Application form

Part I
This is First Part of Application. After Submitting it you can immediately proceed with second part, or wait for us to contact you through email.

APPLICATION FORM *

Application for incorporation of new company
Application for services to an existing company

Please complete the rest of the form in CAPITAL LETTERS

Company name

(in case of existing company)

Country of incorporation *

No. Name Choices

(in case of new company) Please write up to three company names and divide them with coma “, “

Describe the nature of the business to be undertaken by the company in detail *

Estimated annual turnover *

add a specific description

Estimated number of transactions per month *

Geographic spread of proposed business *

specify description

Expected origin of funds *

(Country and counterparties names)

Expected destination of outgoing transfers *

Expected number of employees *

(if any)

C.P. Palema Ltd to arrange professional directors/managers: *

Yes
No

If you wish to appoint your own directors complete the information below and the Due Dilligence Questionnaire for Individuals (Appendix I). *If you have more than two directors/managers please write it in section “Additional Information” below.

DIREECTOR/MANAGER A

State full name (Mr/Mrs)

DIRECTOR/MANAGER B

State full name (Mr/Mrs)

C.P. Palema Ltd to arrange nominee for shareholder services for the following parties: *

Yes
No

Please register following parties as shareholders and complete Due Diligence Questionnaire for Individuals (Appendix I). *In “Other” Information add if needed more than two DIRECTORS/MANAGERS

OWNER A

State full name and last name (Mr/Mrs)

OWNER A Percentage of Shareholder

OWNER B

State full name and last name (Mr/Mrs)

OWNER B Percentage of Shareholder

Please specify contact details of the contact person for the requested services *

Name, Last Name, and e-mail

Other Services *

Company Secretary
Registered Office
Book-Keeping
VAT Reporting
Bank Account Opening
Bank Signatory (ies)
Mailbox
Phone Line
Email

Purpose for requesting services- please tick as appropriate *

Strategic location
High Quality of life
Advanced infrastructure
High quality of professional
Favourable, attractive and transparent tax regime
Comprehensive and robust legal and regulatory framework
EU member state and Member of the European Monetary Union
Other

If answer on previous question was "Other", please specify:

I/We, the person(s) whose name(s) and address(es) appear below, hereby declare and by my signature below confirm: (i) I request that the Company and or Services be provided to me by C.P. Palema Ltd; (ii) That I am the beneficial owner/legal representative of the Company ordered from C.P. Palema Ltd under the name given in section 1 above or such other name as may be approved and agreed (referred to from now on as 'the Company"); *

Please write your and your witnesses (Minimum two witnesses) Full Name; Capacity; Date * After submitting this form, you will receive a form with all the details you provided us with which you will sign in order for this application to be valid

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