Please fill in the following form, print it and fax to us or press the SUBMIT button at the end. Please also fax to us a copy of your passport’s front page.
Minimum required fields *
Choose a Company name and 3 alternatives
Shareholder / Beneficial Shareholder
Shareholder No.1
Shareholder No.2
*No. of shares:
No. of shares:
*Name:
Name:
*Address:
Address:
Nationality:
*Phone No:
Phone No:
Fax No:
E-Mail:
Additional Shareholders
Directors
Do you require nominee directors
If you do not require local Directors, please provide the following information:
Director No.1
Director No.2
Additional Directors
Bank Reference
Please provide a bank reference for each shareholder/beneficial shareholder. Bank reference, should be furnished by a bank from the shareholder’s country of residence
The Manager Exchange Control And Foreign Department Central Bank of Cyprus Nicosia
Date: __________
Dear Sirs,
We hereby confirm that Mr./s___________ (full name)
Of______________ (full Address) is a client of our Bank.
We consider him financially sound, trustworthy and reputable person.
Your Faithfully,
Signature (name of Bank)
The above reference should be typed up on the Bank's letter headed paper, stamped and signed by an authorized signature.
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