Instruction Form for Company Registration in Hong Kong or other Jurisdictions

1. Full name of applicant:

    Correspondence address of applicant:                              Tel: 

2.              Fax: 

3.  Company Name Proposed / Shelf Companies Chosen. Please give at least three

 alternatives in order of preference

   a)

   b)

   c)

4. Authorized Capital $ divided into shares of $

    each. (HK$ 10,000 is the standard capital obtainable for a minimum Government Registration

   Fee in Hong Kong. Capital duty is 0.1% per HK$1,000.)

5. Objects of the Company:

6. Please provide for Registered Office at Success Comm. Bldg. 6B, 251 Hennessy Rd, Hong Kong. (If not, please state address):

7. At least one shareholder is desired: (Passport copy of each shareholder is required)

                                                              1                          2                             3

   Name of shareholders                            

   Address                                                 

   Nationality                                             

  Occupation                                              

  No. of Share                                            

8. At least one director is desired: (Passport copy of each director is required)
 

                                                                1                        2                           3

   Name of

   Director                                                 

   Address                                                 

   Nationality                                             

  Occupation                                             

9. Please provide for one corporate secretary with companies ordinance in Hong Kong/ Business

   Ordinance in other jurisdiction. If not, please specify and list the following:

                                                                 1                        2                           3

   Name of  Secretary                             

   Address                                               

   Nationality                                          

   Occupation                                          

   Passport Number                                  

10. Please open bank account for the Company. (Passport copy of each director and authorized    

      person with signature therein verified by banker is required)

     Name of Bank:    

     Address of Bank: 

　     Type of account to be opened:

 Regular                    BusinessVantage                   Hexagon

11. Please provide Auditor in Hong Kong, if not, please specify:  

      The date of financial year will end on         

Please register a Limited Company/ supply a ready made Company in accordance with the above particulars, I (we) hereby indemnify Corposec (Hong Kong ) Limited, its staff and associates from all actions, suits, proceeding, claims, demand, and costs which may arise out of or to be incurred as result of providing such services.

Date: