Address: 37 Pickworth Street,

Holt ACT 2615,

PO Box 185 Kippax - ACT 2615
Ph: 02 6156 3418
Email: zarrar@janjua.com.au
www.janjua.com.au
ABN: 26764580779 Company Registration (Checklist)
Decide on the name you want to call the company: Check the name at
https://connectonline.asic.gov.au/RegistrySearch/faces/landing/bn/SearchBnRegisters.jspx ? _a
df.ctrl-state=qi76433dr_224

• If the name has already been reserved with ASIC with a Form 410, then give the Name
Reservation Number and full name of the person who reserved the name.
• If the proposed name is identical to a business name registered before 28 May 2012, then give
the RBN, or
• If the proposed name is identical to a business name registered after 28 May 2012 with ASIC,
then give the ABN.

• Proposed Company Name (in BLOCK LETTERS)

………………………………………………………………………………………
• Company’s Registered office Address………………..…..…………………………
Suburb …………………………………….…….. Post Code…………………………
• Company’s Principal Place of Business: If same as Registered Office Yes NO
If NO please provide business address: …………..…..……………………………..
• Suburb …………………………………..……….. Post Code…………………………
• Does company occupy these premises, YES NO
• If No, has written permission is sought from the Owner of premises YES NO

Officeholder and Shareholder Details

1) The name, occupation, birth details (city, country, and date of birth) and address of any "Officers"
(Director, Secretary, Public Officer). a) Their personal details:
1- Fist Name ……………………..……………..……….Middle…………………………..………Last……………………………………..
Date of Birth …………….…/……………/………….... Place of Birth………………………..…………………….
Tax File Number …………………………..…….…………….
Address : ……………………………………………………………………………………………………………………………………………………….
Number of Shares in Company …………….….… Price per Share $............................
Company appointment as (Director, Secretary, Public Officer)…………………………………………………………….…………

2- Fist Name ……………………..……………..……….Middle…………………………..………Last……………………………………..

Date of Birth …………….…/……………/………….... Place of Birth………………………..…………………….
Tax File Number …………………………..…….…………….
Address : ……………………………………………………………………………………………………………………………………………………….
Number of Shares in Company …………….….… Price per Share $............................
Company appointment as (Director, Secretary, Public Officer)…………………………………………………………….…………

3- Fist Name ……………………..……………..……….Middle…………………………..………Last……………………………………..

Date of Birth …………….…/……………/………….... Place of Birth………………………..…………………….
Tax File Number …………………………..…….…………….
Address : ……………………………………………………………………………………………………………………………………………………….
Number of Shares in Company …………….….… Price per Share $............................
Company appointment as (Director, Secretary, Public Officer)…………………………………………………………….…………

Please attached separate page for additional Officeholder and Shareholder Details

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 Address: 37 Pickworth Street,
Holt ACT 2615,
PO Box 185 Kippax - ACT 2615
Ph: 02 6156 3418
Email: zarrar@janjua.com.au
www.janjua.com.au
ABN: 26764580779

2) Photo ID (Licence and Passport) for every Officeholder and Shareholder

NOTE: Please provide details of each “Officer’s” shareholding: class, number and price per
share as above.
3) If there are shareholders who are not officeholders, then their name and TFN is required,
ACN/ABN (if a company), address and shareholding details (class, number and price per share).
4) Decide on one vote per member, or one vote per fully paid share.
5) Decide whether if a shareholder is selling shares they first have to offer the shares to other
shareholders.
6) Decide whether if the company is issuing shares it first has to offer the shares to other
shareholders.

$1050.00 Fee payable before registering the Company (which include ASIC fees and other
charges) to:
Account Name: Zarrar M Janjua
BSB: 732719 A/c No. 764929 (Westpac Banking Corporation)

Declaration

I hereby ……………………………………….…….…………….. (full name) authorise Zarrar Janjua from

Janjuam& Co. to register my company …………………………………….…………………………..…………….
(propose company name) and act on our behalf regarding our tax and compliance matters. We
also undertake that we have the capacity to make this engagement (if on behalf of an
entity/Trust).

I/We declare that the information I have provided verbal and written (including any attachments)
are true and correct to the best of my knowledge. I/We declare that all the necessary records (or
can obtain the necessary written evidence within a reasonable time) are available to substantiate
the for substantiation and compliance purposes. I/We hereby agreed to the costs provided to
register my company, including out of pocket expenses and statutory charges. I agreed to the
terms of payments and payment of any charges resulted from non-payment of my account
including charges of debt collection agency or a law firm.
Terms of Payment

NOTE: Unless other terms have been agreed to in writing, our terms are strictly 7 days from the
date of each invoice. In the event of you being in default of your obligation to pay your account,
the overdue account will be referred to a debt collection agency, and/or law firm for collection.
In the event where your overdue account is referred to a collection agency and/or law firm, you
agree that you will be liable for all collection costs which would be incurred as if the debt is
collected in full, including legal demand costs, commission fees or any such costs incurred relating
to the collection of any overdue account owed by you to us (Janjua & Co).

Name: _________________________________ Trustee/ Share Holder/Secretary/Director

Signature: ______________________________ Date: / / .

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