Business and Intellectual Property Authority
Namibia Business Register

Forms & documents

CC4 Application for Conversion SAMPLE FORM

Type
Statutory form
Form
CC4
Category
How to complete CC forms

Download CC4 Application for Conversion SAMPLE FORM.pdf

The form is always available to download and submit on paper.

REPUBLIC OF NAMIBIA CC 4

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA

CLOSE CORPORATIONS ACT, 1988

(Sections 27)

(Regulations 13)

Application for Conversion

(To be lodged in duplicate)

REGISTRATION NUMBER OF COMPANY CC/2018/0000

Name of company ZXY TECHNOLOGIES (PTY) LTD

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. Commented [LM1]: Please note that in addition to

the submission of the application for conversion a

statement as indicated in (a) herein as well as

Founding Documents (in triplicate) as per (b) as

SIGNATURE DATE(S) well as the relevant attachments (Identity

Documents etc) must also be submitted. Sample

Z X DOE Statement attached.

D A DOE Commented [LM2]: Full names of members of the

Company being converted into a CC must be

provided as well as signatures (as consent to the

conversion).

NEW REGISTRATION NUMBER

Letter Head of Auditor

Date: xxxxxxxxxxx

The Registrar of Companies

P O Box 185

WINDHOEK

Namibia

Dear Sir/Madam

ZXY TECHNOLOGIES (PTY) LTD

It is herewith certified that we have no reason to believe that a material irregularity contemplated in

subsection (3) of section 26 of the Public Accountants' and Auditors' Act, 1951 (Act 51 of 1951), has

taken place or is taking place in relation to the company ZXY TECHNOLOGIES (PTY) LTD.

Yours Faithfully

---------------------------

XXXXXXXXXXXXXX (AUDITOR OR DULY AUTHORISED SIGNATORY)

We would like to record which pages are used and what people search for, so BIPA can see what this register is failing to answer. It uses a cookie with a random number in it — no name, no account, and your IP address is shortened before it is stored. Searching works either way.