PLC 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 about 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 10 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 3 to 6 working days. This period will be divided into two; the first for name search and the remaining for the actual registration. ■ I understand that a Zimbabwean address for the business and a Zimbabwean based director is needed for registration. PLC Company 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 * Details of the shareholders (company owners)Please give the full name, ID number & percentage shareholding of each shareholder (total must add up to 100%) Shareholder 1 (Full name) *National ID No. *Shareholding (%) *Gender *SelectMaleFemaleDate of Birth *Email Address *Address of Shareholder 1 *Shareholder 2 (Full name) National ID No. Shareholding (%) Gender SelectMaleFemaleDate of Birth Email Address Address of Shareholder 2 Shareholder 3 (Full name) National ID No. Shareholding (%) Gender SelectMaleFemaleDate of Birth Email Address Address of Shareholder 3 Shareholder 4 (Full name) National ID No. Shareholding (%) Gender SelectMaleFemaleDate of Birth Email Address Address of Shareholder 4 Details of the directors2 or more directors are required who are above 18 years, at least 1 director must have legal residence in Zimbabwe Specify full name, ID number, gender, date of birth, email address & address of each director below. Put 1 director per lineDirector 1 *Director 2 *Director 3 Director 4 or more If you have 4 or more directors please enter their details below. Specify full name, ID number, gender, date of birth, email address & address of each director below. Put 1 director per line Any special instructions or comments should go below:Comments/ Instructions VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: