Company Registration Form - P231 LIMS Consultant

Proposed Company Name

Your Proposed Company Name Here

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)

Owner 1 - Shareholding

Gender (Owner 1)

Date of Birth (Owner 1)

Email Address (Owner 1)

Nationality (Owner 1)

First Name (Owner 2)

Surname (Owner 2)

Owner 2 - Shareholding

Gender (Owner 2)

Date of Birth (Owner 2)

Email Address (Owner 2)

Nationality (Owner 2)

Secretary Nominee (Optional)

First Name (Secretary)

Surname (Secretary)

Address 1

Town / City

Province / State

Postcode (Papua New Guinea)

Address for Communication (Postal)

Town / City

Province / State

Postcode (Papua New Guinea)

Date of Birth

Gender

Nationality