Register Your Company Online CIPC Company Registration Company Registration Information Schedule For invoicing purposes please provide us with the following details: Name and surname of person invoice should be made out to:Name (This must be the same as the reference on the proof of payment) *Postal address of person invoice should be made out to (please also provide street or postal code) *0 / 180Physical address of person invoice should be made out to (please also provide street or postal code) *0 / 180Contact details for the above-mentioned personEmail Address *Phone Number *Fax NumberInformation Schedule Please note that we have a cash upfront policy and will require proof of payment in order to start with the registration. Therefore please provide us with the proof of payment together with the application form and clear copies of the ID’s of the directors to ensure efficient service.*If the company has more than 4 directors/shareholders an additional R50.00 will be charged per director/shareholder. Kindly print additional pages.* Our Banking Details are as follows: SA Company Formations Pty LtdNedbank, Central GautengBranch code: 128 40 500Account number: 102 6687 667Swift Code: NEDSZAJJPlease use your name and surname as the payment reference. Names to be reserved in order of preference (Qualify your name with a word describing the type of business)First ChoiceSecond ChoiceThird ChoiceFourth ChoiceFinancial Year-endAuthorised Share Capital (Recommended 1 000 NPV shares)Issued Share Capital (Must equal to 100%, no split shares)Registered Address of CompanyStreet Address *Suburb *Province *Postal Code *Postal Address of CompanyPostal Office Number *Suburb *Province *Postal Code *Information ScheduleNumber of Directors *1234Schedule of Director 1Director 1First Name *Surname *Nationality if not SA CitizenID numbers (Copy of SA ID required)Date of Birth if not South AfricanPassport No. if not SA Citizen (Copy of Passport Required)Residential Address: Street Address *Province *Postal Code *Postal AddressPostal Address: Postal Office Number *Suburb *Province *Postal Code *Email Address *Mobile Number *Telephone Number *Fax NumberSchedule of Director 2Director 2First Name *Surname *Nationality if not SA CitizenID numbers (Copy of SA ID required)Date of Birth if not South AfricanPassport No. if not SA Citizen (Copy of Passport Required)Residential Address: Street Address *Province *Postal Code *Postal AddressPostal Address: Postal Office Number *Suburb *Province *Postal Code *Email Address *Mobile Number *Telephone Number *Fax NumberSchedule of Director 3Director 3First Name *Surname *Nationality if not SA CitizenID numbers (Copy of SA ID required)Date of Birth if not South AfricanPassport No. if not SA Citizen (Copy of Passport Required)Residential Address: Street Address *Province *Postal Code *Postal AddressPostal Address: Postal Office Number *Suburb *Province *Postal Code *Email Address *Mobile Number *Telephone Number *Fax NumberSchedule of Director 4Director 4First Name *Surname *Nationality if not SA CitizenID numbers (Copy of SA ID required)Date of Birth if not South AfricanPassport No. if not SA Citizen (Copy of Passport Required)Residential Address: Street Address *Province *Postal Code *Postal AddressPostal Address: Postal Office Number *Suburb *Province *Postal Code *Email Address *Mobile Number *Telephone Number *Fax NumberInformation ScheduleNumber Of Shareholders *1234Schedule of shareholder 1Surname *First names as per ID / Passport *Company / CC / Trust name if applicable *Registration number of Company / CC / Trust if applicable *AddressStreet address/Postal office number *Suburb *Province & Postal code *Number of shares (Total must equal 100%) *Schedule of shareholder 2Surname *First names as per ID / Passport *Company / CC / Trust name if applicable *Registration number of Company / CC / Trust if applicable *AddressStreet address/Postal office number *Suburb *Province & Postal code *Number of shares (Total must equal 100%) *Schedule of shareholder 3Surname *First names as per ID / Passport *Company / CC / Trust name if applicable *Registration number of Company / CC / Trust if applicable *AddressStreet address/Postal office number *Suburb *Province & Postal code *Number of shares (Total must equal 100%) *Schedule of shareholder 4Surname *First names as per ID / Passport *Company / CC / Trust name if applicable *Registration number of Company / CC / Trust if applicable *AddressStreet address/Postal office number *Suburb *Province & Postal code *Number of shares (Total must equal 100%) *Submit Details REGISTERPlease do not fill in this field.