MGAA Company Formation Form

Company

Company Preferred name 1

Pty Ltd

Company Preferred name 2

Pty Ltd

Business Address (Fill full office address. If company is home based, fill full residence address, including suburb, state and zip code)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Key Person Details

Person 1

Tick to confirm this person is going to be Director #1 & Secretary & Public Officer

Yes, this person will be Director #1, Secretary & Public Officer

Will this person be a shareholder?

Yes

If yes, then please provide the percentage ownership

Full legal name (as per Drivers License)

Residential Address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Director Identification Number (DIN)

If you do not have a Director Identification Number, please enter as TBA, click here to apply for one.

Date of Birth

Birth City

Birth Country

Do you want to add another Director?

Yes

Person 2

Tick to confirm this person is going to be Director #2

Yes, this person will be Director #2

Will this person be a shareholder?

Yes

If yes, then please provide the percentage ownership

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Director Identification Number

If you do not have a Director Identification Number, please enter as TBA, click here to apply for one.

Date of Birth

Birth City

Birth Country

Do you want to add another Director?

Yes

Person 3

Tick to confirm this person is going to be Director #3

Yes, this person will be Director #3

Will this person be a shareholder?

Yes

If yes, then please provide the percentage ownership

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Director Identification Number

If you do not have a Director Identification Number, please enter as TBA, click here to apply for one.

Date of Birth

Birth City

Birth Country

Do you want to add another Director?

Yes

Person 4

Tick to confirm this person is going to be Director #4

Yes, this person will be Director #4

Will this person be a shareholder?

Yes

If yes, then please provide the percentage ownership

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Director Identification Number

If you do not have a Director Identification Number, please enter as TBA, click here to apply for one.

Date of Birth

Birth City

Birth Country

Non-Director Shareholder Details

Nature of non-director shareholder

Company

Trust

Individual

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Company/ Trust name

% shareholding

Do you want to add another non-director shareholder?

Yes

Nature of non-director shareholder

Company

Trust

Individual

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Company/ Trust name

% shareholding

Do you want to add another non-director shareholder?

Yes

Nature of non-director shareholder

Company

Trust

Individual

Full legal name (as per Drivers License)

Residential address (as per Drivers License)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of Birth

Company/ Trust name

% shareholding

Phone Number

I confirm that the above details are true and accurate and instruct M G Arthur & Associates Pty Ltd to proceed with the formation of the entity. I confirm I have not received any legal advice from M G Arthur & Associates Pty Ltd. I agree to the quoted amount in the proposal for the formation.