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REPUBLIC OF BOTSWANA

COMPANIES ACT
CHAPTER 42:01
FORM I

DOCUMENT
NUMBER

………………..
FOR OFFICE
USE ONLY

APPLICATION FOR RESERVATION


OF COMPANY NAME
BY SHARES, GUARANTEE OR CLOSE COMPANY
(section 32 (2))
TO BE COMPLETED LEGIBLY IN BLACK INK

Full Name of Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Identity Number*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Postal Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E-mail Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Group name, if any. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Proposed Company Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


(First choice)

Proposed Company Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


(Second choice)

Proposed Company Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


(Third Choice)

Change of Name of Existing Company: If this application relates to a proposed change of name of an existing
company, give the name and registered number of that company below:

Existing Company Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Company Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Presented by. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature.......................... ... ..................................................Date................... .... ......................

Identity N umber*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nationality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Postal Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

E-mail Address..................................................Telephone..................Facsimile..............................
*Passport Number applicable to non citizens only and state the nationality.
REPUBLICOFBOTSWANA
COMPANIESACT
CHAPTER42:01
FORM2
DOCUMENT
NUMBER
………………..
FOROFFICE
USEONLY

APPLICATION FOR R E G I S T R A T I O N OFACOMPANYLIMITEDBYSHARES


(section 21(1)(a),(d)(i) and (iv) and sections 21(1)(c), 21(2)(b), (c), (d), (f) and (g)})
TO BECOMPLETED LEGIBLY IN BLACKINK

Name of proposed company..................................................................................................................................

Name reservation number.....................................................................................................................................

Type of company***...............................................................................................................................
Name of Identity Residential Address Postal Number of Class The amount to be paid Signature of Date
shareholder(s)* number** or Registered office Address Shares to be issued of Shares or Shareholder I
I Authorized Agent I Registration to each other Shareholder
Number shareholder consideration representative*****
GADZANANI BOSEJA P.O BOX 107 ORDINARY P500 30/07/2012
KGOSIDIALWA WARD,MAUN MAUN

CHIPA MALEPA PRIVATE BAG ORDINARY P500 30/07/2012


THITOYAMOKOL 107 MAUN
A WARD, MAUN

Physical Address of the Registered Office of the proposed Company....................................................................................................................................................................


Physical Address of the proposed
Principal Place of Business............................................................................................................................................................................................................................................................
Postal Address to which communications
From the Registrar may be sent……………………………………………………………………………………………………………………………………………………………………
REPUBLICOFBOTSWANA
COMPANIESACT
CHAPTER42:01
FORM2
[cont.]
The following persons are the directors and secretary of the proposed company–
Names(s)* Identity Signature Address E-Mail Telephone
number(s)** Consent*** Residential and Postal Address or
Director(s) Mobile

Names(s)* Identity Signature Residential Address E-Mail Telephone


Secretary number(s)** Consent**** or Registered Office and Postal Address Address or
Mobile

Presented by..............................................................................…...................................................................................................

Signature......................................................................................................Date..................................................................

IdentityNumber*................................................................................................................................................................................

Postal Adress..............................................................................................................................................................................................................

E-MailAddress......................................................................Telephone...................................................Facsimile…………………..…………

* Please give surname in block capitals, f o l l o w e d by the first n a m e s OR corporate name AND if a nominee shareholder this is to be stated
**Passport number applicable to non-citizens only and state the nationality.
*** State whether p u b l i c or private
****By signature above directors/secretaries certify that they are not disqualified f r o m being appointed or holding office
***** Those named consent to being a shareholder/authorized agent in the proposed company and to taking the class and number of shares specified.
******If a body corporate is a shareholder, it should submit a resolution for appointing its representatives
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM2B
DOCUMENT
NUMBER
………………..
FOR OFFICE
USE ONLY
APPLICATION FOR R E G I S T R A T I O N OF A COMPANY LIMITED BY GUARANTEE
(section 21 (I) (d) (iii})
TO BE COMPLETED LEGIBLY IN BLACK INK

Name of proposed company....................................................................................................................................


Name reservation number.......................................................................................................................................

Members of a Company Limited by Guarantee


The persons named below are the members of the proposed company limited by guarantee:
Name of Identity Residential & Telephone E-Mail Address The amount to be Signature/consent Date
member*/Authorised Number Postal Number contributed to the of member
Agent* **/Registered Address assets of the ***
Number company in the event
of winding up
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM2B
[cont]

Members/Secretary of a Company Limited by Guarantee

The following person(s) is/ are the Members of the proposed Company Limited by Guarantee:
Name of Identity Residential & Telephone E-Mail Address Signature Date
Member/Secretary Number(s)** Postal Number of
* Address Member /secretary/representative
of body corporate***

Member:

Secretary:

Physical Address of the proposed Registered Company.................................................................................................................

Physical Address of the proposed Pri n ci p al Place of Business..................................................................................

Postal Address to which communication from t h e Registrar may be

sent..............................................................................................................................................................
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
Presented by:………………………………………………………………………………………………………………………………………...

Signature................................................................................................................................................

Identity number**.........................................................................................................................................

Postal Address........ ..... .......... ............... ................ ............... ....................................... .. ..........................

E-Mail Address.............................Telephone.............................Facsimile......................................................

*Please give surname in BLOCK letters followed by the first name(s).


**Passport number applicable to non citizens only and state the nationality.
*** Those named consent to.>act as members/directors/secretary of the above proposed company
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM3

DOCU M ENT
NUMBER

……………….
FOR OFFICE
USE ONLY
SOLEMN DECLARATION
(section 21(3))
TO BE COMPLETED LEGIBLY IN BLACK INK

I, the undersigned .

Identity Number*

do hereby solemnly declare:

1. That I am**

2. That I have been engaged in the formation of

3. That all the requirements of the Companies Act have been complied with in
respect of the formation of the above company.

…………………………………………………………………………………………….………………………...…………….
DEPONENT

SWORN TO AND SIGNED BEFORE ME AT

......................................................................................................................

On the ...................... day of .......................20.........

……………………………………………………
COMMISSIONER OF OATHS

* Passport Number applicable to non-citizens only and state the nationality.


**State qualifications as per section 21 (4)
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM5

DOCUMENT
NUMBER
……………….
FOR OFFICE
USE ONLY

APPLICATION TO CHANGE NAME OF COMPANY


(section 34 (1) (a))
TO BE COMPLETED LEGIBLY IN BLACK INK

The application m u st be made by a person authorised under the constitution of the company or by a director of the
company with the approval of the board.
Please give the applicant's surname in BLOCK letters followed by first name(s)
Present company name. ..... ... .. ........ .............. .................................................
Company number...................................................................................................
Full name of director/authorised agent .........................................................
Identity number**.................. ...........................................................
Postal Address.. .................................................................................
Signature of director/ authorised agent. .....................................................................
E-mail address.................. ..................... ............. .............. ... ............ ...................
Proposed company name.. ................................................................................................
Name reservation number.....................................................................................................
The notice reserving the proposed name of the company is attached to this application.
Date................................ .... ..........................................................
Presented by: ................................................................................

Signature......................................................................................

Identity number**..........................................................................

Postal Address...................................................................................

E-Mail Address..............................Telephone…….............................Facsimile

* Delete if not applicable.


** Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 7
DOCUMENT
NUMBER
…………….
FOROFFICE
USE ONLY

NOTICE OF ADOPTION OF CONSTITUTION


(section 43 (4))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name .................................................................................


Company number .....................................................................................
The above named company has adopted a constitution.
The company adopted its constitution on:
Date.............................................................. ..
A copy of the constitution as adopted must be attached to this notice

Name of director/authorised agent*………………………………………………….…….

Identity number**..........................................:........ ..................................

Signature of director/authorised agent*.............................................................

