Instructions to incorporate an offshore international company

The following pages that appear as you scroll down contain the forms required to incorporate an offshore international company.

Alternatively, you can download the forms as a zip file containing all the instructions to incorporate.

Instructions: There are three forms in this file. Please print out these pages, fill out the forms and send them by fax or mail to:

Moores Rowland
PO Box 257
Port Vila
Vanuatu
FAX:
International prefix + 678 23836
 

If you want the shares of the company held by a discretionary trust, you must also print the required trust forms.

If you want instant action, buy a company that is already formed and ready to go, with bank account, all fees paid until June 30, registered agent and office included. Click here.

May Incorporation Special - US$1,995.00
(offer expires
31 May 2008)

1. International Company.
2. Registered Agent/Office
3. 1 Director
4. Nominee Shareholder
5. Assistance with Bank Account Application and Signatories
6. Government fees
7. All of the above paid through to 30 June, 2009

For an information pack with everything you'll need to incorporate your offshore company.

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INSTRUCTIONS TO INCORPORATE AN

INTERNATIONAL COMPANY

Moores Rowland Forms for Incorporation of an Offshore Company.

1. IN WHAT COUNTRY WOULD YOU LIKE US TO INCORPORATE YOUR COMPANY?

Moores Rowland can incorporate companies in Vanuatu, the British Virgin Islands, the Isle of Man,
Hong Kong or elsewhere. We provide on-line service for Vanuatu International Companies and British
Virgin Islands International Business Companies. Please indicate the country in which you would like
to incorporate (If unspecified, we will assume it is Vanuatu):
COUNTRY:  

2. WHAT WOULD YOU LIKE TO NAME YOUR COMPANY?

The availability of a name can be obtained by return fax or e-mail.
An international company must include one of the following as part of and at the end of its name:
Corp, Inc, LTD, SDI Bad, SARL, B.V. or GmbH or the word which these abbreviations represent.
The name can use any alphabet or numeric system (for example in Chinese or Japanese) so long
as you provide a certified translation using the alphanumeric system.
ALTERNATIVE 1:  
ALTERNATIVE 2:  

3. REGISTERED OFFICE AND AGENT:

REGISTERED OFFICE AND REGISTERED AGENT
C/- INTERNATIONAL CORPORATE SERVICES LTD
2ND FLOOR, WINDSOR HOUSE
LINI HIGHWAY
PORT VILA
VANUATU
REGISTERED OFFICE AND REGISTERED AGENT
Companies incorporated in the British Virgin Islands or other locations will have their registered office and registered agent located in that country.

4. WHO WILL BE THE FIRST DIRECTORS?

Unless you instruct otherwise, Moores Rowland will supply two corporate nominee directors.
A company must have at least one and no more than seven (7) directors. If you wish to supply your own directors, please provide the following details for each director (use a separate sheet if you wish to have more than two):
Full Name Nationality Occupation Address
       
       

5. WHO IS THE PRINCIPAL?

This is the person we will contact and who is generally the main beneficial owner of the company.
A company can be "owned" by another company but we need a person as a principal client.
Person's Name  
Street Address  
Postal Address  
City  
State  
Post Code  
Country  
Phone  
Fax  
Email  


6. WHAT TYPE OF COMPANY WILL THIS BE?

  A company limited by shares (usual)
  A company limited by guarantee

7. WHO WILL HOLD THE SHARES? Normally, to assure full privacy protection, Moores Rowland provides nominee corporate shareholders
and issues Declarations of Trust between these nominee shareholders and the principals. We recommend
the shares of your International Company be held by Guardian Trustees LTD, a Licensed Trust Company.
If you would like to take advantage of this privacy protection, be sure to view and print the required trust forms.


___ Yes, I want shares held by a Vanuatu discretionary trust (attach trust settlement form)
  I want shares to be held by your nominee and a Declaration of Trust issued
  I will supply the shareholders or will hold them myself (advise us where to send the shares).
  I would like Bearer Share Certificates.

8. WHO ARE THE BENEFICIAL OWNERS? Details of the ultimate beneficial owners together with proportions of ownership, specimen signatures and a photocopies of their passports are required by Moores Rowland as these are the people we are acting for and from whom we can accept instructions. This information is not divulged to anyone and is treated in strictest confidence. If more than two beneficial owners are involved, please print an
additional copy of this page.

