Co-operative Registration

Navigating Financial Success Together

Co-operative Registration

1APPLICANT INFORMATION

2COMPANY INFORMATION

3UPLOAD DOCUMENTS

4REVIEW UPLOADED DOCUMENTS

5REVIEW COMPLETE APPLICATION

6SUBMIT APPLICATION

Application ID
Applicant information
Name and surname*
E-mail address*
Cell number*
List up to 4 preferred company names
Please dont use any symbols (% $ # @ & – “) in the name as this cannot be registered.
1. Company name*
2. Company name
3. Company name
4. Company name

Company information
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Number of shares
Financial year end
How many members your future company will have*
A Co-operative must have a minimum of 5 Members
Member 1
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 2
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 3
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 4
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 5
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 6
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 7
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 8
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 9
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 10
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 11
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 12
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 13
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 14
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code
Member 15
Name and surname*
E-mail address*
Contact number*
Resident of South Africa
- Yes
- No
SA ID number*
Passport number*
No of shares issued to Member
Physical address*
Address Line 1 Address Line 2 City State Zip Code
Postal Address*
- Same As Physical Address
- Street Address
- PO Box
- Private Bag
Street Address*
Address Line 1 Address Line 2 City State Zip Code
PO Box*
Number Post Office Province Postal Code
Private Bag*
Number Post Office Province Postal Code

Co-operative Registration

Navigating Financial Success Together

Co-operative Registration

Download Power of Attorney

Please Review Your Application As Below

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