Application for Name Approval/Name Reservation Registration of Business Names Act, Chap. 82:85 ‘This form is for use in checking avalabilfy of u name and for npproval of name in respect of oue business oly. The form must be submitted in pleats orgiaals and information must be typed or written in block (capital) eters. One copy of the form will be returned to the appl Indicating results must, if name is available, be attached tothe Application for Registration/Change of Particulars Form. Indication that 2 1, Name of Applicant... 2. Full Address... = 3. Telephone Number (if any) ... 4, Proposed Business Name... 5. Nature of Business 6. Type of Registration: OF individu 1 Firm/Partnership (Please tick appropriste box) 1. ‘Type of Request (1 Name Approval (CI Change of Name (Complete tem No. 8) (Pease tick appropriate box) 1 Replacement 1] Extension (Place attach original approval) 1 Other (Please specifi) ean 8. If change of name, state present name of business and registration number... Signature of Applicant .... Dated the _——— day of 20 FOR OFFICIAL USE ONLY - Das] time] Reser | Gaal | pa 0 Approved Expiry Date... Reccvet | Revved | By ‘By | checked 1 Undesirabie 1 Request further information SEARCH RESULTS: COMMENTS - Sprains of tational fcr — ———— ‘ta/To —W 1817-20.000— 108