ACN - Company Registration Form

ACN Direct

Company registration application
Proposed Company Name*
We will check this name against ASIC records and confirm if you can use this name and provide alternatives if it is taken.
Contact Person
E-mail
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry
Registered Office for Business

My Address aboveShelf Companies AustraliaPrincipal Place of Business listed belowOther Address
Other Address

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry
Planned Principal place of business operations

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Director Details

You must have at least 1 director - and at least 1 must be a Resident of Australia
Business Owner-Director 1*

First NameMiddle NameLast Name
Positions held*

DirectorSecretaryPublic OfficerShareholder
Director Birth Date*

DayMonthYear
Place of Birth*
E-mail
Contact Number
Shareholding Information
Share Class
Number issued
Value ($AUD)
Is there another Officeholder / Director / Shareholder?

YesNo
Other Officeholders
Officeholder 2

First NameMiddle NameLast Name
Positions held

DirectorSecretaryPublic OfficerShareholder
Director Birth Date

DayMonthYear
Place of Birth
E-mail
Contact Number
Shareholding Information
Share Class
Number issued
Value ($AUD)
Is there another Officeholder?

YesNo
Officeholder 3

First NameMiddle NameLast Name
Positions held

DirectorSecretaryPublic OfficerShareholder
Director Birth Date

DayMonthYear
Place of Birth
E-mail
Contact Number
Shareholding Information
Share Class
Number issued
Value ($AUD)
Is there another Officeholder?

YesNo
Officeholder 4

First NameMiddle NameLast Name
Positions held

DirectorSecretaryPublic OfficerShareholder
Director Birth Date

DayMonthYear
Place of Birth
E-mail
Contact Number
Shareholding Information
Share Class
Number issued
Value ($AUD)
Is there another Officeholder?

YesNo
As more than 4 officeholders is unusual, please just list the names of other officers here and we will be in contact with you prior to submission to ensure all details have been correctly captured.
Final Review & Payment
Ready to register now?

YES - please process when you receive this formLATER - I would like you to send me the initial documentation to review prior to registration.

Services requested

Company Registration$49.00AUD

ASIC Fee - Company Registration$506.00AUD

ASIC Fee - Business Name for 1 year$37.00AUD

Business name registration$25.00AUD

Family Trust$250.00AUD

Annual review service$65.00AUD

ABN Registration$20.00AUD

PAYG registration$20.00AUD

GST registration$20.00AUD

Domain Name with 2 years Registration .com.au$30.00AUD

Bound documents in faux leather folder by courier$65.00AUD

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Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD

Any other comments or requests
Should be Empty:

ACN Direct

Director Details

Other Officeholders

Final Review & Payment