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THE REGISTRAR-GENERAL'S DEPARTMENT
THE COMPANIES ACT 1963 (ACT 179)
RETURNS OF PARTICULARS OF THE COMPANY LIMITED BY SHARES RE-REGISTRATION FORM
THE REGISTRAR-GENERAL’S DEPARTMENT THE COMPANIES ACT 1963 (ACT 179)
RETURNS OF PARTICULARS OF THE COMPANY LIMITED BY SHARES UNDER SECTION 27(1) OF THE COMPANIES ACT ON INCORPORATION
INSTRUCTIONS: COMPLETE FORM WITH BLACK INK AND IN BLOCK LETTERS
FORM 3
RE-REGISTRATION FORM
Form 3 of a company Limited by Shares (Re-registration) Page 1 of 11
PLEASE SPELL OUT ALL WORDS –NO ABBREVIATIONS*INDICATES MANDATORY FIELD
(B)
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
*District:
Registered Office Address
Principal Activity:
ISIC Code:
(A)
*Company Name:
Mining/Oil and Gas
Finance/Insurance/Real Estate
Service
Farming/Fisheries
Health/Pharmacy
Information Communication Technology (ICT)
General Nature of
Business
(ISIC) Classification:
Manufacturing
Commerce
Construction/Civil Engineering
Transportation
Others
*Old Date of Incorporation:
*Old Date of Commencement of Business:
dd /mm / yy
dd /mm / yy
*Current Tax Office:
*Old TIN:
*Old Registration No:
*Presented by:
To the Registrar of Companies
Pursuant To Section 27(1) Section 335 A (1)(C)
THE COMPANIES (AMENDMENT) ACT, 2012 (ACT 835)
Business Address Information
( C )
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
*District:
*Region:
Principal Place of Business
( D )
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
P.O. Box :
*District:
*Region:
Other Business Place(s)Address 1:
PMD/DTD:
*House/Building/Flat
(Name or House No.
etc.) /LMB:
*Street:
*City:
P.O. Box :
*District:
*Region:
Address 2:
PMD/DTD:
Form 3 of a company Limited by Shares (Re-registration) Page 2 of 11
*Region:
( E ) Postal AddressAddress 1:
C/O:
*Postal Type:
(Ticket as applicable )
*Postal Number:
*Region:
P.O. Box PMB DTD
Prefix Number
*District:
( F )
( G )
Contacts of the Company
Particulars of Directors of the Company
Address 1:
*Director1:
Phone No. 1:
*Office Mobile No 1:
Phone No. 2:
Mobile No 2:
Fax:
Email:
Website:
Form 3 a company Limited by Shares (Re-registration) Page 3 of 11
*City:
*House/Building/Flat(Name or House No.
etc.) /LMB:
TIN:
First Name:
Middle Name:
Surname:
Age: Years
Present Name:
Any Former Forename /Surname:
Nationality:
Residential Address
*Street:
*City:
*District:
Particulars of other
Directorships:
*Region:
Form 3 of a company Limited by Shares (Re-registration) Page 4 of 11
*Director 2:
*House/Building/Flat(Name or House No.
etc.) /LMB:
Street:
City:
District:
Region:
Particulars of other Directorships:
TIN:
First Name:
Middle Name:
Surname:
Age: Years
Present Name:
Any Former Forename /Surname:
Nationality:
Residential Address
Business Occupation:
(H) Particulars of Secretary
First Name:
Middle Name:
Surname:
Present Name:
Age: Years
Any Former Forename/Surname:
Nationality:
TIN:
Form 3 of a company Limited by Shares (Re-registration) Page 5 of 11
IN CASE A CORPORATE BODY ACTING AS A SECRETARY
*Corporate Name:
*Corporate Address: H/No. LMB
*Corporate Stamp:
*Name of Person
Representing the
Corporate :
*Signature
(Corporate
Representative) ---------------------
Particulars of Auditor’s of the Company
TIN of Representative:
TIN :
*Corporate TIN:
*House/Building/Flat(Name or House No.
etc.) /LMB:
Street:
Residential Address
City:
District:
Region:
Business Occupation:
P.O.Box/DTD/PMB
Auditor’s Firm Name:
Auditor’s Firm
Address:P. O. BOX:
*House/Building/Flat(Name or House No.
