Register PBC PBC Registration FormAll items with an asterisk * are mandatory. If you are on a mobile device please don't use Opera Mini as it will fail to submit. Applicant Personal detailsName *Surname *Phone number *Email *Proposed Business NamesProposed name 1 *Proposed name 2 Proposed name 3 Proposed name 4 Proposed name 5 Business ObjectivesCore business object ( to carry on business in) *Company addressesPhysical address *Postal address *You can use your home address if your business does not have an address as yet. Member 1 DetailsName(s) *Surname *I.D/Pasport Number *Address *Member 2 DetailsName(s) Surname I.D /Passport Number Address Member 3 DetailsName(s) Surname I.D/Passport Number Address Member 4 DetailsName(s) Surname I.D / Passport Number Address More MembersPlease fill the details of other Members as per above. DisclaimerYou are required to agree to the following Terms and Conditions before proceeding. Terms & Conditions I hereby authorise Lucent Consultancy to register my/our company and to offer related services on behalf of my/our company. I indemnify Lucent consultancy from any responsibility, mistakes or errors arising from incorrect information submitted on this for this form or from mistakes made by the Registrar’s Office or any delays in processing my/our by the Registrar's office. These T's & C's work hand in hand with our Complaints, Refund & Cancellation, ID Requirements & Terms & Conditions policies.■ Registration Process: The registration will take approximately 5 to 7 working days. This period will be divided into two; the first for name search and the remaining for the actual registration. ■ Registration Process: The registration will take approximately 5 to 7 working days. This period will be divided into two; the first for name search and the remaining for the actual registration. Internal EvaluationHow did you hear about us? WebsiteTwitterWhatsappWhatsappAny special instructionsComments/Instructions VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>:
