Company Formation Application Form 1a. Choose your preferred jurisdiction Bahamas Belize BVI Cyprus Gibraltar Hong Kong Mauritius Panama Seychelles United Kingdom USA 1b. Other jurisdiction - as agreed before 2. Indicate 3 preferred names in order of preference 3. Company objectives - please leave blank if general, wide-ranging corporate objectives suit you. In all of the above-mentioned jurisdictions companies may be incorporated with general, wide-ranging corporate objectives. If you wish to incoporate the company with a more specific objective, please describe below - to be indicated in MA & AA 4. Do you wish to use nominee directors? Yes No 5. General Power of Attorney will be granted to... In case you WISH to use nominee directors only! - first name and surname - ID# and type - address (street, city, country) 6. Corporate Directors and Officers In case you DO NOT WISH to use nominee directors only! 6a. Name, address, nationality and position 6b. Name, address, nationality and position 6c. Name, address, nationality and position 7. Do you wish to use nominee Shareholders? Yes No 8. Shareholder details In case you DO NOT WISH to use nominee Shareholders only! 8a. Type of shares Bearer Registered 8b. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares 8c. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares 8d. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares 9. Contact and delivery details Please deliver by courier Please deliver by registered mail 9a. Contact person 9b. Email address (please check up twice!) 9c. Fax number 9d. Delivery address 10. Invoice details Optional - please complete if required only! 10a. Name, Company, address and fax number 10b. Invoice should be sent by E-mail Fax Post 11. Payment preferences - Google Checkout Wire transfer in US$ Check or IMO in US$ (5% surcharge) Western Union Cash by registered mail or courier PayPal Please submit your application here ©copyright 2007 www.offshore-companies-and-banking.com BAHAMAS,BELIZE,BRITISH VIRGIN ISLANDS,CYPRUS,GIBRALTAR,HONG KONG,MAURITIUS,PANAMA,SEYCHELLES,UNITED KINGDOM
Company Formation Application Form
1a. Choose your preferred jurisdiction
Bahamas Belize BVI Cyprus Gibraltar Hong Kong Mauritius Panama Seychelles United Kingdom USA
1b. Other jurisdiction - as agreed before
2. Indicate 3 preferred names in order of preference
3. Company objectives - please leave blank if general, wide-ranging corporate objectives suit you.
In all of the above-mentioned jurisdictions companies may be incorporated with general, wide-ranging corporate objectives. If you wish to incoporate the company with a more specific objective, please describe below - to be indicated in MA & AA
4. Do you wish to use nominee directors?
Yes
No
5. General Power of Attorney will be granted to...
In case you WISH to use nominee directors only!
- first name and surname
- ID# and type
- address (street, city, country)
6. Corporate Directors and Officers
In case you DO NOT WISH to use nominee directors only!
6a. Name, address, nationality and position
6b. Name, address, nationality and position
6c. Name, address, nationality and position
7. Do you wish to use nominee Shareholders?
8. Shareholder details
In case you DO NOT WISH to use nominee Shareholders only!
8a. Type of shares
Bearer
Registered
8b. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares
8c. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares
8d. Shareholder´s name (if not bearer ones), address, No. of Certificate and number of shares
9. Contact and delivery details
Please deliver by courier Please deliver by registered mail
9a. Contact person
9b. Email address (please check up twice!)
9c. Fax number
9d. Delivery address
10. Invoice details
Optional - please complete if required only!
10a. Name, Company, address and fax number
10b. Invoice should be sent by
E-mail
Fax
Post
11. Payment preferences -
Google Checkout Wire transfer in US$ Check or IMO in US$ (5% surcharge) Western Union Cash by registered mail or courier PayPal
Please submit your application here
