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COMPANY APPLICATION FORM
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COMPANY APPLICATION FORM
1. Types of business to be pursued by company
(Please give as full a description as possible).
LOCATION OF BUSINESS
ESTIMATED ANNUAL TURNOVER
SOURCE OF INITIAL FUNDS AND/OR ONGOING INCOME
2. PLEASE STATE PREFERRED COUNTRY OF INCORPORATION
Please select one...
Andorra
Anguilla
Bahamas hybrid
Bahamas IBC
Belize
Bermuda
BVI
BVI Hybrid
Canada
Cayman Exempt
Cayman Ordinary Non-resident
China Rep Office
China WFOE
Colorado LLC
Cook Islands International Co
Cyprus IBC
Delaware
Delaware LLC
Denmark - Aktieselskab
Denmark - Anpartsselskab
Denmark SMBA
Dubai Ras Al Khaimah
Germany
Gibraltar Exempt
Gibraltar Hybrid
Guernsey
Guernsey Hybrid
Hong Kong
Ireland
Isle of Man
Isle of Man New Manx Vehicle
Isle of Man Hybrid
Isle of Man LLC
Jersey
Liberia
Luxembourg
Malta
Marshal lslands IBC
Mauritius GBC2
Mauritius GBC1
Mauritius Hybrid
Netherlands Antilles NV
The Netherlands BV
Nevis
Panama
Samoa
Seychelles IBC
Seychelles Special license
Singapore
South African Hybrid
South African Private Company
South African closed Company
Spain
Spain holding company (ETVE)
St Lucia IBC
St Vincent & The Grenadines
Swiss
TCI Exempt
TCI Hybrid
UAE Jebel Ali Offshore Co
UK Co
UK LLP
Uruguay SA
Vanuatu
3a. STATE DESIRED COMPANY NAME
(Please state at least three alternative names in order of preference or go to 3b to select a ready-made company)
(1)
(2)
(3)
(4)
3b. SELECT A READY-MADE COMPANY FROM THE LIST
Select a jurisdiction
TURKS & CAICOS ISLANDS
TURKS & CAICOS ISLANDS HYBRID
BRITISH VIRGIN ISLANDS
HONG KONG
SEYCHELLES
CAYMAN
SINGAPORE
RAS AL KHAIMAH-OFFSHORE (Custodian Shares)
RAS AL KHAIMAH-OFFSHORE (Midland holding Shares)
BELIZE
Company list
Selected company Information
4. PARTICULARS OF DIRECTORS
(Please tick the appropriate box-and complete details below.)
Sovereign to provide third party directors
The following are to be recorded as directors
Director 1
Director 2
(a) Full First Name and Surname
First Name
Surname
First Name
Surname
(b) Usual Residential Address
(c) Telephone Numbers
Fax Numbers
(d) E-mail address
(e) Occupation
(f) Passport No.
Place of issue
(g) Nationality
(h) Date of birth
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
(i) Country of tax residence
Please select one...
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Balearic Isles
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria (Rep.)
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China (Peoples Rep)
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros
Congo (Rep.)
Corsica
Costa Rica
Croatia
Cuba
Cuba - Guatanamo Bay (via USA)
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gaza & Khan Yunis
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatamala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Rep.)
Iraq
Ireland
Isle Of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kirghizstan
Kiribati
Korea Rep.of (South)
Kuwait
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia (Fed State of)
Moldova
Monaco
Mongolia
Monserrat
Montenegro
Morocco
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
New Zealand Island Terr.
Nicaragua
Niger
Nigeria
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa (US Terr.)
San Marino
SaoTome & Principe
Sardinia
Saudia Arabia
Senegal
Serbia
Seychelles
Sicily
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Spanish Terr. of North Africa
Spitzbergen
Sri Lanka
St Christopher (St Kitts) & Nevis
St Helena
St Lucia
St Pierre & Miquelon
St Vincent & Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikstan
Tanzania
Thailand
The Gambia
Togo
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (USA)
Wake Island
Wallis & Futuna Islands
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
Please select one...
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Balearic Isles
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria (Rep.)
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China (Peoples Rep)
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros
Congo (Rep.)
Corsica
Costa Rica
Croatia
Cuba
Cuba - Guatanamo Bay (via USA)
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gaza & Khan Yunis
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatamala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Rep.)
Iraq
Ireland
Isle Of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kirghizstan
Kiribati
Korea Rep.of (South)
Kuwait
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia (Fed State of)
Moldova
Monaco
Mongolia
Monserrat
Montenegro
Morocco
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
New Zealand Island Terr.
Nicaragua
Niger
Nigeria
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa (US Terr.)
San Marino
SaoTome & Principe
Sardinia
Saudia Arabia
Senegal
Serbia
Seychelles
Sicily
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Spanish Terr. of North Africa
Spitzbergen
Sri Lanka
St Christopher (St Kitts) & Nevis
St Helena
St Lucia
St Pierre & Miquelon
St Vincent & Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikstan
Tanzania
Thailand
The Gambia
Togo
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (USA)
Wake Island
Wallis & Futuna Islands
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
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