Dear Clients/Associates

We would like to inform you that it is our legal obligation to be aware of the identity of the beneficial owners of the companies we provide services to.

Please provide the information as requested below. If the beneficial owner is a corporation please provide information on each shareholder.

We are obliged by law to keep the information you provide us highly confidential, also the Bank Secrecy Laws of Cyprus are strict enough, thus it is not expected that those disclosures will affect the confidentiality of the information you provide us.

DECLARATION OF THE BENEFICIAL OWNER

    I(name)

    ,beneficial owner of the company

    declare the following:

    1. I am acting on my own behalf, and not as the nominee or the trustee, nor in any fiduciary capacity on behalf of any other person.

    2. All assets provided to the Company are derived from a legitimate source.
    3. I have never been declared bankrupt, nor have I been a director or manager of any company that has been subject to insolvency liquidation, or subjected to judicial inquiry.

    4. I have never been convicted of any offence involving fraud, or dishonesty, nor have I been involved directly, or indirectly, in any activity in connection with illegal commercial transactions and/or money laundering, nor have I violated any international criminal law, convention or sanction.

    5. I confirm that the information given hereunder and in the documents requested hereby is to the best of my knowledge true and accurate as at the date hereof, and should there be any changes in the information so provided I undertake to promptly advise your company of the same in writing.

    Full name .......................... Signature .....................................

    Proposed Name of Company

    *We need at least three (3) desired names
    **We can provide a list with already registered names.

    1-

    2-

    3-

    Activities of the Company: (i.e. Holding, Trading, Investments, Real Estate Services,)

    1-

    2-

    3-

    4-

    5-

    Will the company be a member of a group? yesno

    If the company will hold other subsidiaries please name them below: (Provide a Group Structure)

     

    Name

    Jurisdiction

    Activity

    Percentage

    1.

    %

    2.

    %

    BENEFICIAL OWNER 1

    Name/Surename:

    Nationality:

    ID Card:

    Passposrt No.

    Work Address

    Home Address

    Tel/Mob

    Email

    BENEFICIAL OWNER 2

    Name/Surename:

    Nationality:

    ID Card:

    Passposrt No.

    Work Address

    Home Address

    Tel/Mob

    Email

    BENEFICIAL OWNER 3

    Name/Surename:

    Nationality:

    ID Card:

    Passposrt No.

    Work Address

    Home Address

    Tel/Mob

    Email

    Capital

    *Minimum of 1 share can be issued. Stamp duty will be paid & calculated according by shares issued.

    Usually share capital is 1000 ordinary shares at a value of €1 each.

    Would you like us to set up the company this way? If no, please complete the following:
    yesno
    Shareholders: There must be at least one (1) shareholder individual or corporate entity. If you prefer anonymity we shall provide you a shareholder.

    Would you like us to provide Nominee Shareholders?

    yesno
    Directors: There must be at least one (1) director in a Cyprus entity individual or corporate entity. A Cyprus entity to be tax resident in Cyprus must prove that it is managed and controlled from Cyprus. If we require this tax status we shall have the majority of Directors situated in Cyprus.

    Would you like us to provide with directors?

    yesno
    Secretary of the Company: Our firm will provide this service unless you advise otherwise
    If yes please provide us the following information:
    yesno
    Registered Office: Unless advise differently we will provide the following registered office:
    Ag. Zonis & Gladstones
    Rousos Center Point, 5th Floor, Office 5
    3027, Limassol, Cyprus

    Bank Account

    yesno

    Would you like to open a Bank account in Cyprus? yesno

    Would you like our firm to provide signatories? yesno

    Please provide us the following for due diligence procedure:

    For legal entities:

    1. Certificate of incorporation; yes

    2. Certificate of registered office address; Yes

    3. Certificate of directors (and secretary if applicable); Yes

    4. Certificate of shareholders; yes

    5. Certificate of good standing; yes

    6. Copies of share certificates; yes

    7. Copies of declarations of trust in the case of split ownership; yes

    8. Diagrammatic tree of the proposed structure all the way back to the ultimate yes

    9. beneficial owner ("UBO") (being a natural person)*; yes

    10. Audited financial statements relating to the last financial year; yes

    11. Bank reference letter (a specimen of which appears in Appendix B of this document); yes

    12. Information as to who has the power to bind the company, (if anyone other than its directors) and under which conditions. It is essential that we receive such information yes

    13. .

    For natural persons:

    1. Copy of valid passport; Yes

    2. Copy of recent utility bill (not older than 3 months old); Yes

    3. Bank or other professional reference Yes

    4. CV (a specimen of which appears in Appendix 'C' of this document). Yes

    5. Please provide us with copies of all share certificates and of declarations of trust showing the full and uninterrupted chain of ownership all the way back to the UBO. If there is more than one UBO, please provide due diligence for each of the UBOs. All the above documents should be certified as true copies by a notary or a lawyer practising in the jurisdiction concerned.