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    Each unique officeholder and shareholder are to be considered as a 1, unless the officeholder and shareholder are the same party.
    e.g a) 3 directors and 2 differing shareholders = 5
    e.g b) 2 directors who are also shareholders = 2
    Applicant Details
    Company Details

    CURRENT COMPANY DETAILS

    PROPOSED NEW COMPANY NAME

    The proprietor of the business name must be a member of the company. Complete the form and we will contact you.

    Address

    REGISTERED OFFICE ADDRESS - NO PO BOXES

    Officer/Member 1

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 2

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 3

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 4

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 5

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 6

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 7

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 8

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 9

    A COMPANY CAN ONLY BE A SHAREHOLDER

    Officer/Member 10

    A COMPANY CAN ONLY BE A SHAREHOLDER