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CAC Business Registration Form

This document is an application form for registration of a business name with the Corporate Affairs Commission. It requests information such as the name of the business and nature of its operations, addresses of business locations, details of individual proprietors such as names, identities, addresses and signatures, and details of any corporate proprietors. The proprietors are required to certify that the provided particulars are correct and undertake to notify the registrar of any changes.

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Bamire Jaybaba Jamiu
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5K views

CAC Business Registration Form

This document is an application form for registration of a business name with the Corporate Affairs Commission. It requests information such as the name of the business and nature of its operations, addresses of business locations, details of individual proprietors such as names, identities, addresses and signatures, and details of any corporate proprietors. The proprietors are required to certify that the provided particulars are correct and undertake to notify the registrar of any changes.

Uploaded by

Bamire Jaybaba Jamiu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CORPORATE AFFAIRS COMMISSION

CAC/BN/1

APPLICATION FOR REGISTRATION OF BUSINESS NAME


Pursuant to Section 657
Reg. No:
A.

Name of Business:

B.

General Nature of Business:

C.

Full Address of Principal Place of Business:

D.

Full Address of Branch(es) (if any):

E.

Partculars of Proprietors (other than Corporations):

1.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address
City:

Tel. No.:
Any Former Nationality

State:
E-mail:

Occupation:

Signature: _________________________________________________

Date: ____________________

2.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address
City:
P. O.
Box

Occupation:
Any Former Nationality

State:
E-mail

Tel.
No.

Signature: _________________________________________________

Date: ____________________

3.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address

Tel. No.:
Any Former Nationality

City:

State:
E-mail:

Occupation:

Signature: _________________________________________________

Date: ____________________

4.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address

Occupation:
Any Former Nationality

City:
P. O.
Box

State:
E-mail

Tel.
No.

Signature: _________________________________________________

Date: ____________________

5.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address

Tel. No.:
Any Former Nationality

City:

State:
E-mail:

Occupation:

Signature: _________________________________________________

Date: ____________________

6.
Name:
Any Former Furname or Surname:
Sex:
Age:
Nationality:
Residential
Address

Tel. No.:
Any Former Nationality

City:
Occupation:

State:
E-mail:

Signature: _________________________________________________

F.

Date: ____________________

Partculars of Corporation which is a Proprietor:


Corporate Name:

RC. No.:

Address:

Attestation of Margistrate, Legal Practtioner or Police Officer of the rank of ASP and above where one of the proprietors
is a minor:
Name & Tel. No.:

______________________________________________________________________________

Address:

______________________________________________________________________________

Signature, Designation & Date: ________________________________________________________________________

Attestation of Director or Secretary of the Company where one of the proprietors is a company:
Name & Tel. No.:

______________________________________________________________________________

Address:

______________________________________________________________________________

Signature, Designation & Date: ________________________________________________________________________


G.

Date of Commencement of Business:

F.

Attestation :
I/We, the undersigned, being proprietor(s) of the above named business name hereby certify that the foregoing particulars
are, to the best of my/our knowledge and belief, correct and I/we undertake to notify the Registrar of Business Names
whenever any change is made or occurs in any of them other than the age of any of the proprietors.

___________________
Proprietor

_____________________
Proprietor
Beofre Me

Commissioner of Oaths
Note:

If there is insufficient space on the form to provide any information required, please attach a seperate sheet containing the information set
out in the prescribed form

Presented for filing by:


Name: ____________________________________________ Accreditation No. (if applicable): ______________________________
Address: ____________________________________________________________________________________________________
Tel. No. & E-mail: _______________________________________ Signature & Date: _____________________________________

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