Date.. ........................................................... ............ . ................................


Presented by: .................................. ............... ..... ...... .. ...................... . .. ...

Signature.. . .............. ........ ....... ......... ........................... ................ . ..........


Identity number**............................................................ ..... ....................
Postal Address........................ ............................. ...... .. .... .. ......................

E-Mail Address.................................Telephone........... ..................Facsimile.

*Delete if not applicable.


**Passport number applicable to non citizens only and state
the nationality.
REPUBLIC OF BOTSWANA

COMPANIES ACT
CHAPTER 42:01
FORM 7A

DOCUMENT
NUMBER

………….
FOROFFICE
USE ONLY

NOTICE OF ALTERATION OR REVOCATION OF CONSTITUTION


(section 43 (4))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name........... ............. .............. .... .... . ... .... .....................................................


Company number ........................................................................................................................
The above named company has altered/revoked a constitution.
The company altered/revoked its constitution on:
Date..... ........ ........... .. ...... ..................... ........... ......... ............ .. ...... ............................
A copy of the constitution as altered/revoked must be attached to this notice

Name of director/authorised agent*…………………………………………………...................

Identity number**................. .......... ....................................... ............ .....

Signature of director/authorised agent*...........................................................

Date..........................................................................................................

Presented by: ............. ..... . ... ... ... .. .... ........ ......... ... .......... .................................

Signature.. ... .. ..... ............ ... ...... ......... . ............. ...................... ................

Identity number**..... ......... ............................................... .................. ....

Postal Address.........................................................................................
E-Mail Address...............................................Telephone.............................Facsimile.

*Delete if not applicable.


**Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 8

DOCUMENT
NUMBER
……………
FOR OFFICE
USE ONLY

NOTICE OF ISSUE OR REDUCTION OF SHARES


(sections 50(1) and (4)(a) and 51(3))
TO B E COM PLETED LEGIBLY I N BLACK INK

Company name. .................... ................ .......... ............

Company number.........................................................

Number of shares in issue before issue/reduction***......... ............

Amount of the company's stated capital before issue P..................

Set out in the table below are particulars of the issue/reduction*** of shares by the above named company

Name of Identity Residential Class Number Amount of Date of Number of


shareholder(s)* Number** Address/ Registered of shares of shares consideration issue/redu shares
/Registration office issued/(red for which the ction** following
Number uced)*** shares have * issue/reduction
been issued ***
or value

Amount of the company’s total stated capital following the issue/reduction***P.................

Name of director/authorised agent*.... ..................................................................

Identity number** ........................... ................................................................

Signature of director/authorised agent*............... ................Date........................... .

.• ·'
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 8
[cont]

Presented by........................................................................... ..........................


Signature.........................................................Date...... ....................................
Identity Number**................................................................... ...........................
Postal Address..................................................................................................
E-mail Address ................................................Telephone....................................
Facsimile................................................................................................................
* Please give surname in block capitals, followed by the first names
** Passport Number applicable to non-citizens only and state the nationality.
*** Delete not applicable
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 9
DOCUMENT
NUMBER

……………….
FOR OFFICE
USE ONLY

NOTICE OF CALLS ON SHARES


(section 55(/ ))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name............................................................................ .
Company number................ . ........ . ..............................................
Set out below is the amount of the call or its value as determined by the Board and the amount of stated capital of the
company following the making of the ca ll.

Number of shares Value of shares C lass of shares

Summary of share Capital

Opening balance of stated cap1tal Amount on the call Closing balance of stated
capital
following the making of call

Name of director/authorised agent* ........ ............. ................. .. .... .... ..... ....... . ..... ... ........

Identity number**............................................................................................... .. .......... .. .. .. .......

Signature of director/authorised agent* . ......... .. . ..... ........... ... ... . .... . ... ........ ..... .. .......... ..

Date ... .. ... . . .... .......... ....... ... ...... . ... .. .. . .. ... .... . ........ ... . .. ......... .. ... .. .........................

Presented by: ............................ ... ... . . .. .. ... .. ... ............ .... .. ... ... . .. .. ... .. . ....... ...... .. .

Signature............................................. …………………………............. .. ...... .. ... .

Identity number** ... . ...... .... ..... . ........................................... .. . . .. . .... .. ..... ... . . . .....

Postal Address....................... . ................ .. ...........................................................


E-Mail Address....................... .... ...... ...Telephone......................................Facsimile.
* Delete if not applicable.
***Passport number applicable to non citizens only and state
the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 10
DOCU M ENT
NUMBER

FOROFFICE
USE ON LY

NOTICE OF REDUCTION OF STATED CAPITAL


(Section 59 (6))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name. .. ... ..... ......... . ..... .............................................. ... .. ............. ..... ....

Company number... ....... ..... ..... ..... .............. ......... ..... ... ....... .......... .......................

Set out in the table below are particulars relating to the reduction of stated capital.

Class of shares Amount of stated Capital Amount of the Reduction Reduced amount of
stated capital

Name of director/authorised agent *.....................................................................................


Identity number**.................................................................................................................................................
Signature of director/authorised agent *................................................................ ......... ............. ......

Date............. .. …………………. ............................................................................................................

Presented by:………………. .....................................................................................................................


Signature:………………. ...........................................................................................................................

Identity number**:………………. .............................................................................................................

Postal Address:………………. ..................................................................................................................

E-Mail Address. ...........................Telephone...........................Facsimile…………….............


* Delete if not applicable.
** Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 11
DOCUMENT
NUMBER

FOROFFICE
USE ONLY

NOTICE OF ACQUISITION BY COMPANY OF OWN SHARES


(section 66 (8))

TO BE COMPLETED LEGIBLY IN BLACK INK


Company name.............. ............................................................. ...................................
Company number. ..................... . ....... . .. . ......... ... .. .... ........ ...................................

Set out in t he table below are particulars of acquisition or redemption by the above named company of its own shares.

Name of person(s) from whom shares acquired Number of shares Class of share acquired or Date of acquisition
or redeemed acquired or redeemed redeemed of redemption

SUMMARY OF SHAR E CAPITAL

Opening balance of s stated capital Amount .of acquisition or Closing balance o( stated capital following
redemption the acquisition or redemption)

In the case of a natural person gi ve surname in BLOCK letters followed by the first names

Name of director/authorised agent *.... ......... ... ...... .......... ... ...... . ........................... . ........

Identity number**.......................................................................................................................................

Signature of director/authorised agent *..... . ....... . ...... .. ............... . .. .. ................... .. ..... . . . .

Date . ......... .... ... .. .. .......... .. . .. .... ..... . ...........................................................................................

Presented by: ....................... ............ ................... .................................................

Signature.. . ............................................................................................................

Identity number** .....................................................................................................

Postal Address. ........................................................................................................................................................................


E-mail Address.....................……….. ......... Telephone………..….......Facsimile...............
* Delete if not applicable.
** Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 12

DOCUMENT
NUMBER
… ………
FOR OFFICE
USE ONLY

NOTICE OF THE PLACE WH ERE SHARE REGISTERS ARE KEPT


(section 84(3)(a))
TO BE COMP LETED LEGIBLY IN BLACK I N K

Company Name....................................................................... ...........

Company Number ............... .. ....... ... ....................................................

In accordance with Section 84 (3) (a) of the Companies Act, notice is hereby given, that the register of shares of
the company is kept at [Physical Address]

………………………………………………………………………………………………………………………………
……………………………………………..

Name of director/authorised agent* .................. ..... .....................................

Identity number**………………………………………………………………………

Residential address…………………………………………………………………….

Signature of director/authorised agent*….......................... Date....................

Presented by……………………………………………………………………………………....

Signature... . ....................................................................Date.......................

Identity Number** .................. ..................... . ....... .... .................. .. ..................

