Proposed business name …………………………………………...........................................

ACCOMPANYING DOCUMENTS

The following documents may accompany this form:

    a.    consent from another company business name or relevant authorities (e.g. Bank of Botswana etc.) to the use of the name; and

    b.    any supporting information to assist the Registrar.

IMPORTANT INFORMATION

The Registrar of Business Names must not reserve a name-

    •     the use of which would contravene the Banking Act or any other enactment; or

    •     that is identical or almost identical to the name of another local or external company or business name unless consent has been obtained to use the name; or

    •     that is identical or almost identical to a local or external company name or business name that has already been reserved and that is still available for registration unless consent has been obtained to use the name; or

    •     that in the opinion of the Registrar is calculated to mislead the public or cause offence.

The Registrar will advise the presenter by notice as to whether or not the Registrar has reserved the name. If the name has been reserved, then, unless the reservation is revoked by the Registrar the name is available for registration of a business name with that name or on a change of name for 30 working days after that date stated in the notice.

A name reservation does not provide any proprietary rights or interests in the name.

Note: The Registration of Business Names Act prevents the world "Botswana" from being used at the start of a business name except with the Minister's written consent.

Presented by ………………………………………………………………………………………….

Signature ………………………………………………………………………………………………

Date ……………………………………………………………………………………………………

Completed by:

Identity Number
(*For non-citizens Passport number)

Postal Address:

Telephone number:

Mobile phone number:

Email address:

Proposed business name…………………………………………………………………………….

Name reservation number ……………………………………………………………………………

1.    DETAILS OF PROPOSED BUSINESS NAME:

Business activities ……………………………………………………………………………………

(Please record the business activity as per attached list)

Principal place of business:

Plot Number:
Ward/Street/Location:

Postal address:
(Postal address to which communications from the Registrar may be sent)

Telephone number:

Renewal reminders:
The Registrar will send courtesy reminders to the business.

Mobile phone number:

2.    PARTICULARS OF INDIVIDUAL PROPRIETOR

    The following persons are the proprietors of the proposed business name.

Complete this information if the proprietor is an individual

* Identity Number:
(*For non-citizens Passport number)

Residential address:

First, Middle & Last Name
Nationality:
Gender:
Date of Birth:
Mobile Number:
Email address:

Postal address:

*Identity Number:
(*For non-citizens Passport number)
First, Middle & Last Name
Nationality:
Gender:
Date of Birth:
Mobile Number:
Email address:

Residential address:

Postal address:

* Identity Number:
(*For non-citizens Passport number)

Residential address:

First, Middle & Last Name
Nationality:
Gender:
Date of Birth:
Mobile Number:
Email address:

Postal address:

3.    PARTICULARS OF NOMINEE

The following persons are the nominees of the proposed business name.

Complete this information if the proprietor is a nominee

*Identity Number:
(*For non-citizens Passport number)
First, Middle & Last Name
Nationality:
Gender:
Date of Birth:
Mobile Number:
Email address:

Residential address:

Postal address:

*Identity Number:
(*For non-citizens Passport number)
First, Middle & Last Name
Nationality:
Date of Birth:
Mobile Number:
Email address:

Residential address:

Postal address:

*Identity Number:
(*For non-citizens Passport number)
First, Middle & Last Name
Nationality:
Date of Birth:
Mobile Number:
Email address:

Residential address:

Postal address:

The following persons are the nominees of the proposed business name

4.    PARTICULARS OF BODY CORPORATE PROPRIETORS

The following persons are the proprietors of the proposed business name-

Complete this information if the proprietor is registered company in Botswana

Company Name:

Registered Office address:

Registration Number:

Postal Address:

Company Name:

Registered Office address:

Registration Number:

4

Postal Address:

Complete this information if the proprietor is a body corporate

Company Name:
Registration Number:
Country of Registration:
Name of Representative:
Phone Number:
Email address:

Registered Office address:

Postal Address:

*In the case of a body corporate, please give the address of its registered office or, if it does not have a registered office, of its principal place of business and attach a full list of their shareholders.

5.    ACCOMPANYING DOCUMENTS

The following documents must accompany this form:

a.

If a person is a proprietor and a non-citizen, a certified copy of their passport. If the passport is not in English it should be accompanied by a certified translation.

b.

Company proprietor outside Botswana to provide evidence of incorporation in home jurisdiction.

c.

If the proprietor is a body corporate, a full list of shareholders is required.

Tick to confirm this information

I confirm I am either a proprietor of this business name or a person authorised to complete this application on their behalf, and have all necessary enquiries to ensure that the information contained in this application is true and correct.

Signed by ……………………………………………………………………………………………

Signature ……………………………………………………………………………………………

Date …………………………………………………………………………………………………

Completed by:

Identity Number
(*For non-citizens Passport number)

Postal Address:

Telephone number:

Mobile phone number:

Email address:

LIST OF BUSINESS ACTIVITIES UNDER A BUSINESS NAME

1.

Farming

39    General clothing

2.

Poultry

40    General hire service

3.

Manufacturing

41    Gymnasium

4.

Basketry

42    Haberdashery

5.

Brickmoulding

43    Household shop

6.

Construction

44    Industrial hardware

7.