This form contains 375 fields organized into 20 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Client Reference
Client Reference	Text	Enter the client's reference code or identifier used by your firm to track this filing (e.g., account number or internal reference).
Corporation Registration Number
Corporation Registration Number — Part 1	Text	Enter the first segment or prefix of the corporation registration number as shown on the certificate (e.g., prefix or series code).
Corporation Registration Number — Main Number	Number	Enter the main numeric portion of the corporation registration number (the principal registration digits).
Corporation Registration Number — Suffix	Text	Enter the final segment or suffix of the corporation registration number (e.g., check digit or trailing code).
First Particulars Section (Top Left)
Particular 1(a)	Text	Enter the information required for particular 1(a) as specified in Note 10 on the reverse side of this form.
Particular 1(b)	Text	Enter the information required for particular 1(b) as specified in Note 10 on the reverse side of this form.
Particular 2(i) — box 1	Text	Enter the first part of the information required for particular 2(i) as specified in Note 10 on the reverse side of this form.
Particular 2(i) — box 2	Text	Enter the second part of the information required for particular 2(i) as specified in Note 10 on the reverse side of this form.
Particular 2(ii) — box 1	Text	Enter the first part of the information required for particular 2(ii) as specified in Note 10 on the reverse side of this form.
Particular 2(ii) — box 2	Number	Provide the value called for by particular 2(ii) as defined in Note 10 on the reverse side of this form.
Particular 4 (left)	Text	Enter the information required in the left-hand field of particular 4 as specified in Note 10 on the reverse side of this form.
Particular 4 (right)	Number	Provide the value required in the right-hand field of particular 4 as defined in Note 10 on the reverse side of this form.
Particular 5	Text	Enter the information required for particular 5 as specified in Note 10 on the reverse side of this form.
Particular 6	Text	Enter the information required for particular 6 as specified in Note 10 on the reverse side of this form.
Particular 7 (left)	Text	Enter the information required in the left-hand field of particular 7 as specified in Note 10 on the reverse side of this form.
Particular 7 (right)	Text	Enter the information required in the right-hand field of particular 7 as specified in Note 10 on the reverse side of this form.
Particular 8 — box 1	Text	Enter the detail for Particular 8 (box 1) as defined in Note 10 on the reverse side of this form.
Particular 8 — box 2	Text	Enter the detail for Particular 8 (box 2) as defined in Note 10 on the reverse side of this form.
Particular 8 — box 3	Text	Enter the detail for Particular 8 (box 3) as defined in Note 10 on the reverse side of this form.
Particular 8 — box 4	Text	Enter the detail for Particular 8 (box 4) as defined in Note 10 on the reverse side of this form.
Particular 8 — box 5	Text	Enter the detail for Particular 8 (box 5) as defined in Note 10 on the reverse side of this form.
Particular 8 — box 6	Text	Enter the detail for Particular 8 (box 6) as defined in Note 10 on the reverse side of this form.
Fourth Particulars Section (Bottom Right)
Fourth - Item 1(a)	Text	Enter the value required for item 1(a) in the Fourth Particulars section (for example a name or short descriptor).
Fourth - Item 1(b)	Text	Enter the value required for item 1(b) in the Fourth Particulars section (for example an address or supplementary detail).
Fourth - Item 2(i) (left)	Text	Enter the first part or identifier for item 2(i) in the Fourth Particulars section (for example a class code or short identifier).
Fourth - Item 2(i) (right)	Text	Enter the second part or sub-identifier for item 2(i) in the Fourth Particulars section.
Fourth - Item 2(ii) (quantity)	Number	Provide the quantity or number of shares/units for item 2(ii) in the Fourth Particulars section.
Fourth - Item 2(ii) (percentage)	Number	Provide the percentage share or interest for item 2(ii) in the Fourth Particulars section.
Fourth - Item 4 (description/amount field)	Text	Enter the description or amount information required for item 4 in the Fourth Particulars section.
Fourth - Item 4 (currency/indicator)	Text	Enter the currency symbol or short indicator (for example 'R') associated with the amount in item 4.
Fourth - Item 5	Text	Enter the information required for item 5 in the Fourth Particulars section.
Fourth - Item 6	Text	Enter the information required for item 6 in the Fourth Particulars section.
Fourth - Item 7 (description)	Text	Enter the descriptive information required for item 7 in the Fourth Particulars section.
Fourth - Item 7 (reference/code)	Text	Enter the short reference, code or classification related to item 7 in the Fourth Particulars section.