Postal Address..................... . .. .. .... ... .............. ....... .......... ... ... ...... ... ... ..... ......

E-mail Address ................................................T elephone............................ ....

Facsimile.... . ............................. .... .......................................................................

* Delete if not applicable/Please give surname in block capitals, followed by the first names
**Passport Number applicable to non-citizens only and state the n at ion al i t y.
Note: In the case of multiple locations specify all locations
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 13
DOCUMENT
NUMBER
………………
FOR OFFICE
USE ONLY

NOTICE OF CHANGE OF DIRECTORS OR SECRETARY


(section 155)
TO BE COMPLETED LEGIBLY IN BLACK INK

NAME OF COMPANY………………………………………………………………………………………………………………………………………………….

COMPANY NUMBER…………………………………………………………………………………………………………………………………………………..

1 2 3 4 5 6 7 8 9 10 11
Date of First Names and Surname Identity Nationality Former Current Residential Mobile E-Mail Nature of Consent Date of
Appoint Number name/Address and postal address Number Address Change signature Change
ment (d)(e)
(b)
Directors(a)
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM13 [Cont]

1 2 3 4 5 6 7 8 9 10 11
Date of First Names and Surname Identity Nationality Former Current Residential Mobile E-Mail Nature of Consent Date of
Appoint Number name/Address and postal address Number Address Change signature Change
ment (d)(e)
(b)
Secretary(c)

NOTES:
a. A complete list of the existing directors should be given, where applicable attach list of existing Directorships.
b. This date should always be shown whether or not in respect of an old or new appointment given.
c. In the case of the secretary being a corporate body, its name and situation of registered office must be shown.
d. If a director of any other company in Botswana, the name and registered office of any such company must be entered and applies only to new appointees.
e. State "Appointed", "Resigned", "Retired", "Deceased", "Removed" or as t h e case may be
f. In the case of resignations please attach resignation letter or ordinary/special resolution [as required] for removal of directors.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM13 [Cont]

Presented by..........................................................................................................................................................................................

Signature.. ............................................................................................. Date..................................................................

Identity Number................................................................................................................................................................................

Postal Address............................................................................................................................................................................................

E-mail Address.......................................................................................................................................................................................

Telephone..................................................................................................................................................................................................

Facsimile....................................................................................................................................................................................................

*Passport Number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 14

DOCUMENT
NUMBER

………………
FOR OFFICE
USE ONLY

NOTICE OF CHANGE OF REGISTERED OFFICE


(section 184 (2))
TO BE COMPLETED LEGIDLY IN BLACK INK

Company name ...... ........................................... . ...... .........................................................

Company number ................................................................................................... .................

Former address of registered office….... .... ……………………………………….... ..... ... .... . ..........

Address of new registered office (Physical address) ..........................................................................


............................................................................................................................. .......

Postal address to which Communication from the Registrar may be sent............................................................................

...............................................................................................................................................................................................

The change in the registered office of the company took effect on.………………………..................................

Name of director/authorised agent*................…………………………………………………………………………

Identity number**.......................................................... ... ………………………………………………………………...

Signature of director/authorised agent* ..... ... …………………………………………………………………………….

Date ..... ... …………………………………………………………………………………………………………………

Presented by..... ... …………………………………………..... ... ………………………………………………………..

Signature. ..... ... ……………………………………………………………….Date..... ... ………………………………

Identity number**...... ... ………………………………………………….………………………………………………..

Postal address ..... ... ……………………………………………………………………………………………………….

E-mail address..... ... ……………………………………………………………………………………………………….

Telephone..... ... …………………………………………………………Facsimile..... ... …………………………………

* Delete if not applicable.


**Passport n u m b e r applicable t o non citizens only and state the nationality.
Note Section 183 of the Companies Act Chapter42:01 p r o v i d e s that-
The description of the registered office shall state the address of the registered office;
Where the registered office is at the offices of any firm of a chartered accountant, attorney at law, or any
other person, such description shall state -
(a) that the registered office of the company is at the offices of that firm or person; and (b)Particulars of the location in any building of
those offices.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 15

DOCUMENT
NUMBER
………………
FOR OFFICE
USE ONLY

NOTICE OF PLACE WHERE ACCOUNTING RECORDS ARE KEPT, I F NOT KEPT AT


THE REGISTERED OFFICE, AND OF ANY CHANG E IN THAT PLACE
(Section /90(1) and (2))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name...............................................................................................................

Company n u mb e r ............................................................................................................

The accounting record s of the above mentioned company;

(a) Were kept at (Physical Address).........................................................................................

(b) Has changed to (Physical Address) …..................................................................................

With effect from...................................................................................................................................................

Postal Address to which communication from the Registrar may be sent

................................................................... .......................................................................

Name of director/authorised agent..............................................................................................

Identity number**....................................................................................................................

Signature of director/authorised agent.........................................................................................

Date........................................................................................................ .............................

Presented by.................................................. .......................................................................

Signature.............................................................................Date...........................................

Identity number**...................................................................................................................

Postal address.........................................................................................................................

E-mail address...................................................................................................................

Telephone....................................................................................................................

Facsimile.......................................................................................................................

*Delete if not applicable.


**Passport n u m b e r appli cable t o no n citizens only and st at e the nationality.

Note: The date on which the change of registered office takes must at least be 5 working days after the date on
which this notice is registered
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 1 6
DOCUMENT
NUMBER

FOR OFFICE
USE ONLY

CONSENT OF DIRECTOR OF AMALGAMATED COMPANY


(section 226 (j))
TO BE COMPLETED L E G I B L Y IN BLACK INK

Name of amalgamated company……………………………………………………………………………

Company number……………………………………………………………………………………….

I consent to act as a director of the above amalgamated company and certify that I am not disqualified from being appointed or

holding office as a director of the company.

Full names**……………………………………………………………………………

Identity number***………………………………………………………………………

Residential address………………………………………………………………………

Signature…………………………………………………………….Date……………..

Presented by … ………………………………………………………………………..

Signature……………………………………………………………Date………………

Identity number***………………………………………………………………………

Postal Address…………………………………………………………………………..

Telephone……………………………………………………………………………...

Facsimile……………………………………………………………………………...

:,•,'
**Please give surname in BLOCK letters followed by first names.
***Passport number applicable to non citizens only and state
the nationality.
REPUBLIC OF B OTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 1 6 A

DOCUMENT
NUMBER
…………………
FOR OFFICE
USE ONLY

CONSENT OF SECRETARY OF AMALGAMATED COMPANY


(Section 226 (f))
TO BE COMPLETED LEGIBLY IN BLACK INK

Name of amalgamated company... .. .. .................................................... .. . .............. . ............. ..

Company number.. . . . ...... . ....................... . . ...................................................................................

I consent to act as secretary of the above amalgamated company and certify that I am not disqualified from
being appointed or holding office, as a secretary of the company.

Full names/secretary/Body Corporate/ /Body Corporate representative name**

....... . ........... . . .. ..... ... ...... . ... .... . .....................................................................................

Identity number Secretary/Body Corporate/Body Corporate representative***

……………………........ . . .. .. .............. .... . .................... ....... ......................................................

Residential address/Registered office

……………………………………………………………………………………………………………………...

Signature.. ... . .............................. .. ......... ... . . .... . .............Date..................................

Presented by .......................... ............... .. ...............................................................

Signature................................. . ............. . ........ . ............Date. .................................

Identity y number***........ ..... . ...... .. ..........................................................................

Postal Address . ........ .............................................................................................

Telephone. .......................... ..... ..................

Facsimile....................................................

