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 34,402,047
Cases: 34,402,047
Deaths: 617,109
Recovered: 28,695,025
Active: 5,089,913
India 29,931,212
Cases: 29,931,212
Deaths: 388,096
Recovered: 28,830,037
Active: 713,079
Brazil 17,883,750
Cases: 17,883,750
Deaths: 500,868
Recovered: 16,183,849
Active: 1,199,033
France 5,755,496
Cases: 5,755,496
Deaths: 110,724
Recovered: 5,555,389
Active: 89,383
Turkey 5,365,208
Cases: 5,365,208
Deaths: 49,122
Recovered: 5,228,419
Active: 87,667
Russia 5,316,826
Cases: 5,316,826
Deaths: 129,361
Recovered: 4,869,972
Active: 317,493
United Kingdom 4,630,040
Cases: 4,630,040
Deaths: 127,976
Recovered: 4,301,985
Active: 200,079
Argentina 4,258,394
Cases: 4,258,394
Deaths: 88,742
Recovered: 3,868,105
Active: 301,547
Italy 4,252,976
Cases: 4,252,976
Deaths: 127,270
Recovered: 4,037,996
Active: 87,710
Colombia 3,917,348
Cases: 3,917,348
Deaths: 99,335
Recovered: 3,644,287
Active: 173,726
Spain 3,757,442
Cases: 3,757,442
Deaths: 80,652
Recovered: 3,544,205
Active: 132,585
Germany 3,729,753
Cases: 3,729,753
Deaths: 90,954
Recovered: 3,603,000
Active: 35,799
Iran 3,095,135
Cases: 3,095,135
Deaths: 82,965
Recovered: 2,748,320
Active: 263,850
Poland 2,878,767
Cases: 2,878,767
Deaths: 74,828
Recovered: 2,650,476
Active: 153,463
Mexico 2,475,705
Cases: 2,475,705
Deaths: 231,151
Recovered: 1,969,137
Active: 275,417
Ukraine 2,229,523
Cases: 2,229,523
Deaths: 52,016
Recovered: 2,151,463
Active: 26,044
Peru 2,026,729
Cases: 2,026,729
Deaths: 190,202
Recovered:
Active: 1,836,527
Indonesia 1,989,909
Cases: 1,989,909
Deaths: 54,662
Recovered: 1,792,528
Active: 142,719
South Africa 1,810,164
Cases: 1,810,164
Deaths: 58,590
Recovered: 1,640,849
Active: 110,725
Netherlands 1,678,983
Cases: 1,678,983
Deaths: 17,726
Recovered: 1,601,923
Active: 59,334
Czechia 1,666,025
Cases: 1,666,025
Deaths: 30,280
Recovered: 1,632,840
Active: 2,905
Chile 1,517,018
Cases: 1,517,018
Deaths: 31,513
Recovered: 1,445,703
Active: 39,802
Canada 1,408,476
Cases: 1,408,476
Deaths: 26,066
Recovered: 1,370,354
Active: 12,056
Philippines 1,359,015
Cases: 1,359,015
Deaths: 23,621
Recovered: 1,277,715
Active: 57,679
Iraq 1,287,465
Cases: 1,287,465
Deaths: 16,885
Recovered: 1,200,103
Active: 70,477
Sweden 1,084,636
Cases: 1,084,636
Deaths: 14,537
Recovered: 1,046,065
Active: 24,034
Romania 1,080,256
Cases: 1,080,256
Deaths: 32,326
Recovered: 1,045,122
Active: 2,808
Belgium 1,079,084
Cases: 1,079,084
Deaths: 25,132
Recovered: 1,007,785
Active: 46,167
Pakistan 948,268
Cases: 948,268
Deaths: 21,977
Recovered: 892,319
Active: 33,972
Portugal 865,050
Cases: 865,050
Deaths: 17,065
Recovered: 819,688
Active: 28,297
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