Date of request *

Name of Official Requesting Disclosure*

Persal/Force Number of employee number*

Telephone number of applicant

Name of State Department/State Owned Entity*

Name of Deparment/Unit Section*

Physical Address*

Postal Address*

Office Telephone Number: *

Cellphone Number

E-mail address of applicant*

Official Case Reference Number:

SAPS Station

Type of Offence

-----FraudTheftOther

Other Official Reference Number

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Name of enterprise

Enterprise Number

Type of entity

CompanyClose Corporation

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Copy of Company documentCopy of Close Corporation documentTyped Certificate of a CC Authentication Letter Certification of Company documentCertification of CC documentOther

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-----eMailPostCollect

Documents required*

Entire file - Copies of all documents on record CoR14.1 Notice of IncorporationCoR15.1 Standard Form MoICoR15.2 Notice Amendment MoICoR21.1 Notice Change Reg OfficeCK1 Founding Statement CK2 Amended Founding StatementCK2A Electronic system generatedCK2A Copy of manual application submittedCK6 Voluntary Liquidation CoR22 Notice location cpy recordsCoR25 Notice Change Fin Yr EndCoR31 Resolution convert sharesCoR39 Notice director changesCoR40.1 Resolution wind up cpyCoR40.2 Notice transfer