BUSINESS REGISTERATION FORM

BUSINESS INFORMATION

Date of Application*
/ / Invalid Input

Business / Organization*
Please enter the correct name of the business you are registering

Address*
Please enter the correct name of the business you are registering

Address of the business

Phone: *
Invalid Input, Enter Phone number only

Company's Phone Number

Mobile
Invalid Input

Phone Number

Fax:
Invalid Input

Fax Number

E-mail*
Invalid email address.

Website
Invalid Input. Please enter a valid web address

Incoperation (RC) Number:*
Invalid Input, Please enter your company RC Number only.

Type Of Business *
Invalid Input, Please select one type of Business

Type of business

Brielfly describe your business activity:*
Invalid Input

Describe your business activity

Country of Origin of Investment
Invalid Input

Country of Origin where the business is situated.

Proposed Facility Location (If different from above)
Invalid Input

Location of the facility where the business is situated.

Proposed date of commencement: *
/ / Invalid Input

Date of commencement of the business

BUSINESS INVESTMENT

Proposed Investment Value*
Invalid Input

Proposed Number of Employee
Invalid Input

Intended number to be employed at start-up.

Equity structure of the Organization

Authorized *
Invalid Input

Paid Up*
Invalid Input

Paid up capital

Investment Equity, Amount, Equity %, Loan and Preference Shares

Register