Company Registration & KYC Company Name *Name Availability Confirmed?YesNoProposed Start Date *Registered Office Address *Principal Place of Business (if different)Business Activity Description *Expected Annual Turnover *Please select an optionUnder $50,000$50,000 – $200,000$200,000 – $500,000$500,000 – $1,000,000$1,000,000 – $5,000,000Over $5,000,000NEXT Director 1 — Full Name *Director 1 — Date of Birth *Director 1 — Place of Birth (City / Country)Director 1 — Phone *Director 1 — Residential Address *Director 1 — Email Address *Director 1 — Tax File Number (TFN)Director 1 — ID TypePassportDriver's LicenceMedicare CardOther Government IDDirector 1 — ID / Document NumberDirector 1 — Issuing State / CountryDirector 1 — ID Expiry DateDirector 1 — Upload ID DocumentChoose FileNo file chosenDelete uploaded fileDirector 2 — Full NameDirector 2 — Date of BirthDirector 2 — Place of Birth (City / Country)Director 2 — PhoneDirector 2 — Residential AddressDirector 2 — Email AddressDirector 2 — Tax File Number (TFN)Director 2 — ID TypePassportDriver's LicenceMedicare CardOther Government IDDirector 2 — ID / Document NumberDirector 2 — Issuing State / CountryDirector 2 — ID Expiry DateDirector 2 — Upload ID DocumentChoose FileNo file chosenDelete uploaded fileCompany Secretary — Full NameCompany Secretary — Date of BirthCompany Secretary — Residential AddressNEXT Shareholder 1 — Full Name / Entity Name *Shareholder 1 — AddressShareholder 1 — CapacityIndividualTrusteeCompanyShareholder 2 — Full Name / Entity NameShareholder 2 — AddressShareholder 2 — CapacityIndividualTrusteeCompanyIssue Price per Share ($)Share Classes (if any)Beneficial Owner 1 — NameBeneficial Owner 2 — NameNEXT Tax Registrations Required (select all that apply)TFN — Tax File NumberABN — Australian Business NumberGST RegistrationPAYG WithholdingProposed BankCommonwealth Bank (CBA)ANZWestpacNABMacquarieBendigo BankOtherExpected Monthly Transactions1 – 2021 – 5051 – 100100 – 500500+Account SignatoriesSource of Initial Funds *Accounting Software PreferenceXeroMYOBQuickBooksOtherPayroll Required?YesNoNEXT Primary ID — Upload Passport or Driver's LicenceChoose FileNo file chosenDelete uploaded fileProof of Address — Upload Utility Bill or Bank Statement (under 3 months old)Choose FileNo file chosenDelete uploaded fileSource of Wealth / Funds Explanation *NEXT (Passport, driver's licence, government-issued photo ID)Choose FileNo file chosenDelete uploaded file(Utility bill or bank statement, less than 3 months old)Choose FileNo file chosenDelete uploaded file(Trust deed, constitution, ASIC extracts, partnership agreements)Choose FileNo file chosenDelete uploaded file(Tax returns, profit & loss, balance sheets, bank statements)Choose FileNo file chosenDelete uploaded file(Engagement letter, consent forms, shareholder agreements)Choose FileNo file chosenDelete uploaded fileOther / Additional DocumentsChoose FileNo file chosenDelete uploaded fileNEXT Consents (check all that apply) *I consent to the firm acting as ASIC Agent for this companyDirector consent forms have been signedEngagement Letter has been signedFull Name *Date *Position / RoleSubmit Application
