FORM CR12 Notice of Residential Address/Change of address of secretary AboutFor Companies with a Share Capital of over Ksh 5 Million and therefore have a Company Secretary.FeeKsh 1,000 only inlcusive of Delivery. Step 1 of 7 14% What is the name of the Company?* Save and Continue Later What is the Company number?* Save and Continue Later What is the Company Secretary's name?*Kindly enter in full. Save and Continue Later What is the Secretary's new residential address?*Kindly be as precise as possible. Save and Continue Later Applicant's detailsKindly enter the following information.What is the Applicant's name?*What is the Applicant's address?*What is the Applicant's telephone number?*What is the Applicant's email address?* Save and Continue Later What date would you like this Application filed?*Kindly enter in this format: 20th day of January 2016 Save and Continue Later Select the payment Mode*MpesaAirtel MoneyCurrently we only support Mpesa and Airtel Money. Send M-PESA Ksh. 1,000.00 to Buy Goods and Services Till number 239230. Submit the Confirmation Code below. Go to M-PESA on your phone Select Buy Goods and Services Enter Till no. 239230 Enter the Amount Ksh. 1,000 Enter your M-PESA PIN and Send You will receive a confirmation SMS from M-PESA with a Confirmation Code After you receive the confirmation SMS, enter your phone number and the Confirmation Code Click on Complete Send Airtel Money Ksh. 1,000.00 to nick-name Uwakili. Submit the Transaction ID below. Go to Airtel Money option on your phone Select Send Money Option Select Enter Nick-Name Option Type the name Uwakili Enter the Amount Ksh. 1,000.00 Confirm Amount and Nickname Enter your PIN and Send You will receive a confirmation SMS from Airtel Money with a Transaction ID After you receive the confirmation SMS, enter your phone number and the Transaction ID Click on Complete Phone number*Input phone number in the following format: 2547xxxxxxxx, where x refers to your mobile number.Transaction code*This is the code you receive after successfully sending money.EmailThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle AJAX powered Gravity Forms.