Change of Proprietor Details Form

CHANGE OF PROPRIETOR DETAILS FORM

Use this form to complete the CAC change in particulars of Proprietor of business name.

Edit Proprietor

Business Name:

Registration Number:

Proprietor's Details

Reason for Change:

Surname:

First Name:

Other Name:

Date of Birth:

Gender:

Nationality:

Former Name (if any):

Former Nationality (if any):

Phone Number:

Email:

Occupation:

Service Address:

Country:

State:

LGA:

City/Town/Village:

House Number/Building Name:

Street Name:

Residential Address:

Country:

State:

LGA:

City/Town/Village:

House Number/Building Name:

Street Name:

Means of Identification

Type:

Number:

Uploads

Upload ID:

Choose File

Upload Signature:

Choose File

Upload other supporting documents:

Choose File