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We are required by BVI law to know the identities of all beneficial owners of the COMPANY. This information is not public, and will be kept on our record. We will never disclose it to anyone, unless required by BVI law. The beneficial owners of the COMPANY are:

1. Name* E-mail*
Phone* Fax
Address*
2. Name E-mail
Phone Fax
Address
3. Name E-mail
Phone Fax
Address

Other persons who will be authorized to act on behalf of the beneficial owners of the COMPANY:

1. Name E-mail
Phone Fax
Address
2. Name E-mail
Phone
Address

Please enclose certified passport copies of all beneficial owners and any other persons who will be authorized to act on behalf of the beneficial owners of the COMPANY (e.g. accountant, lawyer). Acceptable certification is: accounting firm, audit firm, apostille, bank, consulate, embassy, government institution, magistrate, lawyer, notary, registrar.

All beneficial owners should sign below and initial their signatures.

 
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