Establish A New Corporation

Order Details:
Adviser Name*
First Last
Adviser Email*
Are you an existing adviser with us?*
- Yes
- No
Adviser Company Name
Adviser Phone
Adviser Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Details
What type of Company would you like establish?*
- Special Purpose Company
- General Business Company
Special Purpose Companies have a lower annual review fee but there are special circumstances on which a Special Purpose Company can be established. These are: Superannuation Trustee Company, Home Unit Company, Not-for-profit Company. LRBA Bare Trusts must have a General Company not a Special Purpose Company
Company Name*

Please provide up to 3 selections for a Company Name. If your first choice is unavailable we will move down the list in order (to add each name, click the + sign on the right of the box)
Is SMSF Alliance to act as the Registered Agent/ Address?*
- Yes
- No
We charge a small yearly fee to act as Registered Agent/ Address. This is charged at the same time as the yearly ASIC Fee.
Registered Agent Company name
Street Address for Registered Agent
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What is the Company's Principal Business Address?*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Number of Directors*
Director 1 Name*
Prefix First Middle Last
Director 1 Have they ever changed their name?*
- Yes
- No
Director 1 What was the prior name?*
Director 1 Street Address
Street Address City State / Province / Region ZIP / Postal Code Country
Director 1 Mobile Phone Number*
Director 1 Email*
Director 1 Gender*
- Male
- Female
Director 1 Date of birth*

DD
MM
YYYY
Director 1 TFN*
Director 1 Director Identification Number*
Director 1 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 1 Town & Country of Birth*
City Country
Director 1 - Will they be Company Secretary?*
- Yes
- No
Director 1 - Will they be a Public Officer?*
- Yes
- No
Director 1 - Will they be a shareholder?*
- Yes
- No
Director 1 Number of shares
Director 2 Name*
Prefix First Middle Last
Director 2 Have they ever changed their name?*
- Yes
- No
Director 2 What was the prior name?*
Director 2 Street Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Director 2 Mobile Phone Number*
Director 2 Email*
Director 2 Gender*
- Male
- Female
Director 2 Date of birth*

DD
MM
YYYY
Director 2 TFN*
Director 2 Director Identification Number*
Director 2 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 2 Town & Country of Birth*
City Country
Director 2 - Will they be a Company Secretary?*
- Yes
- No
Director 2 Will they be a Public Officer?*
- Yes
- No
Director 2 Will they be a Shareholder?*
- Yes
- No
Director 2 - Number of shares*
Director 3 Name*
Prefix First Middle Last
Director 3 Have they ever changed their name?*
- Yes
- No
Director 3 What was the prior name?
Director 3 Street Address
Street Address City State / Province / Region ZIP / Postal Code Country
Director 3 Mobile phone number*
Director 3 Email*
Director 3 Gender*
- Male
- Female
Director 3 Date of birth*

DD
MM
YYYY
Director 3 TFN*
Director 3 Director Identification Number*
Director 3 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 3 Town & Country of Birth*
City Country
Director 3 Will they be a Company Secretary?*
- Yes
- No
Director 3 Will they be a Public Officer?*
- Yes
- No
Director 3 Will they be a Shareholder?*
- Yes
- No
Director 3 Number of shares*
Director 4 Name*
Prefix First Middle Last
Director 4 Have they ever changed their name?*
- Yes
- No
Director 4 What was the prior name?*
Director 4 Street Address
Street Address City State / Province / Region ZIP / Postal Code Country
Director 4 Mobile phone number*
Director 4 Email*
Director 4 Gender*
- Male
- Female
Director 4 Date of birth*

DD
MM
YYYY
Director 4 TFN*
Director 4 Director Identification Number*
Director 4 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 4 Town & Country of Birth*
City Country
Director 4 Will they be a Company Secretary?*
- Yes
- No
Director 4 Will they be a Public Officer?*
- Yes
- No
Director 4 Will they be a Shareholder?*
- Yes
- No
Director 4 Number of Shares*
Director 5 Name*
Prefix First Middle Last
Director 5 Have they ever changed their name?*
- Yes
- No
Director 5 What was the prior name?*
Director 5 Street Address
Street Address City State / Province / Region ZIP / Postal Code Country
Director 5 Mobile phone number*
Director 5 Email*
Director 5 Gender*
- Male
- Female
Director 5 Date of birth*

DD
MM
YYYY
Director 5 TFN*
Director 5 Director Identification Number*
Director 5 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 5 Town & Country of Birth*
City Country
Director 5 Will they be a Company Secretary?*
- Yes
- No
Director 5 Will they be a Public Officer?*
- Yes
- No
Director 5 Will they be a Shareholder?*
- Yes
- No
Director 5 Number of Shares*
Director 6 Name*
Prefix First Middle Last
Director 6 Have they ever changed their name?*
- Yes
- No
Director 6 What was the prior name?*
Director 6 Street Address
Street Address City State / Province / Region ZIP / Postal Code Country
Director 6 Mobile phone number*
Director 6 Email*
Director 6 Gender*
- Male
- Female
Director 6 Date of birth*

DD
MM
YYYY
Director 6 TFN*
Director 6 Director Identification Number*
Director 6 Specific Occupation*
Please be as detailed as possible. We cannot accept "Manager" we require detail about the Industry as well.
Director 6 Town & Country of Birth*
City Country
Director 6 Will they be a Company Secretary?*
- Yes
- No
Director 6 Will they be a Public Officer?*
- Yes
- No
Director 6 Will they be a Shareholder?*
- Yes
- No
Director 5 Number of Shares*
Additional Information

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Product Name
Fee (inclusive of GST)
$ 0.00
SMSF name for fee deduction
How will you be paying?
- Fee Authority on File
- Credit Card
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Acknowledgement*
- I agree
I acknowledge and certify that upon submission of this application that all proposed officers and members listed in this application have consented to their appointment by way of a signed consent and hereby appoint SMSF Alliance Pty Ltd to sign the Application for Registration of this company as agent on their behalf. I further confirm I will meet all liabilities for the establishment of the Company in a timely manner.
Acknowledging Name*

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Establish A New Corporation

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