ASIC Company Registration

Company Registration

Complete this form to register your new company. All information is kept strictly confidential and used solely for ASIC registration purposes.

Company Details

Proposed Company Name *

If the name has already been reserved with ASIC (Form 410):

Name Reservation Number

Full Name of Person Who Reserved

If the proposed name is identical to a registered business name:

Registered Business Number (RBN)

State Business Name Registered In

Ultimate Holding Company (if applicable):

Holding Company Name

ACN/ARBN/ABN

Country (if not Australia)

State/Territory of Registration *

Principal Place of Business *

Unit No

Street No & Name

Suburb

State & Postcode

Officeholder 1

Position *

First Name *

Middle Name

Last Name *

Occupation

Date of Birth

TFN

Place of Birth (City & Country)

Mobile

Director ID

Residential Address

Officeholder 2

Position

First Name

Middle Name

Last Name

Occupation

Date of Birth

TFN

Place of Birth (City & Country)

Mobile

Director ID

Residential Address

Officeholder 3

Position

First Name

Middle Name

Last Name

Occupation

Date of Birth

TFN

Place of Birth (City & Country)

Mobile

Director ID

Residential Address

Officeholder 4

Position

First Name

Middle Name

Last Name

Occupation

Date of Birth

TFN

Place of Birth (City & Country)

Mobile

Director ID

Residential Address

Officeholder Shareholdings

Enter shareholding details for each officeholder: class, number, and price per share.

Officeholder	Share Class	Number of Shares	Price Per Share ($)
Officeholder 1
Officeholder 2
Officeholder 3
Officeholder 4

If shareholding details are the same for all officeholders, you can note this in the Additional Details section below.

Shareholders (Non-Officeholders)

Provide details of any shareholders who are NOT officeholders.

Shareholder 1

Shareholder 2

Company Configuration

Is the company a SMSF trustee only?

Yes No

Voting Rights Structure

One vote per member One vote per fully paid share

Additional Details

All information is kept strictly confidential and used solely for ASIC registration purposes.