1. COUNTRY OF INCORPORATION
Country of Incorporation
1A. COMPANY NAME
Preferred choice
First alternative
1C. COMPANY SUFFIX (ONLY OPTIONAL FOR IBC’S)
Company Suffix
1D. If the Company exists already, please indicate:
Country of incorporation / registration
Date of incorporation / registration
Current legal structure
Proposed mode of incorporation / registration
in United Kingdom/Seychelles/..........
Continuation; Change of Agent
Change of Registered Address
Is the Company currently involved in any litigation or subject of an investigation by a government, professional or other regulatory body in any country? Has the Company at any time been convicted of any criminal offence? Is the Company currently subject of bankruptcy proceedings?Has the Company entered into any compromise with creditors? If answer is “Yes”, please provide details on separate sheet.
In case of continuation, please provide to INCO the original of a certificate of current/good standing from registrar of companies/regulatory body of current jurisdiction.
2. COMPANY INFORMATION
Standard Share Capital
(i) Authorised Share Capital:
(ii) Issued Share Capital:
2(b) DETAILS OF SHAREHOLDER(S)/BENEFICIAL OWNER(S)
(1) Name of Ultimate Beneficial Owner (Mentioned in Order Form)
(1) Name of Ultimate Beneficial Owner (Mentioned in Order Form)
(2) Name of Ultimate Beneficial Owner
(3) Name of Ultimate Beneficial Owner
Nominee Shareholder to be provided by INCO
Bearer Shares
If No, please provide details of shareholder(s) as follows:
(1) Name of Shareholder
(2) Name of Shareholder
(3) Name of Shareholder
In case of continuation, please provide to INCO the original of a certificate of current/good standing from registrar of companies/regulatory body of current jurisdiction.s
3. DETAILS OF DIRECTOR(S)
In case of continuation, please provide to INCO the original of a certificate of current/good standing from registrar of companies/regulatory body of current jurisdiction.s
Nominee Director to be provided by INCO
If No, please provide details of director(s) as follows:
1. Name of director
2. Name of director
3. Name of director
Each individual director should complete our “Personal InformationQuestionnaire in case they have not signed a Client Agreement.




