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incorporation

INCORPORATION OF A PRIVATE COMPANY LIMITED BY SHARES IN SINGAPORE

1. Name(s) of Proposed Company:

First Choice:

Second Choice:

Third Choice:

2. Proposed Business Activities (only a maximum of 2 business activities is allowed):

(a) Primary Business Activity:

Description:

(b) Secondary Business Activity:

Description:

3. Proposed Capital Structure on Incorporation:

Class of Shares:	Ordinary	Preference	Others
Number of Shares:
Currency:
Total paid-up (in value):

4. Registered Office Address (Singapore Address):

Optional: One North Bridge Road, #06-17 High Street Centre, Singapore 179094
(Chargeable at S$300.00 annually)

Others: (Please advise):

5. Name and particulars of the First Director(s) (at least one Local Resident Director):

DirectorShareholder

No. of shares:

(%)

Full Name:
ID/Passport No./FIN:
Nationality:
Date of Birth:
Residential Address:
Alternate Address:
Contact Number:
Email address:
Occupation:

6. Name and particulars of Shareholders (at least one Shareholder):

Other Shareholder(s), if any:

Full Name/Company Name:
ID/Passport No./FIN/UEN (Company Reg. No.):
Nationality / Country of Incorporation:
Date of Birth / Incorporation Date:
Residential Address / Registered Office Add:
Corporate Representative:
Contact Number:
Email address:
Business Occupation:
Number of Shares:

7. Name and particulars of Beneficial Owners (if different from Shareholders above. *Must be individuals):

Beneficial Owner 1:

Full Name/Company Name:
ID/Passport No./FIN/UEN (Company Reg. No.):
Nationality / Country of Incorporation:
Date of Birth / Incorporation Date:
Residential Address / Registered Office Add:
Corporate Representative:
Contact Number:
Email address:
Business Occupation:
Number of Shares:

Beneficial Owner 2:

Full Name/Company Name:
ID/Passport No./FIN/UEN (Company Reg. No.):
Nationality / Country of Incorporation:
Date of Birth / Incorporation Date:
Residential Address / Registered Office Add:
Corporate Representative:
Contact Number:
Email address:
Business Occupation:
Number of Shares:

8. Company Secretary(Please check the appropriate box):

To be nominated by First Business Consultants Pte. Ltd. (Charges apply); OR
Please advise the particulars of Company Secretary (Note: Sole Director cannot be appointed as the Company Secretary):

Full Name:
ID/Passport No./FIN:
Nationality:
Date of Birth:
Residential Address:
Alternate Address:
Contact Number:
Email address:
Occupation:

9. Financial Year End (Please check the appropriate box):

12 months from the month of incorporation; OR
52-accounting weeks.
Others,please specific Financial Year:

10. Please provide the following information if the incorporation is a conversion of sole- proprietorship or partnership to a private company limited by shares:-

Name of Business Firm:
Business Registration Number:
Principal Place of Business:
Expiry Date of Business:

Name(s) & ID No(s). of Sole-proprietor & Partners:

11. Otherinstructions(ifany):

12. ConfirmationandAuthorisation

We are the beneficial owner(s), shareholder(s) and officer(s) of the proposed company stated above and we request that the incorporation services and such other services as indicated above be provided to me/us.

We confirmed that we are not politically exposed in any country or territory and are not a citizen or in business connection with or born in the countries which is under the US Sanctions list or United Nations Security Council Sanctions List.

We hereby authorize any person designated by First Business Consultants Pte. Ltd. to submit and lodge to the Accounting & Corporate Regulatory Authorities such documents and returns as are necessary relating to the incorporation of the proposed company.

We undertake to reimburse First Business Consultants Pte. Ltd. of all the costs incurred for the above lodgements and indemnify them for any loss which they may suffer as a result of any representation being found incorrect in connection with our instructions and the documents we provide to them to effect the lodgements.

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