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APPLICATION FORM

1. Please state the preferred country of incorporation

 2. Please state the desired company name. (If not choosing a ready-made company state alternatives)
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3. Please state the type(s) of business to be pursued by the company. (Please give full description)

4. Particulars of proposed directors. (Please tick appropriate box):

The following are to be recorded as Directors:

(a): SURNAME:
FIRST NAME/S:
ANY FORMER NAME/S:
NATIONALITY:
Passport No:
PERMANENT ADDRESS:
TEL/FAX NOS.:
(b): SURNAME:
FIRST NAME/S:
ANY FORMER NAME/S:
NATIONALITY:
Passport No:
PERMANENT ADDRESS:
TEL/FAX NOS.

5. Particulars of Shareholders. Please tick the appropriate box:

ELCO to provide trustee shareholders

The following are to be appointed as shareholders:
NB: Some countries do not allow bearer shares. Please refer to our Corporate Information Brochure


(a)SURNAME:
FIRST NAMES:
ANY FORMER NAME/S:
NATIONALITY:
Passport No:
PERMANENT ADDRESS:
OCCUPATION/
OTHER DIRECTORSHIPS:
NUMBER OF SHARES
(Registered or Bearer?)





(b) SURNAME 
FIRST NAMES:
ANY FORMER NAME/S:
NATIONALITY:
Passport No:
PERMANENT ADDRESS:
OCCUPATION/
OTHER DIRECTORSHIPS:
NUMBER OF SHARES
(Registered or Bearer?)

PLEASE NOTE:If additional directors or shareholders are to be appointed please give their full details


6. Particulars of proposed Company Secretary - please tick the appropriate box:

ELCO to provide Company Secretary:

The following is to be appointed Company Secretary:

Surname:
First Name/s:
Nationality:
Residential Address:

7. Particulars of Registered Office: (The registered office address must be within the country of incorporation.  This is normally provided by ELCO but should an alternative address be required please state).


8. Particulars of bank account(s) to be opened:

If banking facilities are required please give instructions as appropriate Name of Bank Type of account(s)



9. Special instructions for legalisation of the corporate documentation


10. Particulars of address for delivery of Company documentation - please tick the appropriate box:

BY COURIER To:

BY REGISTERED AIR MAIL To:


11. METHOD OF PAYMENT:

All payments to be made in advance by wire transfer or cheque.