**Please give surname in BLOCK letters followed by first names.


***Passport number applicable to non citizens only and state nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 16B

DOCUMENT
NUMBER

………...
FOR OFF I CE
USE ONLY

CERTIFICATE OF DlRECTORS IN FAVOUR OF THE AMALGAMATION


(sections 224 {2) and 225 (5))
TO BE COMPLETED L E G I B L Y IN BLACK INK

Name of amalgamated company. .... . ................................. . . . ........... . ...... . ....... ..


1/We* the undersigned certify that in our opinion the conditions set out in section 224 (2) or 225 (5)
are satisfied on the following grounds:

Full names** Identity number(s)*** Signatures Date

Presented by............. ........ .......... . ... ........... ............................... .

Signature...... . .................................. .. ............... .. Date. . . .. ... . ...... . ..... .

Identity number**......................................................................

Postal Address . ..... . . . .. . ............ ................ ............... .. ..... ............. . . . .............

Telephone... . ...... .... .......... . ... ... . ......... ....... .. ............. . ...... .. ............... ... ....

Facsimile..... . ................... . ............... ............ . ...... . ........ .. .. ......... . ......... ... .

*Delete if not applicable.


**Please give surname in BLOCK letters followed by first names.
***Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 17

DOCUMENT
NUMBER
………………
FOR OFFICE
USE ONLY

REQUEST TO REMOVE COMPANY FROM REGISTER


(section 331 (d))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name ......................................................................................

Company number ...................................................................................

I........................................................................................................

(insert. Full name and identity number**)


being a shareholder authorised by special resolution of the above-named company to make this application*/a
director authorised by the board of the above-named company to make this application*/a person
required or permitted by the constitution to make this application*, request that the above-named company
be removed from register.
The grounds on which this request is made are

(a) that the company has ceased to carry on business, has discharged in full its liabilities to all its known
creditors, and has distributed its surplus assets in accordance with its constitution and this Act; or

(b) that the company after paying its debts in full or in part has no surplus assets, and no creditor has
applied to the court under section 369 for an order putting the company into liquidation.
The following documents shall accompany this request.

(I) Written n oti ce from the Commissioner of Taxes stating that the Commissioner has no objection to the
company being removed from the register.
(2) A copy of the special resolution under section 331(d) (i) of the Companies Act 2003 Chapter 42:01.
Name of director/authorised agent*......... . ................. ................. .. .. ……………………………...
Identity number**.......................................................................................................................
Signature of shareholder/ director/authorised agent*
…………………………………….............
Date....................................................................................... ..............................
Presented b y .. ............. ............ ...... ...... .. . ... ... . .. ...... .. .. . ...................... ............

Signature of shareholder/ director/authorised agent...................... ... ........................... . ..

Date.............. .......................

Identity number** .... . . . ... .... . .......... . ....................................................... . ..........

Postal address. . .. ... ...................... ..... ........ ............ .................. ... .......... ...........

E-mail address. ........... .. ....... .. ... ............ ....... .......... ..... .. . . ..................................

Telephone................................................... .

Facsimile.............. . .. ........... .... …………………….


* Delete if not applicable.
**Passport number applicable to non citizens only and state the
nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 18

DOCUMENT
NUMBER
………….

FOR OFFICE
USE ONLY

RETURN OF ALTERATION OF PARTICULARS OF AN EXTERNAL COMPANY


( section 347 (1))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name. . . . . . . . . . ........................ . . . . . . . . . . ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Company number. . . . . . . . . . ........................ . . . . . . . . . . ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Country in which company is incorporated.................... ................ ...................... .......... ........


ALTERATION TO CONSTITUTION, CHARTER, STATUTES, MEMORANDUM OR ARTICLES OR OTHER INSTRUMENT
LODGED.
The instrument consisting....................................... .of the above named company was a altered on

Date................................................................ ... . .........


A copy of the document by which alteration was made is attached. CHANGE IN DIRECTOR(S)
OF EXTERNAL COMPANY
Director(s)/Secretary ceasing to hold office***
Full Names*/ Corporate Body Identity Nationality Residential Date ceasing to
numbers(s) Address/Registered Office hold office
** Registration
Number

A p p o i n t m e n t new Director(s)/Secretary***
Full Names* Identity Nationality Residential Address Date of
numbers(s)*** appointment

Set out below are the names and residentia l addresses of the directors/secretary of the above named company at the date of which
this notice is signed.
Identity numbers(s) Nationality Residential Address Date of appointment
Full Names* **

Directors

Secretary
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 18
[Cont]

CHANGE IN THE AUTHORISED AGENT/ADDRESS OF AN AUTHORISED AGENT***

Name…………………………………………………………………………………………………………………….

Identity number••…………………………………………………………………………………………………….

Address................................................................................................................................ ...........

Date on which a n agent ceased to be an a uthorised Agent/change of address of Authorised Agent***

Date……………………………………………

In the case of a natural person, please give surname in BLOCK letters, followed by first name(s).
Appointment of an Authorised Agent

Name ……………………………………………………………………………………………...................................................... .....

Address ……………………………………………………………………………………………................................................. ......

Date………………………………………………
CHANGE IN THE SITUATION OF REGISTERED OFFICE/PLACE OF INCORPORATION OR ORIGIN***

From……………………………………………………………………………………………..................................................... ..........

To……………………………………………………………………………………………......................................................... ...........

Date ……………………………………………

CHANGE IN THE NAME OF THE COMPANY

Former name ……………………………………………………………………………………………..................................................

New name……………………………………………………………………………………………........................................................

Date of change…………………………………

Change of name and Residential Address or other particulars of a Director(s)/Secretary***

………………………………………………………………………............................................................................................................

Date of Change ……………………………………………………………………………......................................................... ................

Name of Director/Authorised Agent…………………………………………………………………………….....................................

Identity Number**/ Registration Number……………………………………………………………………………...........................

Signature of Director/Authorised Agent……………………………………………………………………………..............

Presented by …………………………………………………………………………….............................................................

Signature……………………………………………………………………Date………………………………………….

Identity number**…………………………………………………………

Postal address………………………………………………………………………………………………………............................................

E-mail address…………………………………………………………..Telephone……………………Facsimile…………...............................

*Please give surname in BLOCK letters.


**Passport number applicable to non citizens only and state the nationality.
***Delete if not applicable
REPUBLIC OF BOTSWANA
COMPANIES AC T
CHAPTER 42:01
FORM 19

DOCUMENT
NUMBER
………………..
FOR OFFICE
USE ONLY
NOTICE OF CESSATION OF BUSINESS IN
BOTSWANA LODGED BY AN EXTERNAL
COMPANY
(section 352 (1))
TO BE COMPLETED LEGIBLY IN BLA C K INK

Company name................... ..............................................................................................

Company number................... ...........................................................................................

Country in which company is incorporated ................... .............................................................

The above company ceased to carry on business in Botswana with effect from

Day Month Year

Name of director/authorised agent*................... .............................................................

Id entity number**......................................... ... ............................ ...... ........

Signature of director/authorised agent* ........................ ... .. ... ..... . ... .. .... ... .. . .......

Date..... ............ ... .... .. .............................................................. .... ...... ....

Presented by.......................................................... . ......................................

Signature........ .. ...... ................ Date................... .......... ..... .. ... ....... ..............

Identity nu mb er **................... ................ ................... ..................................................

Postal address........................ .......................... ..... ... ................. ... ...................

E-mail address... .. .. ..... .................... ... . ... ..... ..................

Telephone......... ......... . .. ....... ....... .... .. .................... . .......

Facsimile....................................................... ...... .... ... ..

*Delete if not applicable.


