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Business Name Form

This document is an application form to register a business name. It requests information such as the proposed business name, address, description of business activities, and personal details of the proprietor(s) including name, address, identification numbers. The applicant must certify that the information provided is correct.

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ologiditareladeoswald
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© © All Rights Reserved
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61 views2 pages

Business Name Form

This document is an application form to register a business name. It requests information such as the proposed business name, address, description of business activities, and personal details of the proprietor(s) including name, address, identification numbers. The applicant must certify that the information provided is correct.

Uploaded by

ologiditareladeoswald
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION TO REGISTER BUSINESS NAME

Please type your proposed name as provided in option 1 to 3 below.


Option 1
Option 2
Option 3
Date of commencement of
business

Please give a brief description of the business activities


below:
General Nature of Business

Please give the address of principal place of business


Address You must ensure
that the address
City/Town/Village shown in this
section is easily
traceable.
Local Government
State

Address
City/Town/Village
Local Government
State
Surname
First name
Other name(s)
Former name(s)
Nationality
Former nationality
Gender
Date of birth
Phone number Recent Passport Photograph
Email
Identity Number
NIN
Identity Type
Occupation

Address
City/Town/Village
Local Government
State
Attestation :
I/We, the undersigned, being proprietor(s) of the above named
business name hereby certify that the foregoing particulars
are, to the best of my/our knowledge and belief, correct and I/we
undertake to notify the Registrar of Business Names
whenever any change is made or occurs in any of them other than
the age of any of the proprietors.

Date

Note:
1. Fill and sign this application form.
2. Upload recent passport photograph and Signature
3. Scan the completed form in PDF format together with a scanned copy of a recognized means of
identification (either Data Page of International Passport, Driver’s license, National Identity Card or
Voter’s Card) and send via email to [email protected]

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