CM 27 Consent to Act as Director or Officer
Download CM 27 Consent to Act as Director or Officer.doc
The form is always available to download and submit on paper.
Form CM 27
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY - BIPA
COMPANIES ACT 2004
(Section 219) (Regulation 45(1)
CONSENT TO ACT AS DIRECTOR OR OFFICER
AND OTHER DIRECTORSHIPS
Name of company
A. Consent
I hereby consent to my appointment as * director / officer of the above-named company.
I certify that I am not disqualified in terms of sections 225 or 226 of the Companies Act from being a director/officer*.
Signed:
Date:
(To be signed by: Director or officer personally; or the authorised agent on behalf of a director of an external company not resident in Namibia; or the authorised agent of a corporate body.)
*Delete where not applicable.
_________________________________________________________________________________________________________
B. Personal particulars
1. Surname
2. Full forenames
3. Former surname and forenames
Year
Month
Day
4. Identity number or, if not, available, date of birth
5. Date of appointment
6. Residential address
7. Business address
8. Postal address
9. Email address
10. Contact Number
11. Nationality (If not Namibian)
12. Occupation
13. Resident in Namibia (Yes or No)
14. Address of registered office, and registration number, if officer is a corporate body
C. Other Directorships
Attach list hereto
Registration Number of Company