To facilitate registration of your international business company please complete and submit the following questionnaire. Alternatively you can print and complete it manually and send it by fax or post.

Please be assured that the information requested will be treated as strictly confidential and it is necessary for the incorporation of an international business company in Cyprus.

REGISTRATION QUESTIONAIRE
1. Proposed name of company (Please insert 3 names in order of preference)

(a) 
(b) 
(c) 

2. Please give a detailed description of the proposed activities of the company

3. Countries (Other than Cyprus) in which the business will be carried out

4. Does the company plan to carry out any business in Cyprus also? (Please tick as appropriate) YES NO

5. SHARE CAPITAL

	Number of Shares		Amount Euro €
Authorized Share Capital:		of Euro €1 each
Issued Share Capital:		of Euro € 1 each

Please note that there might be minimum Share Capital requirements in case the company will operate fully flexed office in Cyprus with work permit requirements or if the company will be engaged in the insurance or financial services sector.

6. BENEFICIAL SHAREHOLDERS (All the information given will be treated as strictly confidential)

(a)	Full Name	Percentage of shareholding
		% Number of Shares Undertaken

Address of Permanent Residence

Occupation	Nationality	Date of Birth (dd/mm/yyyy)

Passport No (Please send copy)

(b)	Full Name	Percentage of shareholding
		% Number of Shares Undertaken

Address of Permanent Residence

Occupation	Nationality	Date of Birth (dd/mm/yyyy)

Passport No (Please send copy)

(c)	Full Name	Percentage of shareholding
		% Number of Shares Undertaken

Address of Permanent Residence
Occupation	Nationality	Date of Birth (dd/mm/yyyy)
Passport No (Please send copy)

(d)	Full Name	Percentage of shareholding
		% Number of Shares Undertaken

Address of Permanent Residence

Occupation	Nationality	Date of Birth (dd/mm/yyyy)

Passport No (Please send copy)

7. TEMPORARY NOMINEE SHAREHOLDERS

In order to speed up the process of incorporation it is recommended that temporary subscribers to the Memorandum and Articles of Association are appointed by our office.

Please indicate your Approval:

YES

NO

8. NOMINEE SHAREHOLDERS

An important advantage for Cyprus registered International Business Companies is that beneficial shareholders name and details can remain confidential through the appointment of Nominee Shareholders.

Would you like Perdikos Valueworth Professional Services to appoint nominee shareholders?

YES

NO

9. COMPANY DIRECTORS

Would you like Perdikos Valueworth Professional Services to arrange the appointment of local directors to act as Nominee Directors for the company?
Please note that for practical reasons and to prove that the management and control of the company is in Cyprus the appointment of local directors through Nominee Services is recommended.

Provide for Nominee Local Directors

YES

NO

If NO please give us the name and details for each director you would like to be appointed.

(a)	Director Full Name
	Residential Address

Passport No

Or identity card number (for Cypriots only)

Date of Birth (dd/mm/yyyy)		Nationality
Occupation

(b)	Director Full Name
	Residential Address

Passport No

Or identity card number (for Cypriots only)

Date of Birth (dd/mm/yyyy)

Nationality

Occupation

(c)	Director Full Name
	Residential Address

Passport No

Or identity card number (for Cypriots only)

Date of Birth (dd/mm/yyyy)		Nationality
Occupation

14. CONTACT INFORMATION

Last Name

First Name:

Organization

Address:
City:
Post Code:
Country:
Telephone:		Fax:
Email:

 

For more information and explanations please contact us:

PERDIKOS VALUEWORTH PROFESSIONAL SERVICES

Address: 2, Mavili street 2102 Aglantzia, Nicosia, Cyprus
Telephone: +357 22333290, Mobile Telephone: +357 99442346
Fax: +357 22330124

e-mail: info@perdikos.com.cy
Web Page: www.perdikos.com.cy