**Passport number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 20
DOCUMENT
NUMBER

…………..
FOR OFFICE
USE ONLY

APPLICATION FOR REGISTRATION AND CONTINUATIO N OF A


FOREIGN COMPANY IN BOTSW ANA
(sections 355 (I) and (2))
TO BE COMPLETED LEG IBLY IN BLACK INK

Company name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Company number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Country i n which Company I n c o r p o r a t e d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The following documents shall support this application i n case of a foreign company:

(a) a certified copy of the certificate of incorporation or other similar document that evidences its incorporation;
(b) a copy of a resolution authorising the continuation of the company in Botswana;
(c) a statement whether a company applies to be registered as a company l i m i t e d by shares or by guarantee and
whether as a public company or a private company;
(d) a certified copy of a document defining its constitution;
(e) a statement of the charges on the company's assets;
(f) evidence acceptable to the Registrar that the company is not prevented from being registered as a
company under this Act by either section 356 or 357;
(g) the documents and information that are required to register a company under Part II of the Act;
(h) If any document r e ferre d to above is not in English, a translation of the document certified in accordance with these
regulations; and
(i) any other documents and information the Registrar may require

Name of director/ authorised agent*……………………………………………………………….

Identity number**……………………………………………………………………………….…

Signature of director/ authorised agent*………………………………Date.…………….………..

Address of principal place of business in Botswana……………………………………………….

Address of registered office in Botswana………………………………………………………….

Presented by……………………………………………….………………………………………

Signature……………………………………………….Date……………………………………..

Identity Number*……………………………………………….………………………………...

Postal Address……………………………………………….…………………………………….

E-mail Address………………………………………………………………………….….……...

Telephone……………………………………………….Facsimile……………………………….

* Delete if not applicable.


**Passport Number applicable to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 23

DOCUMENT
NUMBER
……………
FOROFFICE
USE ONLY

APPLICATION FOR REGISTRATION OF A STATUTORY CORPORATION


AS A COMPANY
(sections 355 (4) and (5))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name .. . ... . . . . . ... .. . .. .. . .. .. ... . ....... . . ........ . .... .. . ....... . . .. . . . .


The following documents shall support t his application, in case of a statutory
corporation:
(a) a c o p y of the law under which the statutory corporation was
established ;
(b) a copy of the law authorising the continuation of the statutory corporation under this Act;
(c) a statement whether the statutory corporation applies to be registered as a company limited
by shares or by guarantee and whether as a public or a private company;
(d) a certified copy of the documents defining its constitution;
(e) a statement of the charges on the statutory corporation's assets;
(f) the documents and information that are required to register a company under Part II
of the Act; and
(g) any other documents or information the Registrar may require.

Name of director/authorised agent*......................................................... ..................................................


Identity number** ......................... .................................................. ........ ..................................................

Signature of director/authorised agent* . .. .. . ..... ........ . . ..... . ..... . .. ... ...........Date. . . ….. . ... . ...

Address of principal place of business. . .. ................. . ... . ...... .. . ..... .. . . ......... . .. .. . ..... . ..... ..

Address of registered office .. ... .................... ... ......... . . ........ . . .. . ..... . .... . . ... . .... . . .........
Presented by... . .. . . .... . . . ..... ........ .. . ........ . . . ...... .. .. . .. . .... .. . .... . . .... ...... .. ..... ... .. . .......

Signature. . . . . .. ..... . . ........ ... . ... .... . ....... . ........ ....... .. . ……………………..Date.... . . ..... . . ...

Identity number* . . .... . . . ..... ........ .. . ........ . . . ...... .. .. . .. . .... .. . .... . . .... ...... .. ..... ... .. . .......

Postal address . . .... . . . ..... ........ .. . ........ . . . ...... .. .. . .. . .... .. . .... . . .... ...... …...... ... .. . ….....

E-mail address. . .... . . . ..... ........ ……….. . ........ . . .

Telephone... .. .. . . . ... . ......... . . ..... ... . .... . .. ... . . . .....

Facsimile. .... . . . . . . ..... . .. ..... .. . ........ .. .. . ..... . .... . .


* Delete if not applicable.
**Passport number a p p l i c a b l e to non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 25
DOCUMENT
NUMBER

FOR OFFICE
USE ONLY

NOTICE OF SITUATION OF REGISTERED OFFICE OF AN


EXTERNALCOMPANY
(Section 345 (1) (f))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name.............. . .............. .... . ....... ..... .. ... .... ... .. ... .. .. . ......... .. ...........

Company number....................... . ..... .. ...... . ................................. . ......... .........

In accordance with section 345 (I) of the Companies Act, notice is hereby given that the registered office

of the company is situated at [Physical Address]

With effect from ......................................................................

Name of director/authorised agent* . .. ......... ............ ...... .................. ............ ..............

Identity number**................................................................................................................................

Signature of director/authorised /agent* ......................... ..... ............... ..........................

Dated ...................................... .. . . . ....... ....... ... .................. .. …………………………………

Presented by.....................................................................................................

Signature ..... . ...... ............ ....... ....................... ......Date ................... ....................

Identity number** ......... ............ ... .........................................................................................

Postal address................................................................................................ .

E-Mail Address............... ............................... ...

Telephone....... . ........ . ............................... . .......

Facsimile.................. . ......... ....... .............. ........

* Delete if not applicable.


**Passport n u mb e r a p pl i c a bl e t o non citizens only and state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 2 7

DOCUMENT
NUMBER

…………..
FOROFFICE
USE ONLY

APPLICATION TO REMOVE A COMPANY FROM THE REGISTER


WHERE IT HAS TRANSFERRED
INCORPORATION TO ANOTHER COUNTRY
(section 360 (2))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name.. .. . .... ........ . .......... . . . ..... . ................... . ......... . ... . .... . ............... ………………………

Company number.... . . .. .. ..... .. . . . ...... . . . .. .... .. . .. . . . ... ...... ... .. . .. . . . . . . ... ..... . .. . . . . ... . . .....................................

I..... ............ ......................... .. ........... .......... .. ... …………………………………………….(Insert full name)

being a shareholder authorised by a special resolution of the above named company to make this application*/a director

authorised by the board of the above-named company to make this application* I a person required or permitted by the.

Constitution to make this application*, request that the above named company be removed from the register.

Name of shareholder/director/authorised agent *………………………………………………………………………………….

Identity number**………………………………………………………………………………………………...........................

Signature of shareholder/director/authorised agent* ……………………………………………………………………………..

Date........ .......... . ... . .. . ......... ......... . .. . ..... ......... . . .............. ......................................................................

Presented b y . . ................ . .... ........... . ...... . ................................ ............... .. ………………………………

Signature... . .................... . . ........... . ..... . . . ... . .......... Date.. . .. . .................. ..... . . . ……………………………………..

Identity number**... .................................................................................................... . ..................................................

Postal address.... . ... . .. . . . .. . .. . .......... . ..... . ...... ............................ ...........................................................

E-mail address. .... .. .. .. ... .......... . . ......... .................................................................................................

Telephone. ..... ............ . .......... ................................................................................................................................................

Facsimile..... ............ . .......... ..................................................................................................................................................

*Delete if not applicable.


**Passport number applicable to non citizens only and
state the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 2 8

DOCUMENT
NUMBER
………………
FOROFFICE
USE ONLY

FORM OF SPECIAL RESOLUTION


(section 96)
TO BE COMPLETED LEGIBLY IN BLACK INK

Company Name ........... ..... .. . ...... .............. . ..................... .. ........ .... .................

Company Number. ..................... ...... .. .. .. . ....................................... . ................

Notice of meeting given to members on.......................day of. ............. ..., 20..................

Passed on the ..................................... .... ........day of. ............................................20......

(State the contents of the resolution a n d the relevant section below)

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

Name of director/authorised agent* .. ....... . ... ..... ......... ..... ...... ....... .. . ..........................

Identity number**..............................................................................................................................

Signature of director/authorised agent* .............. . ......................................................

Date……………………………………………………………………………………………………

Presented by…………………………………………………………………………………………...

Signature............................. ....................... ………………. Date..... .. ............. ..

