Company Limited Liability Re Registration Form
Company Limited Liability Re Registration Form
Company Limited Liability Re Registration Form
(A)
*Old Registration No:
*Old TIN:
*Current Tax Office:
*Company Name:
*Presented by:
To the Registrar of
Companies
General Nature of Mining/Oil and Gas Manufacturing
Business
(ISIC) Classification: Finance/Insurance/Real Estate Commerce
Farming/Fisheries Transportation
Health/Pharmacy Others
ISIC Code:
(B) Business Address Information
Registered Office Address
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
*District:
*City:
*District:
*Region:
(D) Other Business Place(s)
Address 1:
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
P.O. Box :
PMD/DTD:
*District:
*Region:
Address 2:
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
P.O. Box :
PMD/DTD:
*District:
*Region:
(E) Postal Address
Address 1:
C/O:
*City:
*District:
*Region:
(F) Contacts of the Company
Address 1:
Phone No. 1:
Phone No. 2:
*Office Mobile No 1:
Mobile No 2:
Fax:
Email:
Website:
TIN:
Present Name:
First Name:
Middle Name:
Surname:
Age: Years
Any Former Forename
/Surname:
Nationality:
Residential Address
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
*District:
Particulars of other
Directorships:
*Director 2:
TIN:
Present Name:
First Name:
Middle Name:
Surname:
Age: Years
Any Former Forename
/Surname:
Nationality:
Residential Address
*House/Building/Flat
(Name or House No.
etc.) /LMB:
Street:
City:
District:
Region:
Business Occupation:
Particulars of other
Directorships:
Surname:
Age: Years
Any Former
Forename/Surname:
Nationality:
City:
District:
Region:
Business Occupation:
*Corporate Address:
H/No. LMB
P.O.Box/DTD/PMB
*Corporate Stamp:
*Corporate TIN:
*Name of Person
Representing the
Corporate :
TIN of Representative:
*Signature
(Corporate
Representative) ---------------------
Auditor’s Firm
Address:
P. O. BOX:
PMB/DTD:
*House/Building/Flat
(Name or House No.
etc.) /LMB:
City:
District:
Region:
(L)
Address at which register of members is kept and maintained (if elsewhere than at the registered
office)
(Name) (Name)
(Signature) (Signature)
(Signature)
This Form must be signed by the Directors and Secretary and sent by post , email or electronically
delivered to the Registrar of Companies, P. O. Box 118, Accra, within 28 days after any change in any of the
particulars registered. If any of the director(s) and secretary cannot sign, his or her mark must be affixed
and witnessed.
The Witness must write his / her name clearly and give sufficient address.
If the change is in respect of the place of business, one has to state the house number and street (if any) of
the new place of Business or adequate description of the principal place of business.
Failure, without reasonable excuse, to furnish the Registrar with the required statement of any change in
the particulars registered within 28 days of such change will entail liability on conviction to a fine not
exceeding GHC10.00 for every day during which the default continues and any statement which contains
any person signing it will entail liability on conviction to imprisonment for a term not exceeding six months
or to a fine not exceeding GHC500.00 or to both such imprisonment and fine.
Director:
TIN:
Present Name:
*First Name:
*Middle Name:
*Surname:
Age Years
Any Former
Forename/Surname:
Nationality:
Residential Address
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
*District:
*Region:
*Business
Occupation:
Particulars of Other
Directorships
Director’s
Signature:
Pare 1 of 1
THE REGISTRAR-GENERAL’S DEPARTMENT Supplementary
*Corporate Shareholder
Corporate Name:
Corporate Address
P. O. Box/PMB/DTD:
Corporate TIN:
Corporate Stamp:
Name of Person
Representing the
Corporate:
TIN of Representative:
No. of Shares Taken:
Consideration
Payable in Cash:
Signature:
(Corporate
Representative)
Pare 1 of 1
THE REGISTRAR-GENERAL’S DEPARTMENT Supplementary
*Shareholder:
First Name:
Middle Name:
Surname:
TIN:
Date of Birth: dd/mm/yyyy
Nationality:
Address:
P. O. Box/DTD/PMB
Signature:
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