Fourth - Item 8 (top row, box 1)	Number	Provide the numeric value for item 8 (top row, box 1) in the Fourth Particulars section.
Fourth - Item 8 (top row, box 2)	Number	Provide the numeric value for item 8 (top row, box 2) in the Fourth Particulars section.
Fourth - Item 8 (top row, box 3)	Number	Provide the numeric value for item 8 (top row, box 3) in the Fourth Particulars section.
Fourth - Item 8 (bottom row, box 4)	Number	Provide the numeric value for item 8 (bottom row, box 4) in the Fourth Particulars section.
Fourth - Item 8 (bottom row, box 5)	Number	Provide the numeric value for item 8 (bottom row, box 5) in the Fourth Particulars section.
Fourth - Item 8 (bottom row, box 6)	Number	Provide the numeric value for item 8 (bottom row, box 6) in the Fourth Particulars section.
General
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Name of Corporation
Corporation Name — Line 1	Text	Enter the corporation's full legal name as it should appear on official documents (first line).
Corporation Name — Line 2 / Secondary	Text	Enter any continuation of the corporation's full legal name, alternate name, or translation (second line) if the name does not fit on the first line; otherwise leave blank.
Page Count (of pages)
Total number of pages	Text	Enter the total number of pages in this document (the full page count for the filing).
Part A - Aggregate Members' Contribution (and Change Commencement Date)
Aggregate members' contribution (R)	Number	Enter the total aggregate members' contribution in South African Rand for Part A as a numeric amount.
Date of commencement of change	Date	Enter the date on which the change recorded in Part A takes effect.
Part A - Date of End of Financial Year (and Change Commencement Date)
Part A - Date of end of financial year	Date	Enter the corporation's financial year end date for Part A (the date on which the corporation's financial year ends).
Part A - Date of commencement of change	Date	Enter the date on which the change to the financial year (or other Part A change) takes effect.
Part A - Date of Original Incorporation (and Change Commencement Date)
Date of original incorporation	Date	Enter the official date when the corporation was originally incorporated as recorded in its founding documents.
Date of commencement of change	Date	Enter the date on which the change described in Part A is to take effect or commenced.
Part A - Description of Principal Business (and Change Commencement Date)
Description of principal business — line 1	Text	Enter the first line of the corporation's principal business activities or main trade; provide a concise phrase describing what the corporation does.
Description of principal business — line 2	Text	Enter the second line of the corporation's principal business activities to continue the description if more space is needed.
Description of principal business — line 3	Text	Enter the third line of the corporation's principal business activities to complete the full description of the business.
Date of commencement of change	Date	Provide the date on which the change described in Part A (principal business) is to commence.
Part A - Full Name of Corporation (and Change Commencement Date)
Full name of corporation — Line 1	Text	Enter the first part of the corporation's full legal name as it should appear on the amended founding statement.
Full name of corporation — Line 2 (continuation)	Text	If the corporation's full legal name does not fit on the first line, continue the remainder of the name here; otherwise leave blank.
Date of commencement of change	Date	Enter the date on which the change to the corporation's name or particulars is to take effect.
Part A - Literal Translation of Name (and Change Commencement Date)
Part A - Literal translation of name (line 1)	Text	Enter the first line of the corporation's literal translation of its name, if applicable.
Part A - Literal translation of name (line 2 / continuation)	Text	Enter the second line or continuation of the literal translation of the corporation's name; leave blank if the translation fits on one line.
Part A - Date of commencement of change	Date	Provide the date on which the translated name change (or other change recorded in Part A) is to commence.
Part A - Number of Members (and Change Commencement Date)
Number of members	Number	Enter the current total number of registered members of the corporation.
Date of commencement of change	Date	Enter the date on which the change described in Part A takes effect.
Part A - Previous Name of Corporation (and Change Commencement Date)
Previous name of corporation (line 1)	Text	Enter the first line of the corporation's previous registered name, if applicable.
Previous name of corporation (line 2 / continuation)	Text	Enter the continuation or second line of the corporation's previous registered name if it does not fit on the first line.
Date of commencement of change	Date	Enter the date on which the change of name came into effect.
Part A - Shortened Form of Name
Part A - Shortened form of name (if applicable)	Text	Enter the corporation's abbreviated or short name by which it is commonly known; leave blank if no shortened form exists.
Registration Number
Registration Number — Part 1	Text	Enter the first segment (left-most part) of the corporation's registration number as it appears on official records.
