NORTH ASIA CORPORATE SERVICES LIMITED
APPLICATION FORM
Please read NACS-Country Data Sheet for the relevant country (if necessary), or discuss this with Stella Ho at NACS, before inputting the requested information.
1.
State the required Country of Incorporation
2.
State the required Company Name:
3.
Main line of business:
4.
Capital
(a)Authorized
Standard
Special:
(b)Paid up
(c)Par Value Per Share:
HK$1.00
US$1.00
otherwise stated
(for special incorporation)
5.
Shareholders
Nominee services are required for the following beneficiaries
The following parties are to be registered shareholders
Bearer shares are required for the following parties
(a)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
(b)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
(c)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
6.
Directors
Nominee services are required
The following parties are to be registered directors
(a)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
(b)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
(c)
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
7.
Company Secretary
Company Secretarial services are required
The following person or entity is to be company secretary
Name (in full with block letter)
Address:
Business Occupation:
No. of Shares (number of percentage):
Nationality:
Passport/Identity Card No.*:
*Please provide copy of Passport or Identity Card.
8.
Registered Office Address
Registered Office Address is required
or
The Registered Office will be situated at:-
9.
Bank Account
Type of accounts required:
BANKS
a) Hong Kong Dollars Current A/C
b) Multi-currency Statement Savings A/C
c) U.S. Dollars Savings A/C
d) Others
Signatures:
a)
b)
Signing Authority:
a)
b)
10.
Method of Payment
(1)
Bank cheque / Bank draft for
is enclosed
(2)
Please debit the total costs of
to my Credit Card.
Amex Card No.
Amount:
Expiry Date:
Name Embossed on Credit Card:
Address to which Credit Card statements are sent:
Telephone number that is recorded in the Amex Bank:
(3)
By telegraphic transfer to our bank account no. 511-770810-838 (HKD) & (USD) with The Hong Kong and Shanghai Banking Corporation Limited, 1 Queen's Road Central, Hong Kong. (Swift code HSBCHKHHHKH)(quoting our invoice number)
Signature:
Date:
11.
Authorization to proceed with the above instruction and NACS is requested to send the Company's documentation and invoice to:
Name:
Address:
Tel/Fax:
Signature: