Established Since 1988

Proprietary Company Online Order Form

Fill out the form below to complete the Proprietary Company Order Form. You cannot print or save this form. This form is suitable for online submission only.
Note that fields marked with an asterisk * are mandatory. After submitting this form, please go to the Payments page for payment information.

General Details
Ordered By (Firm)
Date *
Contact Name *
Phone *
Email Address *
Company Name Requested
Company Name Requested *
If same as Business Name:
Provide registered business number if registered before 28th May, 2012
Or ABN of business if registered after 28th May, 2012
Is the company to act soley as a trustee for a superannuation fund? * YesNo
State of Registration *
Ultimate Holding Company
Ultimate Holding Company
(if applicable)
ACN
Country of Reg, if not Australia
Registered Office
(At office of) C/-
Suite/Unit
Level
Building Name
Street Number and Name *
Suburb / City *
State *
Post Code *
Company occupy these premises? * YesNo
If No, person giving consent
Principal Place of Business
Same as above YesNo
Suite/Unit
Level
Building Name
Street Number and Name *
Suburb / City *
State *
Post Code *
Officeholder And / Or Member 1
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Officeholder And / Or Member 2
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Officeholder And / Or Member 3
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Officeholder And / Or Member 4
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Officeholder And / Or Member 5
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Officeholder And / Or Member 6
Family Name
Given Names
OR Company Name
ACN
Office, Unit, Level
Street Number & Name
Suburb / City
State
Post Code
Date of Birth
Place of Birth
State/Country of Birth
Consented to act as Director    Secretary    Public Officer    Shareholder
Authorisation
Name *
Company
Terms and Condition
(a) the Directors have consented to be Directors and to issue the shares as stated and Professional Corporate Services is to act as our agent for the sole purpose of registration and
(b) if applicable, the proprietors of the Registered Business Name are Members of the proposed Company
I Agree With The Terms &
Conditions *
YesNo
Company Type * Full Company Register Delivered - $760.00
Email Company - $660.00

After submitting this form, please go to the Payments page for payment information.