Identity number** …………………………………………………………………………………….

Postal address………………………………………………………………………………………....

E-mail address. ... . ... ... ... . .. .. . .. ...... .... ..... . . ....... .. ... .. ...

Telephone..... .... .... ... .. . . .. .... .... ...................................

Facsimile..... ............ . . ...... …………………. .... …

*Delete if not applicable.


**Passport number applicable to non citizens o n ly and state
the nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 29

DOCUMENT
NUMBER

……………….
FOR OFFICE
USE ONLY
NOTICE OF FAILURE TO APPOINT OR RE-APPOINT AN AUDITOR
AT AN ANNUAL GENERAL MEETING
(s.ection 191 (4))
TO BE COMPLETED LEGIBLY IN BLACK I NK

Company name...... .. ... . . . . . . ...... . . . . . .... . ..... . . . .... ... . . . .......... . . .. . . . ......... . .. . .. . . ..........

Company number. ...... .. ... . . . . . . ...... . . . . . .... . ..... . . . .... ... . . . .......... . . .. . . . ......... . .. . .. . . ......

No auditor was appointed/re-appointed * at the General Meeting held on.... . ... . ......................... ............

day of. .. .. .. ... .................................... .. .............,20.. . . . .... ..........

As at. ...... . ........... . ....... . ..day of. ... . ................. . .............................. ... .. ... . ., 20......the directors

have appointed/re-appointed* an auditor for the company.

The Registrar is now requested to appoint a persons (s) in terms of section 1 91 (4) of the Act to fill

the vacancy.

Name of director/authorised agent* ... . . . .... .... .... ………………………………….. ……………………………….....………

Identity number**... . . . .... .... .... ………………………………….. ……………………………….....………………………………

Signature of director/authorised agent* . . . .. . . .... ....... .. ... . . . . . ... . . .. . ...... Date.. . .. . . . ... . ... .. . . ........... .....

Presented by... . . . .... .... .... ………………………………….. ……………………………….....……………………………………..

Signature..... .. ........ .... . . ........... .......... . ...... . ... ........................Date. .. . .. ... . ... .. . . .. . …………..

Identity number... . . . .... .... .... ………………………………….. ……………………………….....…………………………………

Postal address. ... . . . .... .... .... ………………………………….. ……………………………….....…………………………………..

E-mail address... . . . .... .... .... …………………………………...

Telephone.... . .... . . . .... .... .... …………………………………..

Facsimile... . . . .... .... .... …………………………………………..

* Delete if not applicable.


**Passport number applicable to non citizens only and state the
nationality.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30

DOCUMENT
NUMBER
………………
FOR OFFICE
USE ONLY

APPLICATION F O R CONVERSION OF A PRIVATE COMPANY INTO A


CLOSE COMPANY
(section 278)
TO B E COMPLETED LEGIBLY IN BLACK INK

Company name…………………………………………………........................

Company number…………………………………………………......................

I/We*, the undersigned, being all the members of the above-named company app l y for the conversion of this
company into a close company.

I/We* state that-


(a) every member of the company will become a member of the close company; and

(b) upon conversion the assets of the close company, fairly valued, will exceed its liabilities, and that after
conversion the close company will be able to pay its debts as they become due in the ordinary course of
its business.

The following documents are lodged herewith:


(a) a statement in writing by the auditor as required by section 191 (b) of the
Act; and
(b) a founding statement in terms of section 246 of the Act.

Names(s)** Identity Percentage of each Signatures/ Date


number(s)*** member's interest Consent
****

Aggregate contribution of members in Pula …………………………………………………........................

Name of Person appointed to be an Accounting Officer……………………………………………………………...

Identity number***………………………………………………………………………................................

Signature……………………………………………………………………….............................................

Postal address……………………………………………………………………….......................................

E-mail address………………………………………………………………………......................................

Name of director/authorised agent* ……………………………………………………………………………..

Identity number ***……………………………………………………………………………………………...


REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30
[Cont]

Signature of director/authorised agent* ………………………………………………………...

Date………………………………………………………………………………………

Presented by……………………………………………………………………………….

Signature………………………………………………………………………………….

Date………………………………………………………………………………………

Identity number***………………………………………………………………………….

Postal address………………………………………………………………………………

E-mail address……………………………………………………………………………….

Telephone…………………………………………………………………………………

Facsimile…………………………………………………………………………………

*Delete if not applicable


**Please give surname in block letters followed by first names
***Passport number applicable to non citizens only and state nationality.
**** Those named consent to act as members of the above proposed company
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30A

DOCUMENT
NUMBER
………………

FOR OFFICE
USE ONLY

APPLICATION FOR CONVERSION OF A CLOSE COMPANY INTO A


PRIVATE COMPANY
(section 279)
TO BE COMPLETED LEGIBLY I N BLACK INK

Company name…………………………………………………...................................

Company number………………………………………………….................................

I/ We*, the undersigned, being all the members of the above-named company apply for the con version of this
company into a private company.
I/ We* state that every member of the close company will become a shareholder of the private company; and
The following persons are the shareholders of the company:
Name of Identity number(s) Residential Address/ Number of Class of Signature of Date
Shareholder(s)* ***/company number Registered office** shares s hares shareholder ****
issued

Amount of stated capita l after con version ……………………………………………………………

Name of director/authorised agent** …………………………………………………......................

Identity number** …………………………………………………..............................................

Signature of director/authorised agent** …………………………………………………............

Date ………………………………………………….....................................................

Presented b y …………………………………………………...........................................

Identity number*** …………………………………………………...................................

Postal address …………………………………………………........................................

E-mail address ……………………………………

Telephone…………………………………….....

Facsimile …………………………………..……

Signature of Presenter ……………………………..

*Delete if not applicable


**Please give surname in block letters followed by first names
***Passport number applicable to non citizens only and state the nationality
****Those named consent to act as shareholders of the above proposed company
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30B
DOCUMENT
NUMBER

……………..
FOR OFFICE
USE ONLY

APPLICATION FOR CONVERSION OF A PUBLIC COMPANY INTO A PRTVATE COMPANY


(section 280(1))
TO BE COMPLETED LEGIBLY IN BLACK INK

Company name……………………………………………………………………...

Company number……………………………………………………………………

l/We*, the undersigned, being all the members of the above-named company apply for the conversion of this company into a pri
vate company.
The following documents are lodged herewith:
(a) A special resolution passed to that effect.
I......................................................................................... as the Director/Secretary**
of this company declare that the following persons are the shareholders of the company:

Name of Identity Residential Number of Class of Signature of Date


Shareholder(s)* number(s) Address/ Registered shares shares shareholder****
***/company office**
number issued

Amount of stated capital after conversion ……………………………………………….…..

Name of director/authorised agent** …………………………………………………….…

Identity number*** …………………………………………………………………..…

Signature of director/ authorised agent. ………………………………………………..…...

Date……………………………………………………………………………….…

Presented by………………………………………………………………………..…
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 30B

[cont]

Identity number***......................................................................................................………………………..

Postal address.................... . ............... . .... ...... . ............. ....................................................................

E-mail address. . ........ ....... ....... ....... ... ..... . .... .. ......... ............... .... .. ..................................................

Telephone... ....... .. ....... ..... .. ................ . ...... ....................... .. ....... . .... . …………………………

Facsimile................... .............. . ............. ..... ....... ... . ... ................................................................

Signature of Presenter..................... ...... ... .. ... .... . .. .. .. . ....... .........................................................

