Providing solutions for your business registration forms
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Business Name Registration Order
For more information on Registering a Business Name, click
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Fields marked * are required
1. Business Name
First Choice:
*
Second Choice:
*
Third Choice:
*
Former Business Name (if applicable):
Former Name:
2. Nature of Business
State Precise Nature of Business:
*
Commencement Date:
Select Day
1
2
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5
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9
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Select Month
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May
June
July
August
September
October
November
December
Select Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
*
3. Principal Place of Business
Suite or Unit Number:
Street Number:
*
Street Name:
*
Suburb/City:
*
State:
Select State
ACT
NSW
NT
QLD
SA
VIC
TAS
WA
*
Post Code:
*
Do you have a different postal address to the street address above?
YES
NO
Postal Box:
Suburb/City:
State:
Select State
ACT
NSW
NT
QLD
SA
VIC
TAS
WA
Post Code:
Other Places of Business - No, Street, Suburb/City and Postcode:
4. Applicant Detail
Full Name of Individual or Corporation:
*
ACN:
Suite or Unit Number:
Street Number:
*
Street Name:
*
Suburb/City:
*
State:
Select State
ACT
NSW
NT
QLD
SA
VIC
TAS
WA
*
Post Code:
*
Individual's Place of Birth
Town:
*
State:
Select State
ACT
NSW
NT
QLD
SA
VIC
TAS
WA
Not Australia
*
Country:
Date of Birth:
Select Day
1
2
3
4
5
6
7
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9
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12
13
14
15
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18
19
20
21
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23
24
25
26
27
28
29
30
31
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Select Year
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1933
1934
1935
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1937
1938
1939
1940
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1945
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1949
1950
1951
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1968
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1971
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1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
*
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