Company Name Reservation

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For Anonymous of (< user could not be found in lookup >)

Please enter the following information:

Company Category :
Proposed Business :

Requested Name :
Alternate Name 1 :
Alternate Name 2 :
Alternate Name 3 :

If this is an application for a change of name,
please enter the company name or company registration number here :

Reason for Change Of Name:

If the company name requested
is related to one or more companies already on the register,
please enter their registration numbers here :

If related to another foreign company, please advise :

Contact Information :

Contact Name :
Contact Email :
Contact Phone :
Contact Fax:
Your Reference: