AMENDMENT OF REGULATIONS UNDER CLOSE CORPORATIONS ACT
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GOVERNMENT GAZETTE
OF THE
REPUBLIC OF NAMIBIA
N$17.40 WINDHOEK - 18 February 2021 No. 7462
CONTENTS
Page
GOVERNMENT NOTICE
No. 27 Amendment of regulations under Close Corporations Act: Close Corporations Act, 1988 . ................. 1
________________
Government Notice
MINISTRY OF INDUSTRIALISATION AND TRADE
No. 27 2021
AMENDMENT OF REGULATIONS UNDER CLOSE CORPORATIONS ACT:
CLOSE CORPORATIONS ACT, 1988
Under section 10 of the Close Corporations Act, 1988 (Act No. 26 of 1988) I have amended the
Regulations under the Close Corporations Act as set out in the Schedule.
L. IIPUMBU
MINISTER OF INDUSTRIALISATION AND TRADE Windhoek, 5 February 2021
SCHEDULE
Definitions
1. In these regulations “the Regulations” means the Regulations under the Close
Corporations Act, 1988 published under Government Notice No. 43 of 30 March 1994 as amended
by Government Notice Nos. 83 of 1 June 1994, 97 of 1 July 2006, 294 of 14 December 2012 and 19
of 13 February 2015.
Amendment of Schedule 5 of Regulations
2. Schedule 5 to the Regulations is amended by the substitution for Schedule 5 of the
following Schedule:
2 Government Gazette 18 February 2021 7462
CC 1
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 12, 13, 14, 24, 27, 29, 47 and 60)
(Regulations 2, 3 and 13)
Founding Statement
Before filling in the form, first see notes on page 2.
REGISTRATION NUMBER OF CORPORATION DATE OF RECEIPT
Full name of corporation ___________________________________________________________
_______________________________________________________________________________
Literal translation of name (if applicable) ______________________________________________
_______________________________________________________________________________
Shortened form of name (if applicable) ________________________________________________
_______________________________________________________________________________
Description of principal business _____________________________________________________
Date of end of financial year _________________________________________________________
Postal address ____________________________________________________________________
_______________________________________________________________________________
Address of registered office (not post office box) _________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Name and address of accounting officer ________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(Attach written consent to appointment)
Full name of association or body of which accounting officer is a member ____________________
_______________________________________________________________________________
_______________________________________________________________________________
Membership/Practice No. _______________________________
Signature of Accounting Officer _____________________________________________________
7462 Government Gazette 18 February 2021 3
CC 1
NOTES
1. Form CC 1 must be written in block capitals or be typewritten, lithographed or printed in
legible characters with deep permanent black ink, and lodged in triplicate.
2. Where a person signs on behalf of a member, a power of attorney must be attached.
3. Minor children and other persons under legal disability must be assisted by their parents,
guardians or representatives, as the case may be, and the capacity must be stated.
4. If no identity document has been issued, a written statement to this effect must be attached.
5. Form CC 1 which does not comply with the requirements of the Act, regulations or these
notes, will be rejected.
6. Particulars to be furnished under the heading “MEMBERS”.
(a) Full names and surname. (if juristic person, mention name and capacity and if
trustee, also mention name and particulars of testamentary trust).
(b) Identity number ((i) if no identity document has been issued, state date of birth and
see par. 4 above.) ((ii) If juristic person, mention registration number).
(c) Size of interest expressed as a percentage.
(d) Particulars of interest and fair value thereof.
(e) Residential address.
(f) Postal address.
(g) Signature of member or representative (where applicable).
4 Government Gazette 18 February 2021 7462
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 5
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
6 Government Gazette 18 February 2021 7462
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 7
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
8 Government Gazette 18 February 2021 7462
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 9
CC 1
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Section 13, 14, 27 and 60)
(Regulations 3, 10 and 13)
Certificate of Incorporation
REGISTRATION NUMBER OF CORPORATION
CC /
This is to certify that the Founding Statement (CC 1) of
_______________________________________________________________________________
Has been registered and the above-named close corporation was this day incorporated in terms of the
Close Corporation Act, 1988
- The above-named corporation has been converted from a company:
_______________________________________________________________________________
_________________________________________________ (Reg. No. _____________________ )
Signed at Windhoek this ________________ Day of _____________________________________
Two Thousand and ______________
REGISTRAR OF CLOSE CORPORATIONS
- (Delete if not applicable)
10 Government Gazette 18 February 2021 7462
CC 1
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER
The above-named corporation has been converted from company:
_______________________________________________________________________________
_________________________________________________ (Reg. No. _____________________ )
_______________________________________________________________________________
FOR OFFICE USE
Founding Statement registered
____________________________________________________
Registrar of Close Corporations
____________________________________________________ N$ 150,00 fee payable
Date in terms of the Act and
as set out in the
Data Processing regulations
Classification _________________________________________
Recorded
Signature and
date _________________________________________________
7462 Government Gazette 18 February 2021 11
MEMBER (S) / WITNESS CONTACT DETAILS
**Please note: in addition to the requirements of the CC Act and Regulations, any additional
information requested is requested in terms of Section 4 Financial Intelligence Act (Act 13 of
2012), as well as the Regulations thereunder.
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
1. Land-line number of applicant (if available);
2. Mobile number (compulsory);
3. Fax Number (if available);
4. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
12 Government Gazette 18 February 2021 7462
CC 2
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 12, 13, 14, 24, 27, 29, 47 and 60)
(Regulations 2, 3 and 13)
Amended Founding Statement
Before filling in the form, first see notes on page 2.
REGISTRATION NUMBER OF CORPORATION DATE OF RECEIPT
PART A
Dates of
commencement
of change
Full name of corporation ____________________________________________ *
*
Previous name of corporation (if applicable)* ____________________________
*
Literal translation of name (if applicable)* _______________________________
*
Shortened form of name (if applicable)* ________________________________
*
Description of principal business* _____________________________________
*
Date of end of financial year* _________________________________________
PART B
Postal address* ___________________________________________________ *
Email address: ____________________________________________________
Address of registered office (not post office box)* ________________________ *
________________________________________________________________
Name and address of accounting officer* _______________________________ *
________________________________________________________________
*
Shortened form of name (if applicable)* ________________________________
*
Description of principal business* _____________________________________
(Attach written consent to appointment)
Full name of association or body of which accounting officer is a member ______________________
_______________________________________________________________________________
Membership/Practice No. _______________________________
Signature of previous accounting officer: _______________________________________________
Signature of current accounting officer: ________________________________________________
- See note 2 on page 2
7462 Government Gazette 18 February 2021 13
CC 2
NOTES
1. Form CC 2 must be written in block capitals or be typewritten, lithographed or printed in
legible characters with deep permanent black ink, and lodged in triplicate.
2. Change(s) effective from date of registration or upon a later date mentioned.
3. Where a person signs on behalf of a member, a power of attorney must be attached.
4. Minor children and other persons under legal disability must be assisted by their parents,
guardians or representatives, as the case may be, and the capacity must be stated.
5. If no identity document has been issued, a written statement to this effect must be attached.
6. Particulars which do not change should also be furnished.
7. No fee is payable in respect of any changes in particulars under Part B and C.
8. New members must personally sign the form.
9. Form CC 2 which does not comply with the requirements of the Act, regulations or these
notes, will be rejected.
10. Particulars to be furnished under PART C.
(a) Full names and surname. (if juristic person, mention name and capacity and if
trustee, also mention name and particulars of testamentary trust).
(b) Identity number ((i) if no identity document has been issued, state date of birth and
see par. 4 above.) ((ii) If juristic person, mention registration number).
(c) Size of interest expressed as a percentage.
(d) Particulars of interest and fair value thereof.
(e) Residential address.
(f) Postal address.
(g) Signature of member or representative (where applicable).
14 Government Gazette 18 February 2021 7462
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 15
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
16 Government Gazette 18 February 2021 7462
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 17
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
18 Government Gazette 18 February 2021 7462
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
PART C
MEMBERS: _____________________________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Full names and surname: ___________________________________________________________
_______________________________________________________________________________
Year Month Day
Identity number or date of birth (i)
Registration number (ii)
Percentage of interest: __________________ Particulars of contribution: ____________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
Signature of member or representative: ________________________________________________
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
7462 Government Gazette 18 February 2021 19
CC 2
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
REGISTRATION NUMBER CC/
MEMBERS WHO CEASE TO BE MEMBERS
Full name and surname of member Identity number Signature
Membership ceases on the date of registration of the Amended Founding Statement.
