New Company Order Form

Company Name - Option 1

Company Name - Option 2

State of Registration

Principal Place of Business

Registration Details

Nature of Business

Tax Registrations

GST PAYG Withholding

Xero File

Yes No

Party Details - Director & Member #1

Party #1

Surname

Given Name/s

Former Surname (If Applicable)

Address

Phone

Date of Birth

Place of Birth

Tax File Number

Director ID

More Information

If you need to apply for your Director ID, please follow the link https://www.abrs.gov.au/director-identification-number/apply-director-identification-number

Total Amount of Shares

Shares Beneficially Held (Y/N)

As Trustee For (If not Beneficially Held)

Party Details - Director & Member #2 (if applicable)

Party #2

Entity Name

Surname

Given Name/s

Former Surname (If Applicable)

Address

Phone

Date of Birth

Place of Birth

Tax File Number

Director ID

More Information

If you need to apply for your Director ID, please follow the link https://www.abrs.gov.au/director-identification-number/apply-director-identification-number

Total Amount of Shares

Shares Beneficially Held (Y/N)

As Trustee For (If not Beneficially Held)

Party Details - Director & Member #3 (if applicable)

Party #5

Entity Name

Surname

Given Name/s

Former Surname (If Applicable)

Address

Phone

Date of Birth

Place of Birth

Tax File Number

Director ID

More Information

If you need to apply for your Director ID, please follow the link https://www.abrs.gov.au/director-identification-number/apply-director-identification-number

Total Amount of Shares

Shares Beneficially Held (Y/N)

As Trustee For (If not Beneficially Held)

Party Details - Member #4 (If Applicable)

Party #3

Entity Name

As Trustee For (If not Beneficially Held)

Address

More Information

If you need to apply for your Director ID, please follow the link https://www.abrs.gov.au/director-identification-number/apply-director-identification-number

Total Amount of Shares

Shares Beneficially Held (Y/N)

Roles

Member - Shareholder