Business Name Registration Form - P231 LIMS Consultant

Proposed Business Name

Your Proposed Business Name Here

Business Activity

Date of Commencement of Business Activity

Principal Place of Business (Example: Section XX, Allotment XX)

Address 1

Town / City

Province / State

Postcode (Papua New Guinea)

Address for Communication (Example: P.O Box XXX)

Address 2

Town / City

Province / State

Postcode (Papua New Guinea)

Owner(s)

First Name (Owner 1)

Surname (Owner 1)

Gender (Owner 1)

Date of Birth (Owner 1)

Email Address (Owner 1)

Nationality (Owner 1)

First Name (Owner 2)

Surname (Owner 2)

Gender (Owner 2)

Date of Birth (Owner 2)

Email Address (Owner 2)

Nationality (Owner 2)