Witness Signature: ___________________________ Date of signature: ______________________
Full names: ______________________________________________________________________
_______________________________________________________________________________
Residential address: _______________________________________________________________
_______________________________________________________________________________
Business address: _________________________________________________________________
_______________________________________________________________________________
Postal address: ___________________________________________________________________
_______________________________________________________________________________
Email address: ___________________________________________________________________
FOR OFFICE USE
Founding Statement registered
____________________________________________________
Registrar of Close Corporations
____________________________________________________ N$60,00 fee payable in
terms of the Act and as
Date set out in the regulations
Data Processing
Classification _________________________________________
Recorded
Signature and
date _________________________________________________
20 Government Gazette 18 February 2021 7462
MEMBER(S) / WITNESS CONTACT DETAILS
**Please note: in addition to the requirements of the CC Act and Regulations, any additional
information requested is in terms of Section 4 of the Financial Intelligence Act, 2012 (Act No.
13 of 2012), as well as the Regulations thereunder.
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
1. Land-line number of applicant (if available);
2. Mobile number (compulsory);
3. Fax Number (if available);
4. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
7462 Government Gazette 18 February 2021 21
CC3
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Section 26(6))
(Regulation 14)
Application for the Restoration of the Registration of a Corporation
(To be lodged in duplicate)
REGISTRATION NUMBER OF CORPORATION N$ 225,00 fee payable in
terms of the Act and as set
out in the regulations
Full name of Corporation:
_______________________________________________________________________________
I/We: __________________________________________________________________________
in my/our capacity as:
_______________________________________________________________________________
apply in terms of Section 26(6) of the above-named Act for the restoration of the Corporation which
was deregistered:
On _____________________ and of which notice was given in the Gazette ____________________
Of _____________________ for the following reasons:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
__________________________________ An amended founding statement, if necessary, is attached
Signed _________________________________________ Date __________________________
_______________________________________________________________________________
The registration of the Corporation has been restored with effect from:
_______________________________________________________________________________
as published in the Gazette ______________________________ of _________________________
________________________________________ _____________________
REGISTRAR OF CLOSE CORPORATIONS DATE
22 Government Gazette 18 February 2021 7462
(To be completed by Corporation) For Office Use
Name: __________________________________ Data Processing
Postal Address: 1) Recorded
________________________________________ Date and initials ___________________
________________________________________
2) Corrections
Date and initials ___________________
Email address: ____________________________
7462 Government Gazette 18 February 2021 23
CC 4
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 27)
(Regulations 13)
Application for Conversion
(To be lodged in duplicate)
REGISTRATION NUMBER
NAME OF CORPORATION ________________________________________________________
_______________________________________________________________________________
I/We, the undersigned, being all the members of the above-named company, apply for the conversion
of this company into a corporation.
I/We state that:
(a) every member of the company will become a member of the corporation: and
(b) upon conversion the assets of the corporation, fairly valued, will exceed its liabilities, and
that after conversion the corporation will be able to pay its debts as they become due in the
ordinary course of its business.
The following documents are lodged herewith:
(a) A statement in writing by the author as required by section 27(2)(b) of the Act; and
(b) A founding statement in terms of section 12 of the Act.
SIGNATURE (S) DATE (S)
NEW REGISTRATION NUMBER
24 Government Gazette 18 February 2021 7462
CC 5
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Section 49(4))
(Regulation 13)
Lodging of Order of Court for the Alteration of */Replacement of*/
Addition to* a Founding Statement
(To be lodged in duplicate)
REGISTRATION NUMBER OF CORPORATION N$ 60,00 fee payable in
terms of the Act and as set
out in the regulations
Full name of Corporation:
_______________________________________________________________________________
_______________________________________________________________________________
Order of Court for the alteration of */replacement of*/ addition to* a Founding Statement
dated ___________________________________________________ is lodged herewith
An amended Founding Statement is attached.
Signed________________________________________ Date _______________________
*Delete that which is not applicable
The order was registered on
_______________________________________________________________________________
________________________________________ _____________________
REGISTRAR OF CLOSE CORPORATIONS DATE
(To be completed by Corporation)
Name: __________________________________
Postal Address:
________________________________________
________________________________________
Email address: ____________________________
7462 Government Gazette 18 February 2021 25
CC 6
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Section 67)
(Regulation 16)
Application for Voluntary Winding-up
(To be lodged in duplicate)
REGISTRATION NUMBER OF CORPORATION N$ 60,00 fee payable in
terms of the Act and set out
in the regulations
Full name of Corporation
_______________________________________________________________________________
_______________________________________________________________________________
I/We, the undersigned, being all the members of the above-named Corporation, resolved at a meeting
held on _____________________________________ that the Corporation be wound up voluntarily
by members/creditors.
