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CIPC Beneficial Ownership Form

Beneficial Ownership Services Inquiry Form

Company Information

Company name:*

Company Registration Number:*

Business Address:*

Industry Sector:

Contact Person Details

Full Name and Surname:*

Position in Company:*

Email Address:*

Phone:*

Ownership Structure Information

Does your company currently have a list of beneficial owners?

Yes

No

Number of Beneficial Owners(if applicable):

Additional Information

Please provide any additional details or specific concerns regarding beneficial ownership compliance: *

5. What type of beneficial ownership service do you require?

Consent & Agreement

By submitting this form, I agree to the terms and conditions of service and acknowledge that the information provided is accurate and complete to the best of my knowledge.

I agree.

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Unit 104, Maynard House, 26 Maynard Rd, Wynberg, Cape Town, 7800

We are happy to meet with you by appointment.

Call

T: 071 332 9989

Contact

info@mzansibiz.co.za

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Mzansi Business Services

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