Kyriakou | Registration Questionnaire

1. COMPANY NAME

proposed name of new company

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country of juristiction *

2. details of beneficial owners

full name *

residential address *

nationality *

ownership percentage *

profession *

Passport number*

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3. Proposed capital structure

(Recommended minimum issued and paid up capital €1,000)

Authorised share capital

ISSUED CAPITAL

3.a Do you wish JHI Audit to arrange for the appointment of
nominee shareholders?

Yes No

If no, please provide shareholders

full name

residential address

Nationality

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4. In order to speed up the process of incorporation we
recommend that temporary subscriber to the Memorandum
and Articles of Association are appointed. Please indicate
your approval.

Yes No

5. Do you wish JHI Audit to arrange for the appointment of
nominee directors?

Yes No

5.a If no, please provide shareholders

full name

residential address

Nationality

Profession

passport number

ownership percentage

add owner

6. Do you wish JHI Audit to arrange for the appointment of a
company secretary and provision of registered office
address?

Yes No

6.a If no, please provide a company secretary and registered office address:

secretary

registered office address

10. Detailed description of
proposed company's activities:

(Please explain fully services to be provided and/or goods/products to be supplied)

Major countries activities of Proposed Company
will be conducted with:

Names of major customers of Proposed Company:

Names of major suppliers of Proposed Company:

Expected annual turnover of Proposed Company:

10.a Documents required for the ultimate beneficial owners (natural persons):

Passport copies
Bank reference
Utility bills for proof of residential address
Short c.v of each beneficiary

10.b Documents required in case that a company will participate as a shareholder:

Full set of incorporation documents
Bank reference
Decision of the directors to acquire/set up the Cypriot subsidiary
Company profile and website address

11. Contact details

residential address *

email *

Telephone number *

Mobile Number *

I/We hereby certify that all information contained in this preliminary questionnaire is to the best of my/our knowledge and belief correct.

Name of Beneficial Owner *

signature

Date *

SECURITY CODE *