Registration Number — Part 2	Text	Enter the middle segment of the corporation's registration number as it appears on official records.
Registration Number — Part 3	Text	Enter the final segment (right-most part) of the corporation's registration number as it appears on official records.
Second Particulars Section (Top Right)
Second Particulars - 1(a)	Text	Enter the response required for item 1(a) as a short text value or code exactly as it should appear on the form.
Second Particulars - 1(b)	Text	Enter the response required for item 1(b), providing the supporting text or brief detail requested for this field.
Second Particulars - 2(i) (first entry)	Text	Enter the first value or text description requested in item 2(i).
Second Particulars - 2(i) (second entry)	Text	Enter the second value or additional detail required for item 2(i).
Second Particulars - 2(ii) (main value)	Text	Enter the main value or descriptive text for item 2(ii).
Second Particulars - 2(ii) (percentage)	Text	Enter the percentage related to item 2(ii) as a numeric value (do not include the percent sign).
Second Particulars - 4 (description)	Text	Enter the descriptive text or name required for item 4.
Second Particulars - 4 (amount)	Number	Enter the monetary amount or numeric value requested for item 4.
Second Particulars - 5	Text	Enter the information or text requested for item 5.
Second Particulars - 6	Text	Enter the information or text requested for item 6.
Second Particulars - 7 (left)	Text	Enter the left-hand value or text entry required for item 7.
Second Particulars - 7 (right)	Text	Enter the right-hand value or text entry required for item 7.
Second Particulars - 8(1)	Text	Enter the value or code for box 8(1) (top-left small entry).
Second Particulars - 8(2)	Text	Enter the value or code for box 8(2) (top-middle small entry).
Second Particulars - 8(3)	Text	Enter the value or code for box 8(3) (top-right small entry).
Second Particulars - 8(4)	Text	Enter the value or code for box 8(4) (bottom-left small entry).
Second Particulars - 8(5)	Text	Enter the value or code for box 8(5) (bottom-middle small entry).
Second Particulars - 8(6)	Text	Enter the value or code for box 8(6) (bottom-right small entry).
Third Particulars Section (Bottom Left)
Third - 1(a)	Text	Enter the information requested in item 1(a) of the Third Particulars section, such as the primary name or title relevant to this entry.
Third - 1(b)	Text	Enter the information requested in item 1(b) of the Third Particulars section, such as a secondary name, trading name or identifying reference.
Third - 2(i) - part 1	Text	Enter the first part of the information for item 2(i) (for example the first line or first component of the address/description required).
Third - 2(i) - part 2	Text	Enter the second part of the information for item 2(i) (for example the second line or additional component of the address/description required).
Third - 2(ii) - part 1	Text	Enter the first part of the information requested in item 2(ii) of the Third Particulars section.
Third - 2(ii) - part 2	Text	Enter the second part of the information requested in item 2(ii) of the Third Particulars section (such as an additional numeric or textual detail related to 2(ii)).
Third - 4 (left)	Text	Enter the value required in the left portion of item 4 in the Third Particulars section.
Third - 4 (right)	Text	Enter the value required in the right portion of item 4 in the Third Particulars section.
Third - 5	Text	Enter the full information requested for item 5 of the Third Particulars section.
Third - 6	Text	Enter the full information requested for item 6 of the Third Particulars section.
Third - 7 (left)	Text	Enter the information required in the left field of item 7 in the Third Particulars section.
Third - 7 (right)	Text	Enter the information required in the right field of item 7 in the Third Particulars section.
Third - 8 (column 1, top)	Text	Enter the top entry for column 1 of item 8 in the Third Particulars section.
Third - 8 (column 2, top)	Text	Enter the top entry for column 2 of item 8 in the Third Particulars section.
Third - 8 (column 3, top)	Text	Enter the top entry for column 3 of item 8 in the Third Particulars section.
Third - 8 (column 1, bottom)	Text	Enter the bottom entry for column 1 of item 8 in the Third Particulars section.
Third - 8 (column 2, bottom)	Text	Enter the bottom entry for column 2 of item 8 in the Third Particulars section.
Third - 8 (column 3, bottom)	Text	Enter the bottom entry for column 3 of item 8 in the Third Particulars section.
Total Number of Pages
Total number of pages	Text	Enter the total number of pages in the entire document (provide the page count as a numeric string, e.g. "1" or "12").

Form CK2 (Close Corporations Act, 1984) — Amended Founding Statement Instructions