Business Name Registration or Renewal Form Contact Details Title * SelectMrMrsMsDr First Name * Middle Name Last Name * Mobile * Email * Purpose New RegistrationRenew Business Name Business Name Details Entity Name * Entity name is the official legal name of a business. For Example - John Smith, XYZ Pty LTD or your business trading name Australian Business Number (ABN) * Proposed Business Name Preference 1 * Preference 2 Preference 3 Select a registration period * 1 Year3 Years Principle Place of Business Unit/Apartment Number Street Address City State / Region / Province Postal / Zip Code Country Select CountryAustraliaNew ZealandUnited StatesUnited KingdomAfghanistanAlbaniaAlgeriaAndorraAngolaArgentinaArmeniaAustriaAzerbaijanBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-bissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRepublic of the CongoRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe BahamasThe GambiaTimor-lesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Declaration The applicant must confirm that the following statements are accurate for both the applicant and every individual involved in the management of the applicant entity to determine eligibility for registering a business name, including: If the applicant is a body corporate: each director and secretary (or their equivalents) of the body corporate. If the applicant is a partnership: each partner the partnership. If the applicant is an unincorporated association or other body: each member of the committee of management of the unincorporated association or body. If the applicant is a trust: each trustee of the trust. If the applicant a joint venture: each joint venture partner. Eligibility declaration: I am not disqualified from managing corporations under section 206B(1) of the Corporations Act 2001; and Within the last five years, I have not been: convicted of, or released from prison after being convicted of and serving a term of imprisonment for, any of the criminal offences referred to in section 32(1)(c) or (d) of the Business Names Registration Act 2011. I confirm that the eligibility declaration statements above are accurate I hereby confirm that I have read and agree to the Disclaimer and Privacy Policy of Futurenow Business Advisory
