Companies Act 1993 Amendment Regulations (No 2) 2014

Form 1
Application for registration of company

Section 12(1), Companies Act 1993

If there is insufficient space on the form to supply the information required, attach a separate sheet containing the information set out in the prescribed format.

Details of proposed company

Name of proposed company:

Name reservation No:

Proposed company No:

Address of registered office:*

Address for service:*

Postal address to which communications from the Registrar may be sent:

Email address:

*This must be a physical address in New Zealand and must not be a post office box or private bag address.
Directors’ details

The following persons are the directors of the proposed company:

Provide the following information in the prescribed format for every director of the proposed company.

First name(s):*

Surname:*

Date of birth:

Place of birth:

Full residential address:

Email address:

Telephone No:

Fax No (if any):

*Provide full legal name.
If the director resides in an enforcement country, also provide the following information.

Is the director the director of any company* in the country in which he or she resides: Yes/No†

*Except the equivalent in that country of an overseas company.
†Select one.
If yes, provide the following information about the company.

Company’s registered name:

Registered number or identifier (if any):

Address of registered office:*

Address for service:†

*The address of the registered office must be provided if the company is required by its country of registration to have a registered office.
†The address for service is not required if the address of the registered office has been provided.
Share parcels

The following persons are the shareholders of the proposed company:

Provide the following information in the prescribed format for every shareholder of the proposed company.

Full legal name:*

Address:†

Total number of shares:

*In the case of a natural person, please provide the first name(s) followed by the surname in block letters.

†In the case of a natural person, please provide a residential address. In the case of a body corporate, please provide the address of its registered office or, if it does not have a registered office, of its principal place of business.

Company’s ultimate holding company

If the company has an ultimate holding company, provide the following information.

Registered name:

Country of registration:

Registered number or identifier:

Address of registered office:*

Address for service:†

*The address of the registered office must be provided if the company is required by its country of registration to have a registered office.
†The address for service is not required if the address of the registered office has been provided.
Accompanying documents

The following documents must accompany this form:

  • (a) the notice of name reservation:

  • (b) if the company has a constitution, a document certified by at least 1 applicant as the company's constitution:

  • (c) the consent and certificate of every director. Set out in form 2 of Schedule 1 of the Companies Act 1993 Regulations 1994:

  • (d) the consent of every shareholder. Set out in form 3 of Schedule 1 of the Companies Act 1993 Regulations 1994:

  • Omit this paragraph if it does not apply.
  • (e) the written authority of the agent who signed the form of consent referred to in paragraph (d).

Authorised person

Date:

Full legal name of applicant:*

Address of applicant:

Signature of applicant:

*If there is more than 1 applicant, each must sign and provide full legal name and address in the prescribed format.
Details of person completing this form

Name:

Title:

Address:

Email address:

Telephone No:

Fax No (if any):