1. Proposed Corporate Name * |
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2. Alternative Corporate Name |
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3. Company in Shelf Company List * |
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4. Brief Information about your business * |
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5. Directors (do not fill in if you ordered Nominee Director) |
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6. Officers (do not fill in if you ordered Nominee Director) |
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7. Individual requiring Power of Attorney (do not fill in if you are Director of the company) |
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8. Shareholders (do not fill in if you ordered Nominee Shareholder) |
First Shareholder |
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Name (First, Middle, Last)
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% of Issued Shares
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Additional Shareholders (Names, % of Issued Shared)
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9. Any Additional Information |
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10. Source of Information about our Company |
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11. Your contact information * |
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