CRISINVEST SERVICE AGENCY

Tel: +40 737 274 243 E-mail: crisinvest@gmail.com

Company Formation Registration Form

(1.) Proposed Company Name: English
(Chinese, if any)

(2.) (A) Authorized and Issued Share Capital: HK$10,000 divided into 10,000 shares, Par Value HK$ 1.00 @share (We use standard share capital with our package price) OR (B) Authorized and Issued Share Capital: HK$ divided into shares, Par Value HK$ 1.00 @share (The capital duty fee is 0.1% of AMOUNT.) [Remark: In company law it is only for the shareholder(s) to sign documents to confirm to subscribe the shares, and it is not required to put money (share capital) to the company] (3.) Shareholders/Directors :
(If you need us to provide nominee director and nominee shareholder, NO NEED TO FILL UP IN ITEM (3.) BUT FILL UP IN ITEM (4.) INSTEAD. Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

To be a director

Yes/No

To be a director

Yes/No

Individual/Co. Address:

Individual/Co. Address:

(i) Passport/Co No: (ii) Country: No. of shares:

(i) Passport/Co No: (ii) Country: No. of shares:

Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

To be a director

Yes/No

To be a director

Yes/No

Individual/Co. Address:

Individual/Co. Address:

(i) Passport/Co No: (ii) Country: No. of shares:

(i) Passport/Co No: (ii) Country: No. of shares:

CRISINVEST SERVICE AGENCY

Tel: +40 737 274 243 E-mail: crisinvest@gmail.com

To be continued:(4.) Real Beneficiary Owner(s):

Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

Power of Attorney is issued:

Yes/No

Power of Attorney is issued:

Yes/No

Individual/Co. Address:

Individual/Co. Address:

(i) Passport/Co No: (ii) Country: Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

(i) Passport/Co No: (ii) Country: Individual/Company Name: (** must be the same as shown in Passport/Company Certificate) Surname Given Name

Power of Attorney is issued:

Yes/No

Power of Attorney is issued:

Yes/No

Individual/Co. Address:

Individual/Co. Address:

(i) Passport/Co No: (ii) Country:

(i) Passport/Co No: (ii) Country:

Open an offshore company bank account IF NOT COMING TO HK (Yes/No) (National Bank of Anguilla
(Anguilla), Antigue Overseas Bank (Antigue), British Caribbean Bank (Belize), Caye International Bank (Belize), Choice Bank (Belize), Heritage Bank (Belize), CIBC FirstCaribbean International Bank (B.V.I), Soctiabank (B.V.I), Capital Security Bank (Cook Islands), FBME Bank (Cyprus), Jyske Bank (Gibraltar), HSBC (Hong Kong), Standard Chartered Bank (Hong Kong), Bank of Ireland (Isle of Man), Fairbairn Private Bank (Isle of Man), Valletta Bank (Malta), Mediterranean Bank (Malta), Standard Bank (Mauritius), AfrAsia Bank (Mauritius), Nevis Bank (St.Kitts & Nevis), MMG Bank (Pamana), Barclays Bank (Seychelles), CIMB (Singapore), Bank of St. Luia (St. Lucia), Loyal Bank (St. Vincent), Swissquote Bank SA (Switzerland), CIM Banque Bank (Switzerland)) ;OR IF YOU COME TO HK Please circle one; HSBC(HK), Standard Chartered, Bank of China, DBS, Citibank (Hong Kong), Dah Sing Bank, and Hang Seng Bank

Nature of business of the proposed company (Please make circle (i), (ii), (iii) or (iv) & (v) below: (i) Trading/Manufacturing of (ii) Consulting of Products, and purchase from Services and provide the services to (Country ?) and sell to (Country ?) (PLEASE (Country ?) (PLEASE PROVIDE IN DETAILS WHAT PRODUCTS) PROVIDE IN DETAILS WHAT SERVICES)

CRISINVEST SERVICE AGENCY

Tel: +40 737 274 243 E-mail: crisinvest@gmail.com

To be continued:WHO will access AND control company online banking facilities and company debit card (Maximum only allowable for two persons)
Name (Passport Name): (i) Passport No. (ii) Country: Address: Name (Passport Name): (i) Passport No. (ii) Country: Address:

Mobile No (The bank will send SMS pin to this mobile no. for online banking):

Mobile No (The bank will send SMS pin to this mobile no. for online banking):

E-Mail address:

E-Mail address:

Address to receive token, pin and co debit card issued by the bank

Address to receive token, pin and co debit card issued by the bank

No. of staff (For statistical purposes) In Hong Kong: Outside Hong Kong :

(Including YOU)

(6.) Sources of funds ((Please make circle (i), (ii), or (iii) and (iv) below:: (i) From Saving (ii) From Business (iii) Others (Please provide in details) (iv) Where the sources of funds . (7.) Expected Annual Turnover: Currency: of transactions (Annual): Annual Amount: (For statistical purposes). and Expected No.

Remark: ALL INFORMATION MUST BE COMPLETED SO THAT WE CAN OPEN A BANK ACCOUNT FOR YOU WITHOUT DELAYS. Client Name: Address (The Co. registration documents will send back to you according to this address):

Tel: E-mail: Date: Signed (DIGITAL SIGNATURE): *** Please e-mail the application form to us at crisinvest@gmail.com