CORPORATE APPLICATION IN 7 STEPS

Name Agent/
Introducer:
:

___________________________________________________________________________________

1. NAME & DETAILS OF COMPANY

Please list three names in order of preference:

Preference A:
Preference B:
Preference C:
 
Abbreviation: 

Country of operation:

Purpose/Business of Company:


___________________________________________________________________________________

2. DETAILS CLIENT

(Beneficial owner)

Company Name (if applicable):
Full Name:
Full (mailing) Address:
Country:
Telephone Number:
Fax Number:
E-Mail Address:

___________________________________________________________________________________

3. NOMINEE SERVICES

In the event that you are looking for increased confidentiality, or wish to preserve the offshore nature
of your company, we can provide nominee services; please indicate whether you require this service ;
and if yes, please read the terms as outlined below and check the box if you agree; otherwise go to
question 4:

Nominee director/shareholder
Do you require this service?

Yes    No   


By checking this box I/we agree to the nominee terms & conditions as outlined above and authorize Evernesa Business
to appoint the appropriate nominee director/shareholder

 

___________________________________________________________________________________

4. DIRECTORS

(Each director should provide a certified copy of their passport)

(1)

Full Name:
Address:
Country:
Telephone Number:
Fax Number:
E-Mail Address:

(2)

Full Name:
Address:
Country:
Telephone Number:
Fax Number:
E-Mail Address:


Should there be more than two directors, please provide required information of each director:

___________________________________________________________________________________

5. SHAREHOLDERS

(Each shareholder should provide a certified copy of their passport)

(1)

Full Name:
Address:
Country:
Telephone Number:
Fax Number:
E-Mail Address:

(2)

Full Name:
Address:
Country:
Telephone Number:
Fax Number:
E-Mail Address:

Should there be more than two shareholders, please provide required information of each shareholder:

___________________________________________________________________________________

6. OFFSHORE CORPORATE BANK ACCOUNT

We can provide the services of establishing an offshore bank account
Please indicate whether you require this service:

Yes     No

(If yes, a company manager will contact you)

___________________________________________________________________________________

7. TERMS & CONDITIONS


By checking this box I/we agree to the terms & conditions and declare and confirm that the information provided on this
form is true and correct and that the company to be incorporated will not be used for money laundering,  terrorist activities,
other illegal activities or in a manner likely to damage the good name of Evernesa, or the jurisdiction of Anguilla B.W.I., I/We
confirm and agree that should any changes occur in the information contained herein, I / we will inform Evernesa Group Inc.

 

By clicking submit, your application will be processed.