Information ref. no. Application for registration as a or Changing of Particulars: Company Area code Where registered details have changed, the applicant must only fill in the taxpayer reference number and the details that have changed Use capital letters and where applicable, mark with an X TPINF01 Company Details Trading date Turnover R, Bus Tel Fax Cell address Nature of Business Unit Street Suburb / District City / Town Complex Street / Farm Voluntary Disclosure Programme Is this registration made in respect of a VDP agreement with SARS? Y N VDP Application Declaration Postal I declare that the information furnished in this application is true, correct and complete. XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX Mark here with an X if same as above or complete your Postal Date Please ensure you sign over the 2 lines of X s above For enquiries go to www.sars.gov.za or call 0800 00 SARS (7277) Version: v2013.0.4 Page 1 of 6 Updated on: 9/13/2013
Public Officer Details PODIF01 First two s ref. no. ID Home tel no. Bus tel no. issue date Cell no. Fax no. Date of Appointment Physical Unit Street Suburb / District Complex Street / Farm City / Town Tax Practitioner Details TPDIF01 / Tel Contact Trading Details TDINF01 Is the Company trading? Y N Financial year end (MM) If No, provide reason(s): Version: v2013.0.4 Page 2 of 6 Updated on: 9/13/2013
Three Main Partners Details (Only in case of partnership) MPDIF01 Number One ref no. ID Number Two ref no. ID Number Three ref no. ID Version: v2013.0.4 Page 3 of 6 Updated on: 9/13/2013
Three Main Directors / Shareholders / Members Details MNDIF01 Number One ref. no ID issue date Number Two ref. no ID issue date Number Three ref. no ID issue date Version: v2013.0.4 Page 4 of 6 Updated on: 9/13/2013
Estate Details ESTIF01 Type of Estate Effective Date Meeting Dates for Company in Liquidation Voluntary liquidation First meeting CCYYMMDD Second meeting Special meeting Involuntary liquidation Other: Specify Representative Details First two s ref. no. ID Home tel no. Bus tel no. issue date Cell no. Fax no. Date of Appointment Physical Unit Street Suburb / District City / Town Complex Street / Farm Contact Numbers Tel Cell Fax Postal Mark here with an X if same as above or complete your Postal Capacity of Representative Liquidator Administrator Other (Specify) Version: v2013.0.4 Page 5 of 6 Updated on: 9/13/2013
Information Required for / Change of Particulars RQINF01 The following information is required in order for SARS to process your application. Your application may be rejected where the required information has not been submitted. Application Form This form must be completed in full and signed by the public officer. Proof of identity of Public Officer A certified legible copy of the Public Officer s identity document or passport or driving licence must be submitted. Other Documents Required Copy of the Memorandum and Articles of Association / Memorandum of Incorporation; Certificate of Incorporation Certificate to commence business (if not February year end). Documents Required for Co-Operatives Constitution duly signed by the founding members Notice of registration with the co-operative registration number (CR10 form) Co-operative Certificate of Confirmation For Office Use Only FOINF01 Initial year of liability Sub-Category Type Suspense Code Suspense Effective Date Current financial year end (MM) Normal Mining Non-Provisional Dormant Assurance Exempt Provisional Version: v2013.0.4 Page 6 of 6 Updated on: 9/13/2013