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INFORMATION REQUIRED FOR INCORPORATION

A. INTENDED COMPANY NAMES (NEW COMPANY/CONVERSION)

1) __________________________________________________________________

2) __________________________________________________________________

B. MAIN ACTIVITIES OR BUSINESS

1) __________________________________________________________________

2) __________________________________________________________________

C. AUTHORISED CAPITAL : S$ ______________________

PAID-UP CAPITAL : S$ ______________________

D. REGISTERED OFFICE ADDRESS

_____________________________________________________________________

[ ] LBC27 [ ] LBC30 [ ] AP [ ] OTHERS

· $ 25.00 per month + 2 mths deposit OR
· *$ 100.00 for one year payment
* Non-Refundable

E. FINANCIAL YEAR END TO BE FIXED ON _______________________________

F. DIRECTOR/SHAREHOLDERS PARTICULARS

1) Name : ________________________________________ Shares : _________ S/D

Tel : _________________ (O) __________________ (H/P) __________________ (Fax)

Email Address : _____________________________________________________________

2) Name : ______________________________________________ Shares : _________ S/D

Tel : _________________ (O) __________________ (H/P) __________________ (Fax)

Email Address : _____________________________________________________________

3) Name : ______________________________________________ Shares : _________ S/D

Tel : _________________ (O) __________________ (H/P) __________________ (Fax)

Email Address : _____________________________________________________________