*Delete if not applicable


**Please give surname in b l o c k letters f o l l o w e d by first names
***Passport number applicable to non citizens only and state the nationality
**** Those named consent to act as shareholders of the above proposed company.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30C

DOCUMENT
NUMBER

……………
FOR OFFICE
USE ON LY

APPLICATION FOR CONVERSION OF A PRIVATE COMPANY INTO A PUBLIC COMPANY


(section 280(2))
TO BE COMPLETED LEG IBLY IN BLACK INK

Company name. ..... . . . ......... . . ....... . ... .. ... ... . ...... . ... ... ... . .... . .... .... .. . .....
Company number. ...... .. . . .. ..... . ... . ..... ... .. . . ..... . ......................... .. ...... .
1/We*, the undersigned, being all the members of the above-named company apply for the conversion of this company into a
public company.
The following documents are lodged here with: (a) A special resolution
passed to that effect.
The following persons are the shareholders of the company:
Name of Identity Residential Number of Class of Signature of Date
Shareholder number(s) Address/ shares shares shareholder(s)
(s)* ***/company Registered issued ****
number office**

Amount of stated capital after conversion .....................................................................................

Name of director/authorised agent** ...................................................................................................

Identity number** *..............................................................................................................

Signature of director/authorised agent ................................................................................................


REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30C

[cont]

Date..........................................................................................

Presented b y .................................................................................

Identity number***...........................................................................

Postal address................................................................................

E-mail address...................................................................................

Telephone....................................................................................

Facsimile .....................................................................................

Signature of Presenter ........................................................................

*Delete if not applicable


**Please give surname in b l o c k letters f o l l o w e d by first names
***Passport number applicable to non citizens only and state the
nationality
****Those named consent to act as shareholders of the above proposed
company
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30H

DOCUMENT
NUMBER
.……….
FOR OFFICE
USE ONLY

APPLICATION FOR CONVERSION OF A PRIVATE COMPANY INTO A


COMPANY LIMITED BY GUARANTEE
(section 277)
TO BE COMPLETED LEGIBLY IN BLACK INK

Company
name...........................................................................................................
Company
number.........................................................................................................
.
I/ We*, the undersigned, being all the members of the above-named company apply for the conversion
of this company into a company limited by a guarantee.
I/We*, state that:
a) Every member of the company will become a member of the company limited by guarantee and b)
Agreed to the voluntary surrender to the company for cancellation of all the shares held by them. The
following documents are lodged herewith:
a) A copy of a new constitution and of the special resolution adopting the constitution.
The following persons are the members of the company:
Name of Id entity Residential Address/ The amount Signature of Date
Member(s)*/authorised Agent number(s)*** Registered office** to be contributed members
to the assets of the ****
company
in the event of
winding up

Name of director/authorised agent** .................................…………………………………....

Identity number***........................ .. ........................................................................................


REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 30H [Conti]

Signature of director/authorised agent…..............................................................................

Date........................................................................................................................................

Presented b y.........................................................................................................................

Identity number***................................................................................................................

Postal address........................................................................................................................

E-mail address......................................................................................................................

Telephone..............................................................................................................................

Facsimile...............................................................................................................................

Signature of Presenter............................................................................................................

*Delete if not applicable


**Please give surname in block letters followed by first names
***Passport number applicable to non citizens only state the nationality
**** Those named consent to act as shareholders of the above proposed company.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 31
DOCUMENT
NUMBER

……………….
FOROFFICE
USE ONLY

FORM OF ANNUAL RETURN OF A CLOSE COMPANY


(section 271)
TO BE COMPLETED LEGIBLY IN BLACK INK

1. Form of Annual Return of a Close Company.

Annual Return of ..............…………….a close company made up to the date of the

Annual Meeting.

Date of meeting……………………………or Resolution in lieu of meeting under section 107


(2) of the Act.

2. Physical and Postal Address of the registered office of the company

……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………

3. Physical and Postal Address at which the register of members is kept (if not kept at registered office)

……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………

4. Physical and Postal Address at which financial records are kept (if not kept at the registered office)

……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………

5. Amount to be contributed by members to assets of the company in the event of winding up

P…………………………………………

6. Total amount of indebtedness of the company P.................................


REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 31
[Cont]

Members of close company

The following persons are members of the close company


Name of member(s)* Identity Residential address The amount to be contributed

number(s) to the assets of the company in

the event of winding up

Presented by……………………………………………………………………...................................

Signature………………………………………………………………………...................................

Identity number**………………………………………………………………………........................

Postal address……………………………………………………………………….............................

E-mail address...……………………………………………………………………………………….

Telephone……………………………………………Facsimile……………..................................

*Please give surname in BLOCK letters followed by the first name(s).


**Passport number applicable to non citizens only and state the nationality.
***Delete if not applicable.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 31 A
DOCUMENT
NUMBER

……………….
FOROFFICE
USE ONLY

FORM OF ANNUAL RETURN OF A COMPANY LIMITED BY GUARANTEE


(sec/ion 217 (6))
TO BE COMPLETED LEGIBLY IN BLACK INK

1. Form of Annual Return of a Company Limited by Guarantee


Annual Return of ..............…………….a company limited by guarantee made up to the date of
the Annual Meeting.
Date of meeting……………………………or Resolution in lieu of meeting under section 107
(2) of the Act.

2. Physical and Postal Address of the registered office of the company

………………………………………………………………………………………………………………………………………………

3. Physical and Postal Address at which the register of members is kept (if not kept at registered office)

………………………………………………………………………………………………………………………………………………

4. Physical and Postal Address at which financial records are kept (if not kept at the registered office)

………………………………………………………………………………………………………………………………………………

5. Amount to be contributed by members to assets of the company in the event of winding up

P....................... ..........

6. Total amount of indebtedness of the company P.................................

Members of Company Limited by Guarantee

The following persons are members of the company limited by Guarantee

Name of member(s)* Identity Residential The amount to be Signature of

number(s address contributed to the members

) assets of the

company in the

event of winding

up
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 31 A
[Cont]

Presented by……………………………………………………………………...................................

Signature………………………………………………………………………...................................

Identity number**………………………………………………………………………........................

Postal address……………………………………………………………………….............................

E-mail address…………………………………………………………………....................................

Telephone…………………………………………………………Facsimile...................................

*Please give surname in BLOCK letters followed by the first name(s).


**Passport number applicable to non citizens only and state the nationality.
***Delete if not applicable.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 31 B
DOCUMENT
NUMBER

……………….
FOROFFICE
USE ONLY

FORM OF ANNUAL RETURN FOR A


COMPANY LIMITED BY SHARES
(Section 217)
TO BE COMPLETED LEGIBLY IN BLACK I N K

1. Form of Annual Return of a Company Limited by Shares

Annual Return of Company number……………………….Company name


….…………………….......................……………………….. Company Limited by shares
made up to the date of the Annual Meeting.

Date of meeting…………………….……………………..or Resolution in lieu of meeting


under section 107 (2) of the Act, being for the year…………………………

1. Physical and Postal Address of the registered office of the company

………………………………………………………………………………………………………………………………

2. Physical and Postal Address of the company

…………………………………………………………………………………………………………………………………

3. Address at which the register of shareholders or members is kept (if not kept at registered office)

…………………………………………………………………………………………………………………………………

4. Address at which financial records are kept (if not kept at the registered office)

…………………………………………………………………………………………………………………………………

The company is-[tick/cross the correct box]

(i) A public company


(ii) A non-exempt company
(iii) An exempt company

2. Summary of Share Capital and Debentures

Share Capital

1) Total number of shares issued by the Company: ........................................................................


2) Total amount paid up on shares P........................................................................
Total amount called but unpaid P........................................................................
Amount received on any shares forfeited P........................................................................
Stated Capital P........................................................................
3) Classes of Shares Number Class

..………………………… Ordinary

.………………………… Preference
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM31B
[Cont]

4) Number of shares of each class issued subject to payment


wholly in cash
………………………………… …………………….shares

………………………………… …………………….shares

5) Number of shares of each class issued as fully paid up for a ………………………………… …………………….shares
consideration other than cash
………………………………… …………………….shares
………………………………… …………………….shares
………………………………… …………………….shares

6) The nature of the consideration given for such shares ………………………………………..

