Email *  
Phone 
Address 
City 
Province 
Postal Code  
Any Form of Government ID (DL, Passport) 
Jurisdiction of Incorporation (Federal or Provincial) 
If registering a provincial corporation please confirm the province of registration. 
Type of Corporation (Numbered Corporation or Named Corporation) 
Legal Ending: (Inc, Ltd, Corp, Incorporated, Limited, Corporation) 
Name Search Report Number (Named Corporations need a NUANS Report. Do You have one? YES/NO) 
If you have a NUANS Report or provincial name search report please provide number 
Business Mailing Address 
Business Mailing Address City 
Business Mailing Address Province 
Business Mailing Address Postal Code 
Restrictions on share transfer (if any) 
First Director Name 
First Director Address 
First Director City 
First Director Province 
First Director Postal Code 
First Director Canadian Resident? ( Yes/No ) 
First Director Position (Director, President, Vice President, Secretary, All ) 
Second Director Name 
Second Director Address 
Second Director City 
Second Director Province 
Second Director Postal Code 
Second Director Canadian Resident? ( Yes/No ) 
Second Director Position (Director, President, Vice President, Secretary ) 
Third Director Name 
Third Director Address 
Third Director City 
Third Director Province 
Third Director Postal Code 
Third Director Canadian Resident? ( Yes/No ) 
Third Director Position (Director, President, Vice President, Secretary ) 
Four Director Name 
Four Director Address 
Four Director City 
Four Director Province 
Four Director Postal Code 
Four Director Canadian Resident? (Yes/No) 
Four Director Position (Director, President, Vice President, Secretary ) 
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