Shelf
Companies

(pre-registered companies)

Company Order
Form

Proprietary Company - Pty Ltd

If you have an account please click here to login first.

Personal Details

Firm (if any):

Contact person:

Phone:

Fax:

Email:

Name

NAME (Required):

ASIC register all names in upper case only. If you wish the company register to show the name partly or wholly in lower case as typed please indicate here

Details

Is the proposed name identical to an existing business name?

If yes, please complete number below

Business number:

State:

Business number:

State:

I declare that I/we make this application for the company name as, or on behalf of, and with the authority of the registered owner/s of the above identical business name/s.

Full Name:

Will this company act solely as a trustee of a regulated Superannuation Fund?

Please nominate the State the company is 'taken to be registered in'

Registered Office

Registered office:

Principal place of business:

Delivery Address

Address:

Suburb:

State:

Postcode:

Ultimate Holding Company (if any)

Company name:

ACN:

Country of origin:

Details of Proposed Officer and/or Shareholder 1

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

I hereby consent to be named in the ASIC application for registration as a company as:
1. an officer of the company in the capacity(ies) indicated above; and
2. (if indicated above) a member who has agreed to take up the shares listed above and (if the company has elected to have a constitution) who has agreed to the terms of the proposed Shelf Company Services Pty Ltd standard Constitution.

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 2

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 3

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 4

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 5

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 6

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 7

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 8

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 9

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 10

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 11

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 12

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 13

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 14

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 15

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 16

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 17

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 18

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 19

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

Add Officers/Members Tick this box to add another officer/and or shareholder

Details of Proposed Officer and/or Shareholder 20

Please include full names of the persons i.e. Greg John SMITH and if the member is a company i.e. COMPANY PTY LTD A.C.N. 000 000 000

Surname:

Given Names:

Company Name:

A.C.N.:

Address:

(ASIC require all location addresses to include a unit and street or lot numbers. A post office box is acceptable for members only.)

Date of birth:

Place of birth:

Suburb:

State:

Position in company:

Director

Secretary

Public Officer

Member (shareholder)

Number of shares:

Class of share: Ordinary

Other (type):

Paid: $1 per share or

Price per share: Unpaid:

Beneficial owner: Yes No If no, Beneficial Owner (optional):

I/We are holding the required consents from all proposed officers and shareholders. I/We agree to be the applicant for the registration of the company and appoint Shelf Company Services Pty Ltd to act as my/our agent.

Non-Standard Options

Please tick non-standard option(s) required, if any:

See fee schedule for additional fees

Common seal required

Replace standard A4 binder with larger foolscap binder in a slipcase

Special Instructions

Form Submission

Shelf Companies

(pre-registered companies)

Company Order Form

Proprietary Company - Pty Ltd

Shelf
Companies

Company Order
Form