7) Number of shares of each class issued as partly paid up for a ………………………………… …………………….shares
consideration other than cash and extent to which each such
issued as paid up to extent of
shares is so paid up
P……………………………………………………..per share
………………………………… …………………….shares
issued as paid up to extent of
P……………………………………………………..per share
issued as paid up to extent of
P……………………………………………………..per share
issued as paid up to extent of
P……………………………………………………..per share
8) The nature of the consideration given for such shares. ………………..…………………….
……………………………………...

9) Amount called up on shares of each class P………………..…….per share on ……....................shares

P………………..…….per share on ……....................shares


10) Total number of shares of each class forfeited ………………………………… …………………….shares

………………………………… …………………….shares

11) Total amount paid, if any, on shares forfeited.


P……………………………………………………………

12) The total number of shares purchased or otherwise acquired


by the company P……………………………………………………………

13) The total number of shares redeemed by the company


P……………………………………………………………

14) The total number of shares held as


Treasury shares P……………………………………………………………

15) Total amount of the sums, if any, allowed by way of discount


in respect of any debentures since the date of the last return P……………………………………………………………

16) Total amount of indebtedness of the company in respect of all


charges which are required to be registered with the Registrar. P……………………………………………………………
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM31B
[Cont]
3. Particulars of Directors, Auditors and Secretaries

Names and addresses of the Directors, Auditors, Secretaries and Share Transfer Secretaries on the

………………day of……………………….

Directors

Surname and Name Identity Postal Address Other


number(s) Directorships

Auditors

Surname and Name Postal Address

Secretary

Surname and Name Postal Address

Share Transfer Secretary

Surname and Name Postal Address

4. Other matters (to be stated on a separate page)

(1) If the company is a party to a listing agreement with a stock exchange,


state the names and addresses of, and the number of shares held by-

(i) the persons holding the I 0 largest numbers of shares; or


(ii) if there is more than one class of shares, the persons
holding the 10 largest numbers of shares in each class.

(2) Subject to sub-paragraph (2), unless the following particulars are


included in the balance sheet or in a note on or a statement annexed to
the balance sheet, which is required to be filed with this annual return
particulars of-

(i) the names, countries of incorporation and nature of the


businesses and subsidiaries of the company and of all
corporations in which the company is entitled by itself or a
nominee to exercise more than 25 per cent of the votes
exercisable at a general meeting of
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM31B
[Cont]

the company; and


(ii) where the company is a subsidiary of another company or
corporation, the name of the company or corporation
regarded by the directors as the ultimate holding company of
the first-mentioned company and if it is known to them the
country in which it is incorporated.

Note:
The information required by this paragraph need not be given if the Registrar so directs and
for this purpose the Registrar shall have regard to whether the disclosure would be harmful to
the business of the company or of that of other companies and this harm outweighs any
benefit to the public in requiring this disclosure

5. List of Shareholders

Shareholder Surname and Name Identity number(s) Postal Address Number of


register Shares held
number (If
any)

6. List of shares transferred since date of incorporation / last annual return*

Date of transfer Name of transferring Name of Transferee Number of shares


shareholder transferred

*Strike out whichever is not applicable

7. Copy of last Audited F i n a n c i a l statements and Annual Repo r t of the Company (where required
to be filed in terms of section 209 of the Act.)

Note: This return must include a copy, certified both by a Director and by the Secretary of the Company to be a true
copy, of the financial statements laid before the company in general meeting during the period to which the summary
relates, and, in addition a copy, certified as aforesaid, of the report of the auditors on the financial statements and a copy
of the Annual report of the directors where required to be filed in terms of Section 212.

FORM31B
[Cont]
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

8. Certificates to be given by a Private Company

(1) We certify-

(i) that the Company has not since the date of incorporation of the company/ the last Annual Return* issued
any invitation to the public to subscribe for any shares or debentures of the company;

(*Delete whichever is inappropriate)

(ii) T he number of shareholders or members of the company is………………………..

…………………………
Director

…………………………
Secretary

(2) Should the number of shareholders or members of the company exceed 25, the following certificate is required:-

We certify that the excess of members of the company above 25 consists wholly of persons who
are in the employment of the Company and/or of persons who, having been formerly in the
e m p l o y m e n t of the company, were while in such e employment, and have continued after the
termination of such employment to be, shareholders or members of the company.

…………………………
Director

…………………………
Secretary

(3) In case of a private company which has passed an unanimous resolution under Section 246
that no interests register need to be kept by the company, state the date of the resolution

...................................

We certify that no shareholder has, at the date of the annual r e t u r n , given n o t i c e in writing to the
company requiring it to keep an interest register.

…………………………
Director

…………………………
Secretary

9. Certificate to be given by a public Company

(i) the number of shareholders or members of the company is

…………………………
Director

…………………………
Secretary
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01
FORM 32
DOCUMENT
NUMBER

……………….
FOROFFICE
USE ONLY

NO CHANGE RETURN FOR A COMPANY LIMITED BY SHARES


(section 217 (5))
TO BE COMPLETED LEGIBLY IN BLACK I N K

Name of company………………………………………………………………………………………

Company number………………………………………………………………………………………..

The company is-[tick/cross the correct box]

(i) A public company


(ii) A non-exempt company
(iii) An exempt company

Date of Annual Meeting……………………………………………………………or resolution in lieu of


meeting under section 107 (2) of the Act
Enclosed financial statements**
Financial Statements approved at Annual General Meeting.
Yes**

No**

This is to certify that there is no change with respect to any of the matters stated from the last preceding
annual return.

Date……………………………………

Signature of Director/Secretary……………………………………………..…………………………..

Name of Director/Secretary……………………………………………………………………………..

Presented by: …………………………………………………………………..................................

Signature………………………………………………………………………………………… ……..

Identity number*…………………………………………………………..……………………………..

Postal

Address…………………………………………………………………………………………… .……

E-Mail Address…………………………Telephone………………………………….Facsimile………………

*Passport number applicable to non-citizens only and


state the nationality.
**Delete if not applicable.
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 33
DOCUMENT
NUMBER

……………….
FOROFFICE
USE ONLY

STATEMENT OF PARTICULARS OF CHARGES


(sections 125 (3) and (4))
TO BE COMPLETED LEGIBLY IN BLACK I N K

Name…………………………………………………………………………………………………………………………………………………

Company number……………………………………………………………………………………………………………………………………..

Set out in the table below are particulars of charges on property of the company
Descriptio Type of Charges on Date of Amount secured Rate of interest Method used to Name of person Prohibition Power of the
entitled to /restriction company to create
n of charge existing creation by by charge/s payable on the calculate variable charges contained in the any other charge
instrument or issue
Property property company/ charge interest creating a charge debentures
acquired by acquisition

the company
REPUBLIC OF BOTSWANA
COMPANIES ACT
CHAPTER 42:01

FORM 33
[Cont]

Where the holders of a series of debentures are entitled to the benefit of a charge complete below:

Description of property Total amount secured by Dates of Resolutions Date of agency deed Name of trustee for debenture Name person
charged the whole series authorizing the issue of series Or by which the security is holders Entitled to charges
created/defined

Presented by……………………………………………………………………....................................................................
Signature……………………………………………………………………….....................................................................

Identity number**……………………………………………………………………….........................................................
Postal address………………………………………………………………………...............................................................
E-mail address...………………………..……..Telephone………………………………Facsimile......................................

*Passport number applicable to non citizens only and state the nationality.
**In the case of an original transaction and any subsequent changes this form must be submitted each time a new
charge is created or any existing charge is cancelled.