Beneficial owner 1:

Full Name  
Street Address  
Postal Address  
City  
State  
Post Code  
Country  
Phone  
Fax  
Email  
% Ownership  
Authorisation Level Full_____Other
Specimen Signature  

Beneficial owner 2:

Full Name  
Street Address  
Postal Address  
City  
State  
Post Code  
Country  
Phone  
Fax  
Email  
% Ownership  
Authorisation Level Full_____Other
Specimen Signature  

9. WILL ANYONE ELSE BE AUTHORISED TO ACT ON BEHALF OF THE OWNERS?

Who else is empowered by the beneficial owners to deal with Moores Rowland on behalf of the owner(s)?
(usually a lawyer, accountant, or other representative).
Full Name  
Street Address  
Postal Address  
City  
State  
Post Code  
Country  
Phone  
Fax  
Email  
% Ownership  
Authorisation Level Full_____Other
Specimen Signature  

10. DO YOU HAVE ANY SPECIAL REQUIREMENTS FOR YOUR CORPORATE CONSTITUTION?

Every company has a Constitution, (Memorandum and Articles of Association). We normally use
a standard constitution form, but if you would like to add any special
requirements, list or attach them here:
 
 
 

11. DO YOU WISH US TO PROVIDE ACCOUNTING AND AUDITING SERVICES?

Audits are not required for an International Company. However Moores Rowland can supply audit services
and accounting services if you need them. Please note that although audits are not required, proper books and records must be kept. Please tick below if you wish to use our accounting or auditing services for the new company.
   I want Moores Rowland to supply accounting services.
   I want Moores Rowland to arrange an annual audit.


12. WHAT KIND OF BANK ACCOUNTS WILL YOU REQUIRE?

Moores Rowland will set up a corporate bank account and act as a signatory on client accounts so long as
an appropriate indemnity is completed. If corporate or beneficial owners wish to have direct access to the bank
accounts, we will forward the required account opening forms and signature cards for your signature as the bank requires original signed cards. If you would like a corporate bank account, please tick the details below and complete the Money Laundering Prevention form (below):


Type of Account and signatory status
Currencies of Accounts (US$,AUS$,EURO etc)
  Call Account (Savings Account)  
  Current Account (Cheque Account)  
  I want Moores Rowland to be the signatory for the account This is the normal situation where you need Moores Rowland to assist in money transfers and accounting.
  I also want to be a signatory on the account with Moores Rowland Be sure to obtain international tax advice before selecting this option.
  I want to be the sole signatory on the account. If you elect to be sole bank signatory, Moores Rowland will not be able to make inquires at the bank on your behalf or assist you with banking transactions.
  I require Internet Access to the account If you wish Internet Access there is a nominal additional charge for processing the required paperwork.

13. WILL YOU NEED A CORPORATE CREDIT CARD?

  I would like a corporate MasterCard Credit Card (for credit card options and forms click here)
  Amount of credit line required (you must take out a term deposit of 125% to secure the credit line).

14. DO YOU REQUIRE A POWER OF ATTORNEY CERTIFICATE?

If the company is held by a trust and has nominee directors and shareholders, but you would still like to conduct business yourself in the company name, you will need a Power of Attorney Certificate. All beneficial owners must agree in writing to the issuance of a Power of Attorney.

  I would like a Power of Attorney certificate so I may legally act on behalf of the corporation
Name to appear on certificate:

15. WHO SHOULD WE CONTACT IN THE EVENT OF THE DEATH OF THE BENEFICIAL OWNER?

Please supply the name of the person to contact and the name of the person to whom the beneficial ownership
of the company should pass.

  Name Address Phone Number
Person to Contact      
Person to Inherit      


16. WHERE SHOULD WE SEND THE CORPORATE DOCUMENTS?

Full Name  
Street Address  
Postal Address  
City  
State  
Post Code  
Country  

Which documents should be sent to this person? (tick as required)

  Certificate of Incorporation
  Company Constitution
  Share Certificate/Declaration of Trust
  Common Seal
  Power of Attorney
  Other, Please specify

17. ANY OTHER SPECIAL INSTRUCTIONS?

 
 

18. WHAT CODE WORD WILL YOU USE TO IDENTIFY YOURSELF?

Please supply a code word that you can use so we will know it is you when you call, fax, or communicate by e-mail. (Keep this code word in a safe place). If you use PGP encryption ( http://www.PGP.com ) for your e-mail, please e-mail us your public key. (This is the most secure method of sending instructions.)

 

 

19. SIGNATURE

We require three forms of identification to be sent in with your application forms. You may initially fax these but we must have the original copies in our files:

1. NOTARIZED photocopy or scanned copy of the photo page of your passport, including the page showing your signature, AND

2. A NOTARIZED COPY OF YOUR DRIVER'S LICENCE, and

3. AN ORIGINAL REFERENCE from your current banker, showing your residential address (a PO Box is not acceptable) as well as an original reference from a lawyer or accountant.

