PBC Company Registration Form Please note that all items with a * are mandatory. The form will not submit if they are not filled. If you are on a mobile device please don't use Opera Mini as it will fail to submit. Your Personal DetailsFirst Name *Surname *Phone Number for calls *Whatsapp Phone Number (if different) Email Address *How did you hear of us? * DisclaimerPlease note that you automatically consent to all the following by filling in this form: ■ I hereby authorise Angel & Walt to register my/our company and to offer related services on behalf of my/our company. I indemnify Angel & Walt from any responsibility, mistakes or errors arising from incorrect information submitted on this form or from mistakes made by the Registrar’s office. ■ Registration Process: The registration will take approximately 7 to 15 working days. This period will be divided into two; the first for name search and the remaining for the actual registration. ■ Fast Processing: If you order urgent processing the registration process will take 5 to 7 working days. This period will be divided into two; the first for name search and the remaining for the actual registration. ■ Please note that if the Registrar rejects your selection of names, the registration process will be delayed by 2 to 6 working days to allow for the processing of new names. You will also need to supply us with a new name list. PBC DetailsCompany Names ■ List your names in order of preference starting with the name you want the most at the top. ■ Make sure your company names are different. Names like Majestic Enterprises, Majestic Holdings are considered the same name. ■ Abbreviations e.g ABC or ABC Investments are not allowed. ■ If your name includes the word investments then your core business must include investments.Proposed company name 1 *Proposed company name 2 *Proposed company name 3 *Proposed company name 4 *Physical address of business *Any business or home address in Zimbabwe is acceptableSuburb & City *Postal address of business *Main type of business you want to venture into *Date of financial year end * Details of the shareholders / directorsPlease give the full name, ID number & percentage shareholding of each shareholder - total must add up to 100%. (Please note that at least 1 director must have legal residence in Zimbabwe) Shareholder 1 (Full name) *National ID No *Shareholding (%) *Email Address *Shareholder 2 (Full name) National ID No Shareholding (%) Email Address Shareholder 3 (Full name) National ID No. Shareholding (%) Email Address Shareholder 4 (Full name) National ID No. Shareholding (%) Email Address Shareholder 5 (Full name) National ID No. Shareholding (%) Email Address Any special instructions, comments or additional directors should go below:Comments / Instructions VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
