New Company Registration — Client Information Form

Company Registration — Client Information Form

Australia's anti-money laundering and counter-terrorism financing laws (AML/CTF Act) require us to collect this information and verify the identity of everyone involved. It's a one-off step at establishment, it applies at every accounting firm in Australia, and completing it promptly means everything proceeds without delay.

About the company we're registering

Tell us about the entity you'd like established.

Proposed company name*

Alternative Name*

Primary Email*

Registered office address

Use Acebiz's address

Other

Full registered office address

Principal place of business

What will the company do?

Nature of intended business activities.

Where will the company's starting money come from?

Initial capital / loans — and from whom.

Share structure : Number of shares, classes, and who holds what?

Are any shareholders a company or trust rather than a person?

Yes

Entity name(s) and beneficial owners / controllers (25%+)

For each entity, name it and the individuals who ultimately own 25% or more of it, or control it. Attach a page if needed.

Will the setup involve physical cash or virtual assets (e.g. crypto)?

Yes

Details of the cash or virtual assets involved

Directors, secretary and shareholders

List every proposed director, the secretary (if any), and every shareholder who is a person. Add a block for each person.

PEP — the person (or an immediate family member or close business associate) holds or has held a prominent public position in Australia or overseas: e.g. member of parliament, senior government official, judge, senior military officer, or board member of an international organisation. Enter Y for anyone who qualifies and the PEP details section below will open automatically.

Person 1

Full legal Name (and any other names)

Date of birth

Residential address (incl. country if not Australia)

Occupation

Role(s) in the company

Director ID

TFN

PEP? Y / N

Who, and what position or role?

Name the person and describe the prominent public position they (or a close family member / business associate) hold or have held

Place of Birth (Town/City & State)

Country of Birth

Add Second Member?

Yes

Person 2

Full legal Name (and any other names)

Date of birth

Residential address (incl. country if not Australia)

Occupation

Role(s) in the company

Director ID

TFN

PEP? Y / N

Who, and what position or role?

Place of Birth (Town/City & State)

Country of Birth

Person 3

Add Third Member?

Yes

Full legal Name (and any other names)

Date of birth

Residential address (incl. country if not Australia)

Occupation

Role(s) in the company

Director ID

TFN

PEP? Y / N

Who, and what position or role?

Place of Birth (Town/City & State)

Country of Birth

Add Fourth Member?

Yes

Person 4

Full legal Name (and any other names)

Date of birth

Residential address (incl. country if not Australia)

Occupation

Role(s) in the company

Director ID

TFN

PEP? Y / N

Who, and what position or role?

Place of Birth (Town/City & State)

Country of Birth

Add Fifth Member?*

Yes

Person 5

Full legal Name (and any other names)

Date of birth

Residential address (incl. country if not Australia)

Occupation

Role(s) in the company

Director ID

TFN

PEP? Y / N

Who, and what position or role?

Place of Birth (Town/City & State)

Country of Birth

Declaration *

Declaration and consent

I declare that the information in this form is true, complete and up to date, and that every person listed in Section B is aware of, and consents to, the establishment of the fund and their role in it.

I understand it is an offence under sections 137 and 140 of the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) to provide false or misleading information, or to receive a designated service using a false name or anonymously.

I consent, on behalf of the persons listed, to identities being verified electronically and to information being disclosed to third parties where required to meet obligations under the AML/CTF Act.

Disclaimer for SMSF formation

Please read this disclaimer carefully before proceeding with the formation of your Self-Managed Super Fund (SMSF).

Limited scope of services

Our firm provides services related to the formation of SMSFs, including those with or without a corporate trustee. However, we do not take into consideration your family, estate, legal, or other personal factors when forming your SMSF structure. The formation of your SMSF is based solely on the information provided by you and does not constitute comprehensive financial, legal, or estate planning advice.

Third-party documentation

Please note that we order the necessary documents for the formation of your SMSF from third-party providers on your behalf. While we strive to ensure the accuracy and completeness of these documents, we strongly recommend that you have the documents reviewed by a qualified legal or financial professional to ensure they meet your specific needs and compliance requirements.

Indemnity

By proceeding with the formation of your SMSF through our services, you agree to indemnify and hold harmless C&S Partners Australia Pty Ltd T/A Ace Biz, its directors, officers, employees, and agents from any and all claims, liabilities, losses, damages, and expenses (including legal fees) that may arise out of or in connection with the formation and administration of your SMSF. This indemnity extends to any errors, omissions, or inaccuracies in the information provided by third-party document providers.

Acknowledgment

By proceeding with our services, you acknowledge and agree to the terms of this disclaimer. You understand that the responsibility for the proper administration and compliance of your SMSF lies with you and your appointed trustees.

If you have any questions or require further clarification, please do not hesitate to contact us. We recommend seeking independent professional advice to ensure your SMSF structure aligns with your overall financial and estate planning goals.

Full Name*

Date*

Signature Block

Signature

Signature Block

Liability limited by a scheme approved under Professional Standards Legislation.