Registrar of Companies

Form: section 80(1) CPA

Full names of applicant

ID or registration number of applicant

Postal Address

Physical Address

Cell phone number

Landline number

Fax number

E-mail address

When is the best time to contact you, should this be necessary?

Purpose of application (mark with X)

To register any number of business names being used, or to be used, by that person in carrying on the person's business.

To register the same business name translated into any number of official languages of the Republic

To change a registered business name

To transfer a registered business name to another person

Registration number of business

Details of envisaged business name (if applicable)

Details of translations of business name (if applicable)

Details of change of business name (if applicable)

Details of transfer of business name to another person (if applicable)

Name of transferee

ID or registration number of transferee

Postal Address

Physical Address

Cell phone number

Landline number

Fax number

E-mail address

Type of business

Date of transfer

Date

Place

Signature

Signature of transferee (if applicable)

Office use only

Registration effected

Date