Application for incorporation of a company
City _________________ on ___________, 200__
In conformity with the effective rates and “General Conditions of Incorporation of Companies and Services on 
Their Management” which are binding for us and the information provided below, we request to incorporate the
 company. Hereby I confirm that this company will be used for legal purposes only.
 
1. Jurisdiction____________________________________________________________________________
2. Name (please specify three names in the sequence of preference in case you order your own name).
2.1_________________________________________________________________________________________ 
2.2_________________________________________________________________________________________ 
2.3_________________________________________________________________________________________ 
 
3. Objects of the company’s business and objectives.
In case you are not satisfied with the standard schedule, please state the most comprehensive list of special 
objects in which the company may be involved.
________________________________________________________________________________________________ 
________________________________________________________________________________________________ 
________________________________________________________________________________________________ 
________________________________________________________________________________________________ 
 
4. Share capital.
In case you are not satisfied with the standard size of the Share capital (see the information on the specific jurisdiction), 
please state your special requirements.
________________________________________________________________________________________________ 
________________________________________________________________________________________________ 
 
5. Please state the details of the beneficial owner of the company
Name, surname ___________________________________________________________________________________ 
Address _________________________________________________________________________________________ 
Passport details ___________________________________________________________________________________ 
 
6. Type of shares and shareholders
 
In case registered shares are issued, please specify the company’s shareholders:
 
Please state the following details of the shareholders in case nominee shareholders are not used (in English):
Name __________________________________________________________________________________________ 
Address ________________________________________________________________________________________ 
Date and number of incorporation (for companies), passport details (for private individuals)
 ________________________________________________________________________________________________ 
 
 
 ________________________________________________________________________________________________ 
The number of shares ______________________________________________________________________________ 
Name ___________________________________________________________________________________________ 
Address _________________________________________________________________________________________ 
Date and number of incorporation (for companies), passport details (for private individuals)
________________________________________________________________________________________________
 
 
 ________________________________________________________________________________________________
The number of shares ______________________________________________________________________________ 
 
7. Directors of the company
 
 
Please state the following details of the authorized person in case nominees are used (in English):
Name, surname ___________________________________________________________________________________ 
Address _________________________________________________________________________________________ 
Passport details ___________________________________________________________________________________ 
Please state the following details of the directors you provide in case nominees are not used (in English):
Name, surname____________________________________________________________________________________ 
Address _________________________________________________________________________________________ 
Passport details ___________________________________________________________________________________ 
Name, surname ___________________________________________________________________________________ 
Address _________________________________________________________________________________________ 
Passport details ___________________________________________________________________________________ 
8. The auditor (only for companies in Ireland, UK, Cyprus)
In case you wish to provide your own auditor for the production of the annual report, please state the details:
Name, surname__________________________________________________________________________________ 
Address ______________________________________________________________________________________ 
 
9. Banking account:
Please specify your wish with regard to opening the banking account.
________________________________________________________________________________________________ 
 
 ________________________________________________________________________________________________ 
 
10. Additional services

1) postal address

2) postal address and fax

3) additional Power of Attorney

4) legalization of documents for use in the territory of

___________________________________________

5)_______________________________________________________________________________________________
 
Please state your requirements with regard to forwarding of documents:

by air mail

by courier mail

personal receipt (please specify the town where our divisions are located)

 
* Please bear in mind that in forwarding documents and seal to some countries (Ukraine and others) 
difficulties may arise with the custom formalities.
 
12. Please specify the recipient of the documents

Full name

Address

Telephone

Contact person

____________________ _________________________________________
name, surname signature