Business Name Registration - Destiny Technology Hub

Personal Details

Provide your personal information and addresses.

Applicant Information

Surname *

First Name *

Other Name

Date of Birth *

Gender *

Phone Number *

Home Address

State *

LGA *

City / Town / Village *

House Number *

Street Name *

Business Address

State *

LGA *

City / Town / Village *

House Number *

Street Name *

Business Details

Provide the details of the business you want to register.

Nature of Business *

Proposed Business Name 1 *

Proposed Business Name 2 *

Functional Email Address *

Supporting Documents

Upload the required documents for your registration.

ID Card *

Click to upload or drag and drop

Snap and send. PDF, JPG, or PNG. Max 5MB.

Passport Photograph *

Click to upload or drag and drop

Snap and send. JPG or PNG. Max 5MB.

Signature *

Click to upload or drag and drop

Sign on a piece of paper, snap and send. JPG or PNG. Max 5MB.

Declaration

I, the undersigned, hereby certify that the information provided in this application for Business Name Registration is true, complete, and correct to the best of my knowledge and belief. I understand that any false or misleading information may result in penalties under the Companies and Allied Matters Act (CAMA).

Full Name *

Date *

Upload Signature

Click to upload or drag and drop

PNG or JPG. Clear image of your signature.

I confirm that all information provided is accurate and I am authorized to submit this application.