Fillable Statement of Particulars required to be given pursuant

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Statement of Particulars required to be given pursuant

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Registration Fee.Shs.24,000
T
THE REPUBLIC OF UGANDA
Statement of Particulars required to be given pursuant to the
Business
Name Registration Act IN CASE OF A
FIRM
This form must be signed either (a) by all the individuals who are partners (or if one or more of the partners is a
corporation, by a director or secretary thereof) or (b) by one individual who is a partner in the firm, or (c) by a director or
secretary of a corporation which is a partner in the firm; but in cases (b) and (c), a statutory declaration as to the truth of the
particulars contained in the form must be made as per reverse. (Vide sec. 6 of the Act).
1 – Business name to be registered.
Where a business is carried on under two or more business ………………………………………………………………………………….
Name, each of these business names must be stated.
2- General nature of the business. …...............................................................................................
3- Principal place of business. ……………………………………………………………………………….
Plot, Street and Postal Address.
………………………………………………………………………………..
4.- Present Christian name (or names), surname and age of each
of the individuals who are partners. ………………………………………………………………………………….
If any of the individuals who are partners are of non-European origin,
Such individual or individuals (as the case may be) must also state the ………………………………………………………………………………………….
Christian name (or names) or surname if his, her or their fathers respectively
…………………………………………………………………………………
5- Former Christian name ( or names), and surname (if any) of each
of the individuals who are partners. ……………………………………………………………………………….
……………………………………………………………………………….
6- Nationality of each of the individuals who are partners
If the Nationality stated is not the nationality or origin, such nationality ……………………………………………………………………………….
of origin must in any case be stated.
.……………………………………………………………………………....
7- Usual place of residence of each of the individuals who are partners. ………………………………………………………………………………..
Plot, Street and Postal Address.
……………………………………………………………………………….
………………………………………………………………………………..
8 – Other business occupation (if any) of each of the individuals
who are partners. ….…………………………………………………………………………………..……..
……………………………………………………………………………………………..
9- Date of commencement of business
The date need only be stated where the business was commenced after …………………………………………………………………………………
The 15
th
day of October 1918.
…………………………………………………………………………………………….
10- Corporate name of each corporation which is a partner.
…………………………………………………………………………………
11 – Registered or principal office of each corporation which is
a partner. ………………………………………………………………………………...
Dated this…………………………………..day of ……………………………………………………………..20.......
Signed: …..…………………………………………
……………………………………………..
……………………………………………..
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STATUTORY DECLARATION
I, …………………………………………………………………………………………………………………………………
of…………………………………………………………………………………………………………………………Uganda
DO SOLEMNLY AND SINCERELY declare that the particulars hereon are true and correct AND I make this
solemn declaration conscientiously believing the same to be true and by virtue of the Oaths Act.
DECLARED at
………………………………………..in
this …………………………………………………….District
Of……………………………………………this…………………………….day
of…………………………20…………
BEFORE ME,
…………………………………………………..
Magistrate/Commissioner
for
Oaths.
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Statement of Particulars required to be given pursuant

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Completed 17 May 2022

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