"Company Name :" is a required field.
"Company Registration Number :" is a required field.
" Name :" is a required field.
"Email :" is a required field.
"Cell Number :" is a required field.
"Designation :" is a required field.

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Submission of Beneficial Ownership Declaration

R750,00

Details of All Directors :
Submit Director Details

*Number of Directors

1

2

3

4

5
Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.
Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.
Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 3

*Director 3 First Name

Director 3 Second Name

*Director 3 Surname

*Director 3 ID No

*Director 3 Cell No

*Director 3 Email Address

*Director 3 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.
Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 3

*Director 3 First Name

Director 3 Second Name

*Director 3 Surname

*Director 3 ID No

*Director 3 Cell No

*Director 3 Email Address

*Director 3 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 4

*Director 4 First Name

Director 4 Second Name

*Director 4 Surname

*Director 4 ID No

*Director 4 Cell No

*Director 4 Email Address

*Director 4 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.
Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 3

*Director 3 First Name

Director 3 Second Name

*Director 3 Surname

*Director 3 ID No

*Director 3 Cell No

*Director 3 Email Address

*Director 3 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 4

*Director 4 First Name

Director 4 Second Name

*Director 4 Surname

*Director 4 ID No

*Director 4 Cell No

*Director 4 Email Address

*Director 4 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.

Director 5

*Director 5 First Name

Director 5 Second Name

*Director 5 Surname

*Director 5 ID No

*Director 5 Cell No

*Director 5 Email Address

*Director 5 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Director became a Director.
*Number of Share Holders

1

2

3

4

5
1 Shareholder
Shareholder 1

*Shareholder 1 First Name

Shareholder 1 Second Name

*Shareholder 1 Surname

*Shareholder 1 ID No

*Shareholder 1 Cell No

*Shareholder 1 Email Address

*Shareholder 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.
Shareholder 1

*Shareholder 1 First Name

Shareholder 1 Second Name

*Shareholder 1 Surname

*Shareholder 1 ID No

*Shareholder 1 Cell No

*Shareholder 1 Email Address

*Shareholder 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 2

*Shareholder 2 First Name

Shareholder 2 Second Name

*Shareholder 2 Surname

*Shareholder 2 ID No

*Shareholder 2 Cell No

*Shareholder 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.
Shareholder 1

*Shareholder 1 First Name

Shareholder 1 Second Name

*Shareholder 1 Surname

*Shareholder 1 ID No

*Shareholder 1 Cell No

*Shareholder 1 Email Address

*Shareholder 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 2

*Shareholder 2 First Name

Shareholder 2 Second Name

*Shareholder 2 Surname

*Shareholder 2 ID No

*Shareholder 2 Cell No

*Shareholder 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 3

*Shareholder 3 First Name

Shareholder 3 Second Name

*Shareholder 3 Surname

*Shareholder 3 ID No

*Shareholder 3 Cell No

*Shareholder 3 Email Address

*Shareholder 3 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.
Shareholder 1

*Shareholder 1 First Name

Shareholder 1 Second Name

*Shareholder 1 Surname

*Shareholder 1 ID No

*Shareholder 1 Cell No

*Shareholder 1 Email Address

*Shareholder 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 2

*Shareholder 2 Second Name

Shareholder 2 Surname

*Shareholder 2 ID No

*Shareholder 2 Cell No

*Shareholder 2 Email Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

*Director 2 Physical Address

Shareholder 3

*Shareholder 3 First Name

Shareholder 3 Second Name

*Shareholder 3 Surname

*Shareholder 3 ID No

*Shareholder 3 Cell No

*Shareholder 3 Email Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

*Shareholder 3 Physical Address

Shareholder 4

*Shareholder 4 First Name

Shareholder 4 Second Name

*Shareholder 4 Surname

*Shareholder 4 ID No

*Shareholder 4 Cell No

*Shareholder 4 Email Address

*Shareholder 4 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.
Shareholder 1

*Shareholder 1 First Name

Shareholder 1 Second Name

*Shareholder 1 Surname

*Shareholder 1 ID No

*Shareholder 1 Cell No

*Shareholder 1 Email Address

*Shareholder 1 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 2

*Shareholder 2 First Name

Shareholder 2 Second Name

*Shareholder 2 Surname

*Shareholder 2 ID No

*Shareholder 2 Cell No

*Shareholder 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 3

*Shareholder 3 First Name

Shareholder 3 Second Name

*Shareholder 3 Surname

*Shareholder 3 ID No

*Shareholder 3 Cell No

*Shareholder 3 Email Address

*Shareholder 3 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 4

*Shareholder 4 First Name

Shareholder 4 Second Name

*Shareholder 4 Surname

*Shareholder 4 ID No

*Shareholder 4 Cell No

*Shareholder 4 Email Address

*Shareholder 4 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.

Shareholder 5

*Shareholder 5 First Name

Shareholder 5 Second Name

*Shareholder 5 Surname

*Shareholder 5 ID No

*Shareholder 5 Cell No

*Shareholder 5 Email Address

*Shareholder 5 Physical Address

*Upload ID / Passport
All ID documents to be uploaded in PDF Flat Scan . All IDs must be colour . If it is an ID Card , we require the front and back of the ID card to be uploaded on 1 page.
If documents are not provided in the prescribed format, your application will be ignored.

Select file (max file size 64 MB)

*Effective Date :
Date in which Shareholder became a Shareholder.
Instruction Being Issued By :

*Name :

*Email :

*Cell Number :

*Designation :

Special Instructions :

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Submission of Beneficial Ownership Declaration

Details of All Directors :

*Number of Directors

Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport

*Effective Date :

Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport

*Effective Date :

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport

*Effective Date :

Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport

*Effective Date :

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address

*Director 2 Physical Address

*Upload ID / Passport

*Effective Date :

Director 3

*Director 3 First Name

Director 3 Second Name

*Director 3 Surname

*Director 3 ID No

*Director 3 Cell No

*Director 3 Email Address

*Director 3 Physical Address

*Upload ID / Passport

*Effective Date :

Director 1

*Director 1 First Name

Director 1 Second Name

*Director 1 Surname

*Director 1 ID No

*Director 1 Cell No

*Director 1 Email Address

*Director 1 Physical Address

*Upload ID / Passport

*Effective Date :

Director 2

*Director 2 First Name

Director 2 Second Name

*Director 2 Surname

*Director 2 ID No

*Director 2 Cell No

*Director 2 Email Address