd choice - Check availability

Is the name the same as an existing Business Name? If yes, a declaration under Section 147 (Corporations Act) may be required. We will email you the declaration on submitting this order form, if one is needed, or you can download it by clicking here
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Do you wish to register a business name to trade under? (Additional fee of $145 applies)
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Do you wish to secure the .com.au domain name for the business trading name? (Additional fee of $27 applies)
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State of incorporation:
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Register business name: (if required) Check availability

Register domain name: (if required)
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Type of company:
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Principal place of business:
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Registered Office:

Name of Occupier: (if applicable)
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Full address:
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First Officeholder:

(Taken to be Chairman and Public Officer of the company)

Surname:
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Given Names:
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Former or Maiden Name(s):
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Residential Address:
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Date of Birth:
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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.

Tick office held
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Class & Number of Shares required:
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We recommend at least one ordinary share for the initial incorporation. Our constitution has multiple classes of shares with various rights should you need to issue different classes of shares at a later date.

Are Shares Held in Trust?:
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Additional Officeholder/Shareholder Schedule

Officeholder/Shareholder Two

Surname / Company name:
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Given Names / Companies ACN:
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Former or Maiden Name(s):
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Residential Address:
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Date of Birth:
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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.

Tick office held
Invalid Input

Class & Number of Shares required:
Invalid Input

Are Shares Held in Trust?:
Invalid Input

Officeholder/Shareholder Three

Surname / Company name:
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Given Names / Companies ACN:
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Former or Maiden Name(s):
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Residential Address:
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Date of Birth:
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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.

Tick office held
Invalid Input

Class & Number of Shares required:
Invalid Input

Are Shares Held in Trust?:
Invalid Input

Officeholder/Shareholder Four

Surname / Company name:
Invalid Input

Given Names / Companies ACN:
Invalid Input

Former or Maiden Name(s):
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.

Tick office held
Invalid Input

Class & Number of Shares required:
Invalid Input

Are Shares Held in Trust?:
Invalid Input

Officeholder/Shareholder Five

Surname / Company name:
Invalid Input

Given Names / Companies ACN:
Invalid Input

Former or Maiden Name(s):
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.

Tick office held
Invalid Input

Class & Number of Shares required:
Invalid Input

Are Shares Held in Trust?:
Invalid Input

Applicant Details

Applicant Details (Firm):
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Contact Person:
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Phone: (required)*
Please enter a contact number.

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

Additional Notes and/or instructions:
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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.