Company Registration Information Your DetailsPlease enter your name* First Last Please enter your email address* Please enter your telephone contact number*Company NamesPlease enter up to 4 possible company names (in order of preference). Company Name - Enter your 1st choice* Company Name - Enter your 2nd choice* Company Name - Enter your 3rd choice* Company Name - Enter your 4th choice* Company DetailsFinancial Year End (Month)*The Year end date will determine when you will pay provisional tax for your company. If you are unsure please leave it as February.JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberNumber of Authorised Shares*If you unsure please select 100 shares. 100 Shares 1000 Shares Company Email Address*This is the email address for your company. Company Physical Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Company Postal Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 1 DetailsDirector Name* First Names Last Does the Director have a South African ID* Yes No Director ID Number* Director Passport Number* Director Country of Origin* Enter the directors date of birth - Day / Month / Year* Director Cell Number*Director Email Address* Director - Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director - Postal Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Would you like to add a second director?* Yes No Director 2 DetailsDirector 2 Name* First Names Last Director 2 ID Number* Director 2 Country of Origin* Director 2 Date of Birth - Day / Month / Year* Director 2 Cell Number*Director 2 Email Address* Director 2 Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 2 PostalAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Would you like to add a third director?* Yes No Director 3 DetailsDirector 3 Name* First Names Last Director 3 ID Number* Director 3 Country of Origin* Director 3 Date of Birth - Day / Month / Year* Director 3 Email Address* Director 3 Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 3 PostalAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Would you like to add a fourth director?* Yes No Director 4 DetailsDirector 4 Name* First Names Last Director 4 ID Number* Director 4 Country of Origin* Director 4 Date of Birth - Day / Month / Year* Director 4 Cell Number*Director 4 Email Address* Director 4 Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 4 PostalAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Would you like to add a fifth director?* Yes No Director 5 DetailsDirector 5 Name* First Names Last Director 5 ID Number* Director 5 Country of Origin* Director 5 Date of Birth - Day / Month / Year* Director 5 Cell Number*Director 5 Email Address* Director 5 Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 5 PostalAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Would you like to add a sixth director?* Yes No We will be in touch over email to collect the information of any additional directors.