Mandate to Act - CIPC - TAXology Growth Partners

Mandate to Act – CIPC

✅ Mandate Authority Request

Authorisation to Act on Behalf of the Business for Registration, Compliance, and Tax-Related Matters

Who is Completing This Form?

🏢 Company Details

This section captures key business details required to validate your mandate and process applications accurately.

Company Name

Company Registration Number

Physical Business Address

Address Line 1

Address Line 2

City

Province

Postal Code

🧑‍💼 Representative Details

Please provide details about the company representative completing this form.

First Name

Last Name

Job Title

ID Number (for signatory verification)

Email Address

Mobile Number

📝 Scope of the Authorization

Please confirm our scope of the authorization to perform the following actions on behalf of the company:

Please define the scope of the authorization:

Prepare and submit director appointment or resignation changes

Prepare and submit annual returns

Prepare and submit UBO Declarations

Update company records to reflect directorship information changes

Apply for de-registration of a company

Apply for restoration of a company

Lodge Change of Company Names

🛡️ Declaration

Please review the declarations below and confirm that the information provided is true, complete, and submitted with your authority.

I declare that the information provided in this form is true and correct to the best of my knowledge. I understand that this information is collected in compliance with the Financial Intelligence Centre Act (FICA) and will be used to assess the risk and legal compliance of the client listed above.

I confirm that I am authorized to provide this information in the capacity stated and understand that false or misleading information may lead to legal or regulatory consequences.

I also acknowledge that this information may be shared with regulatory bodies where legally required and that TAXology Growth Partners complies with the Protection of Personal Information Act (POPIA) in handling all personal and business data.

I have read and agree to TAXology Growth Partners’ Terms and Conditions and Privacy Policy

Signature

Sign Here

✅ Mandate Authority Request

🏢 Company Details

🧑‍💼 Representative Details

📝 Scope of the Authorization

🛡️ Declaration

Lets Connect

Follow Us

Legal

Popular Forms

Tax Forms