SIGNATURE (S) DATE (S)
_______________________________________ ___________________________
_______________________________________ ___________________________
_______________________________________ ___________________________
_______________________________________ ___________________________
_______________________________________ ___________________________
_______________________________________ ___________________________
*Delete that which is not applicable
The above-mentioned resolution was registered on: ______________________________________
________________________________________ _____________________
REGISTRAR OF BUSINESS DATE
26 Government Gazette 18 February 2021 7462
(To be completed by Corporation) For Office Use
Name: __________________________________ Data Processing
Postal Address: 1) Recorded
________________________________________ Date and initials ___________________
________________________________________
2) Corrections
Date and initials ___________________
Email address: ____________________________
7462 Government Gazette 18 February 2021 27
CC 7
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 13(2))
(Regulations 11)
Annual Duty
Name and postal address of Corporation REGISTRATION NUMBER
DAY MONTH YEAR
For Office Use
A. END OF FINANCIAL YEAR
1. Recorded
B. DATE INCORPORATED Date and initials
OR CONVERSION DATE
2. Corrections and
C. Enquiries
Date and initials
Name/names of member/members and percentage interest of each member in
the Corporation at the end of the current financial year. _______________
1. 6. %
2. 7. %
3. 8. %
4. 9. %
5. 10. %
D. PROOF OF PAYMENT OF ANNUAL DUTY AND/OR ADDITIONAL FEE
Payment as prescribed in Terms of Section 32 of the BIPA Act.
N$ 120.00
E. SIGNED _________________________________________ DATE ___________________
----------------------------------------------------------------------------------------
CC7
(To be completed by the corporation)
Return received
ANNUAL DUTY FOR FINANCIAL YEAR 20 __________
Name of corporation: ______________________________________ Stamp of Business
Registration Office
Postal address: ___________________________________________
**Please note: in addition to the requirements of this Act and Regulations, any additional
information requested is in terms Section 4 of the Financial Intelligence Act, 2012 (Act No. 13
of 2012), as well as the Regulations thereunder.
28 Government Gazette 18 February 2021 7462
MEMBER(S) / WITNESS CONTACT DETAILS
**Please note: in addition to the requirements of the CC Act and Regulations, any additional
information requested isin terms of Section 4 of the Financial Intelligence Act, 2012 (Act No.
13 of 2012), as well as the Regulations thereunder.
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
1. Land-line number of applicant (if available);
2. Mobile number (compulsory);
3. Fax Number (if available);
4. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
1. Name
2. Land-line number of applicant (if available);
3. Mobile number (compulsory);
4. Fax Number (if available);
5. E-mail Address (if available);
If there are more members for the space provided for, please make a copy/recreate this page.
7462 Government Gazette 18 February 2021 29
CC 9
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
CLOSE CORPORATIONS ACT, 1988
(Sections 57(2))
Change of the End of the Current Financial Year
Business and Intellectual
Property Authority - BIPA
REGISTRAR OF BUSINESS Office
PO Box 185
WINDHOEK
NAMIBIA
Tel: +264 61 2994400
Email: info@bipa.na
REGISTRATION NUMBER N$ 60,00 fee payable in
terms of the Act and as set
out in the regulations
Name of corporation ______________________________________________________________
The end of the current financial year is ________________________________________________
A. The end of the current financial year has been brought forward to ________________________
B. The end of the current financial year has been extended to ______________________________
Reasons for extension _____________________________________________________________
_______________________________________________________________________________
C. Affix proof of payment of half or annual duty here in respect of extension .................................
Date: ____________________________ __________________________________
Signature: Member/Officer
Not exceeding six months
Approved/Refused: Registrar of Business _____________________________________________
----------------------------------------------------------------------------------------
CC9
(To be completed by the corporation)
ADVICE OF CHANGE OF THE END OF THE CURRENT FINANCIAL YEAR DATED
Approved/Refused
Name of corporation: ______________________________________
Postal address: ___________________________________________
_______________________________________________________ Date stamp of Business
Registration Office
Email address: ___________________________________________
Invalid unless stamped by Registrar of Business
________________