Co-Operative Registration Form

CO-OPERATIVE REGISTRATION

Applicant's Information

First Name
Field is required!
Field is required!
Last Name
Field is required!
Field is required!
E-mail Address
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!

Proposed Company Name

Four proposed names for your Company in order of preference. If the first name is rejected, the second or third will be processed in the order you specify below.

N.B: We use your spelling. Take into account, if your name is somewhat similar to an existing company name, the reservation will be rejected and another name reservation will have to be lodged at CIPC, at an additional cost of R100.00
1st Choice
Field is required!
Field is required!
2nd Choice
Field is required!
Field is required!
3rd Choice
Field is required!
Field is required!
4th Choice
Field is required!
Field is required!

Company Information

Company's Physical Address
Field is required!
Field is required!
Field is required!
Field is required!
Zip Code
Field is required!
Field is required!
City
Field is required!
Field is required!
Province
  • KwaZulu-Natal
  • Gauteng
  • Western Cape
  • Eastern Cape
  • Northern Cape
  • North West
  • Limpopo
  • Mpumalanga
  • Free State
Field is required!
Field is required!
Physical Address is the same as Postal Address
Field is required!
Field is required!
Company's Postal Address
P.O. Box
Field is required!
Field is required!
Zip Code
Field is required!
Field is required!
City
Field is required!
Field is required!
Province
  • KwaZulu-Natal
  • Gauteng
  • Western Cape
  • Eastern Cape
  • Northern Cape
  • North West
  • Limpopo
  • Mpumalanga
  • Free State
Field is required!
Field is required!

Director Information

First Name
Field is required!
Field is required!
Middle Name
Field is required!
Field is required!
Surname
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Cell Number
Field is required!
Field is required!
ID Number
Field is required!
Field is required!
ID Copy
Upload your documents...
Field is required!
Field is required!
Physical Address
Field is required!
Field is required!
Field is required!
Field is required!
Zip Code
Field is required!
Field is required!
City
Field is required!
Field is required!
Province
  • KwaZulu-Natal
  • Gauteng
  • Western Cape
  • Eastern Cape
  • Northern Cape
  • North West
  • Limpopo
  • Mpumalanga
  • Free State
Field is required!
Field is required!
Physical Address is the same as Postal Address
Field is required!
Field is required!
Postal Address
P.O. Box
Field is required!
Field is required!
Zip Code
Field is required!
Field is required!
City
Field is required!
Field is required!
Province
  • KwaZulu-Natal
  • Gauteng
  • Western Cape
  • Eastern Cape
  • Northern Cape
  • North West
  • Limpopo
  • Mpumalanga
  • Free State
Field is required!
Field is required!
Live Covid-19
United States 35,424,225
Cases: 35,424,225
Deaths: 627,598
Recovered: 29,585,831
Active: 5,210,796
India 31,526,595
Cases: 31,526,595
Deaths: 422,694
Recovered: 30,694,086
Active: 409,815
Brazil 19,749,073
Cases: 19,749,073
Deaths: 551,906
Recovered: 18,466,822
Active: 730,345
Russia 6,195,232
Cases: 6,195,232
Deaths: 156,178
Recovered: 5,547,529
Active: 491,525
France 6,054,049
Cases: 6,054,049
Deaths: 111,735
Recovered: 5,687,412
Active: 254,902
United Kingdom 5,770,928
Cases: 5,770,928
Deaths: 129,430
Recovered: 4,470,224
Active: 1,171,274
Turkey 5,660,469
Cases: 5,660,469
Deaths: 51,124
Recovered: 5,438,038
Active: 171,307
Argentina 4,875,927
Cases: 4,875,927
Deaths: 104,352
Recovered: 4,519,922
Active: 251,653
Colombia 4,747,775
Cases: 4,747,775
Deaths: 119,482
Recovered: 4,526,917
Active: 101,376
Spain 4,395,602
Cases: 4,395,602
Deaths: 81,396
Recovered: 3,703,911
Active: 610,295
Italy 4,330,739
Cases: 4,330,739
Deaths: 128,010
Recovered: 4,128,568
Active: 74,161
Iran 3,792,014
Cases: 3,792,014
Deaths: 89,782
Recovered: 3,310,163
Active: 392,069
Germany 3,767,871
Cases: 3,767,871
Deaths: 92,086
Recovered: 3,649,100
Active: 26,685
Indonesia 3,287,727
Cases: 3,287,727
Deaths: 88,659
Recovered: 2,640,676
Active: 558,392
Poland 2,882,465
Cases: 2,882,465
Deaths: 75,252
Recovered: 2,653,446
Active: 153,767
Mexico 2,771,846
Cases: 2,771,846
Deaths: 239,079
Recovered: 2,171,095
Active: 361,672
South Africa 2,408,525
Cases: 2,408,525
Deaths: 70,908
Recovered: 2,186,988
Active: 150,629
Ukraine 2,250,061
Cases: 2,250,061
Deaths: 52,891
Recovered: 2,185,339
Active: 11,831
Peru 2,106,371
Cases: 2,106,371
Deaths: 196,058
Recovered:
Active: 1,910,313
Netherlands 1,854,784
Cases: 1,854,784
Deaths: 17,812
Recovered: 1,666,024
Active: 170,948
Czechia 1,673,017
Cases: 1,673,017
Deaths: 30,362
Recovered: 1,639,698
Active: 2,957
Chile 1,611,917
Cases: 1,611,917
Deaths: 35,176
Recovered: 1,567,236
Active: 9,505
Iraq 1,590,528
Cases: 1,590,528
Deaths: 18,484
Recovered: 1,437,759
Active: 134,285
Philippines 1,566,667
Cases: 1,566,667
Deaths: 27,401
Recovered: 1,484,714
Active: 54,552
Canada 1,428,239
Cases: 1,428,239
Deaths: 26,567
Recovered: 1,396,506
Active: 5,166
Bangladesh 1,210,982
Cases: 1,210,982
Deaths: 20,016
Recovered: 1,035,884
Active: 155,082
Belgium 1,119,030
Cases: 1,119,030
Deaths: 25,230
Recovered: 1,058,072
Active: 35,728
Sweden 1,098,795
Cases: 1,098,795
Deaths: 14,617
Recovered: 1,075,222
Active: 8,956
Romania 1,082,710
Cases: 1,082,710
Deaths: 34,274
Recovered: 1,047,444
Active: 992
Malaysia 1,061,476
Cases: 1,061,476
Deaths: 8,551
Recovered: 877,812
Active: 175,113
Cookie Notification
This site uses cookies to ensure that we give you the best experience on our website. If you continue to without changing your Cookie Settings, we'll assume that you are happy with it.
See our Cookie Policy
Change Cookie Settings
Ok, I like Cookies!
Cookie Notification
This site uses cookies to ensure that we give you the best experience on our website. If you continue to without changing your Cookie Settings, we'll assume that you are happy with it.
See our Cookie Policy
Change Cookie Settings
Ok, I like Cookies!