ANEX B

Application for registration of a company

We ask you to register the following company:

1. Status - Local \ Offshore.
2. Name of the company (give 3 chosen names)
a)_________________________________________________________________
b)_________________________________________________________________
c)_________________________________________________________________
3. Reason of the name choice.
a)_________________________________________________________________
b)_________________________________________________________________
c)_________________________________________________________________
4. Main kinds of company’s activity.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
5. Minimal capital
  (1000 Cyprus pounds; if an administration office is in Cyprus - 10.000 Cyprus pounds). 
			Number of shares     Price of shares
a) Applied capital              __________________________________________
b) Paid capital                   __________________________________________
6. Shareholder(s) (name, address, nationality, profession)

     Beneficial		Nominee			Shares
a)_______________________________________________________________
_________________________________________________________________
_________________________________________________________________

b)_______________________________________________________________
_________________________________________________________________
_________________________________________________________________

c)_______________________________________________________________
_________________________________________________________________
_________________________________________________________________

d)_______________________________________________________________
_________________________________________________________________
_________________________________________________________________
7. Names of the Banks which can give recommendations to shareholders.
_________________________________________________________________
_________________________________________________________________
8. Director(s) (name, address, nationality, profession).
a)________________________________________________________________
b)________________________________________________________________
c)________________________________________________________________
9. Secretary.
_________________________________________________________________
10. Registered address of the office in Cyprus.
_________________________________________________________________
_________________________________________________________________
11. Information considered to be important by applicant
_________________________________________________________________
_________________________________________________________________ 
Date                     Signature