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Application to open a capital payment account


and request a capital payment confirmation
General information
Name of company

Domicile address

Zip code, town

Industry / activity

Details regarding the person opening the account (necessary only for new companies)
Surname First name

Date of birth Nationality

Home address

country of domicile

Details regarding the identity document of the person opening the account
(necessary only for new companies)
Type of identify document Place of issue

Number Date of issue

 A certified copy of the above-mentioned identity document of the person opening the account is attached (mandatory)

Details of the planned transaction


Type of transaction  New company formation  Additional payment
 Capital increase  Participation capital
The requesting party undertakes on request to send the bank a copy
of the declaration regarding the capital increase resolution (Art. 652g Code
of Obligations).
Currency / probable amount  CHF  EUR  USD

If capital increase, add details  Ordinary increase as per shareholder meeting resolution of
on type and shareholder meeting/board
resolution  Approved increase as per shareholder meeting resolution of
and board resolution of

Confirmation of capital payment


Send original confirmation to

Copy for information to

Other details  Once formed, the company intends to open an account at Credit Suisse AG

Contact person  Mr.  Ms.


Telephone number

Place, date Signature of person opening account


Routing: RM  Client ID  ELAR

To be completed by the Bank Signature and stamp Relationship Manager


01004
Client No. (CIF)
4.09
113 633

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