etc.) /LMB:
PMB/DTD:
Auditor’s Firm Mobile No: Auditor’s Firm Office No:
Form 3 of a company Limited by Shares (Re-registration) Page 6 of 11
Street:
City:
Capital Details(J)
Authorised Shares:
Company Shares (if any)(K)
Number of Authorised Shares of Each Class:
Ordinary Shares:
Preference Shares:
Number of Issued Shares of Each Class:
Ordinary Shares:
Preference Shares:
Stated Capital:
Amount Paid In Cash of Each Class:
Ordinary Shares:
Preference Shares:
Amount Paid Otherwise than in Cash of Each Class:
Ordinary Shares:
Preference Shares:
Amount Remaining to be Paid on Each Class:
Ordinary Share (Unpaid):
Preference Shares :(Unpaid)
Ordinary Shares (Due):
Preference Shares :(Due)
(L)Address at which register of members is kept and maintained (if elsewhere than at the registered office)
District:
Region:
Form 3 of a company Limited by Shares (Re-registration) Page 7 of 11
Secretary’s Signature(N)
(O) SME Details
No. Of Employees Envisaged:
Revenue Envisaged:
For Office Use Only
Document Registration Date:
Registration Number Allocated:
Office Description:
(For instructions as to signing etc., see Notes under)
dd/mm/yyyy
(Name)
(Signature)
NOTE Please attach the following documents:
(I) Copies of Certificate of Incorporation and Certificate to commence Business . (ii) Copies of Form 3, Form 4 and Regulations (if any) (iii) Evidence of up to date renewal receipts/ Annual Return Forms of the Company (iv) Copies of Certified true copy Forms of all current changes made in the company confirming the current officers and shareholders of the Company. For example Form 17, Special Resolution etc
(M) Directors’ Signature
Director 1: Director 2:
(Name)
(Signature)
(Name)
(Signature)
NOTES
This Form must be signed by the Directors and Secretary and sent by post , email or electronically delivered to the Registrar of Companies, P. O. Box 118, Accra, within 28 days after any change in any of the particulars registered. If any of the director(s) and secretary cannot sign, his or her mark must be affixed and witnessed. The Witness must write his / her name clearly and give sufficient address.
If the change is in respect of the place of business, one has to state the house number and street (if any) of the new place of Business or adequate description of the principal place of business.
Failure, without reasonable excuse, to furnish the Registrar with the required statement of any change in the particulars registered within 28 days of such change will entail liability on conviction to a fine not exceeding GHC10.00 for every day during which the default continues and any statement which contains any person signing it will entail liability on conviction to imprisonment for a term not exceeding six months or to a fine not exceeding GHC500.00 or to both such imprisonment and fine.
Form 3 of a company Limited by Shares (Re-registration) Page 8 of 11
Director:
TIN:
Present Name:
*First Name:
*Middle Name:
*Surname:
Any Former Forename/Surname:
Age Years
Nationality:
*House/Building/Flat
(Name or House No.
etc.) /LMB:
Pare 1 of 1
THE REGISTRAR-GENERAL’S DEPARTMENT THE COMPANIES ACT 1963 (ACT 179)
INCORPORATION OF COMPANY LIMITED BY SHARESADDITIONAL DIRECTOR’S FORM
INSTRUCTIONS: COMPLETE FORM WITH BLACK INK AND IN BLOCK LETTERSPLEASE SPELL OUT ALL WORDS –NO ABBREVIATIONS
*INDICATES MANDATORY FIELD
Supplementary FORM 3
No. of Company
*Street:
*City:
*District:
*Region:
*Business Occupation:
Particulars of Other
Directorships
Director’s Signature:
Residential Address
*Corporate Shareholder
THE REGISTRAR-GENERAL’S DEPARTMENT THE COMPANIES ACT 1963 (ACT 179)
INSTRUCTIONS: COMPLETE FORM WITH BLACK INK AND IN BLOCK LETTERSPLEASE SPELL OUT ALL WORDS –NO ABBREVIATIONS
*INDICATES MANDATORY FIELDNo. of Company
INCORPORATION OF A COMPANY LIMITED BY SHARESADDITIONAL FORM-CORPORATE SHAREHOLDER
Supplementary
Pare 1 of 1
Corporate Name:
Corporate AddressP. O. Box/PMB/DTD:
Corporate TIN:
Corporate Stamp:
Name of Person Representing the
Corporate:
TIN of Representative:
No. of Shares Taken:
Consideration Payable in Cash:
Signature:(Corporate
Representative)
Shareholder:*
THE REGISTRAR-GENERAL’S DEPARTMENT THE COMPANIES ACT 1963 (ACT 179)
INSTRUCTIONS: COMPLETE FORM WITH BLACK INK AND IN BLOCK LETTERSPLEASE SPELL OUT ALL WORDS –NO ABBREVIATIONS
*INDICATES MANDATORY FIELDNo. of Company
INCORPORATION OF A COMPANY LIMITED BY SHARESADDITIONAL SHAREHOLDER FORM
Page 1 of 1
First Name:
Middle Name:
Surname:
TIN:
Date of Birth:
Nationality:
Address:
P. O. Box/DTD/PMB
Signature:
No. of Shares Taken:
Consideration Payable in Cash:
d d / m m / y y y y
Supplementary
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