Please also complete and sign the Agreement for Services and Due Diligence forms (below) and mail or courier with your notarised documents to Moores Rowland, 2nd floor Windsor House, PO BOX 257, Port Vila, Vanuatu.





Signature:___________________________________________
Principal
Date:_____________


20. PAYMENT DETAILS

Prices in U.S. Dollars       

This list supersedes previous lists. April 2008 U.S. Dollars

Shelf Company, Bank Account, Nominees, Government fees paid until 30 June

From $1995

Incorporate a Vanuatu Company $1100
Incorporate a British Virgin Islands Company $1100
Annual Registered Agent and Office (Vanuatu) $700
Annual Registered Agent and Office (British Virgin Islands or Bahamas) $800
Annual Government Registration Fee (Vanuatu/ BVI) $300/$350
Provision of each Director (Vanuatu) $550
Provision of each Nominee Shareholder (Vanuatu) $300
Opening Company Bank Account $500
Annual Bank Account Signatories $350
Offshore Corporate Gold Master Card (US$, ATM access) $550

Corporate Debit Card - Vanuatu Cirrus-Maestro

$250*

Internet Access to company account $150
Opening Online Share Trading Account $550
Trust Settlement Fee $1000
Trust Deed Stamp Duty $75
Annual Trustee Fee $750
Specific Power of Attorney Certificate $350
Custodian Fee for Bearer Share Certificate $300
Company Name Change $300

*Additional debit cards are $100 each. If more than one beneficial owner, all beneficial owners must agree in writing to the issuance of a debit card.

Methods of Payment

Telegraphic Transfer:

Account Name : Moores Rowland
Account Number: 2000040531 USD Current Account.

Bank : Westpac Banking Corporation
SWIFT Code : WPACVUVX

BSB Number : 039-033

Bank Draft:

Forward by mail along with a mailed copy of your incorporation forms.

Credit Card:

We accept Visa and MasterCard.

Name on the card  
Type of Credit card Visa_________Mastercard
Card Number  
Date of Expiry  

Signature_____________________________________________


mrtest2.gif (1611 bytes) AGREEMENT FOR SERVICES

BETWEEN

MOORES ROWLAND of Second Floor, Windsor House, Lini Highway, Port Vila, Republic of Vanuatu (hereinafter called "MOORES" which expression shall include its partners, officers, nominee directors, nominee shareholders, registered agents, employees or agents, whether present or future, where the circumstance so admits)

AND

(Name)________________________________________________________________________

(Address)______________________________________________________________________

(Specimen Signature) __________________________________________________________

H
ereinafter called "the Principal".

WHEREAS

THE PRINCIPAL has requested and instructed MOORES to attend to the administration and management of the company(s), trusts(s) or other entities or businesses established by Moores Rowland on behalf of the Principal listed as follows:

(Name of Entity)__________________________________________________________________

(Description)_____________________________________________________________________

(Registered Address) _____________________________________________________________

(hereinafter called "the Entity")

and in particular, to provide certain nominee, trustee and signatory services

AND

MOORES has consented to provide the said services on the terms and conditions herein specified.

DEFINITIONS

"Authorised Person" - means the person specified below hereto and authorised by the Principal pursuant to this Agreement to instruct, direct, request or make recommendation to MOORES or any Nominee.

(Name of Authorised Person)________________________________________________________________________

(Address of Authorised Person)________________________________________________________________________

(Specimen Signature of Authorised Person)_________________________________________________________________________

"Fees" - means any charges raised by MOORES or any Nominee for services performed pursuant to this Agreement. "Nominee" - means any Person or Company who is nominated by MOORES to perform any of the Requested Services and includes any Officer, employee or agent whether present or future of MOORES and such nominated person, and any associated, company of MOORES and any officer, employee or agent whether present or future thereof.

"Officer" - means any Director, Managing Director, Alternate Director, General Manager, Manager, Assistant Manager, Company Secretary, Assistant Secretary, Authorised Signatory, Trustee or Co-Trustee.

"Person" - means any individual, company, corporation, association, firm or partnership.

"Requested Services" - means shareholdings, registered agents, registered offices, directorships, signatory services and any other acts done or to be done or services performed or to be performed by MOORES or any Nominee.

Words and expressions in the singular include the plural and words and expressions in the plural include the singular.

Words and expressions importing any one gender include any other gender.

NOW IT IS HEREBY AGREED

INSTRUCTION TO PROVIDE SERVICES

1. THAT MOORES provides the Requested Services by itself or through any Nominee in accordance with the instructions given by the Principal or Authorised Person. Instructions shall normally be given in writing signed by the Principal or Authorised Person or in such other manner as may be agreed with MOORES including, without limitation, e-mail, facsimile or similar method (whether authenticated or not) and the Principal hereby expressly authorises MOORES and any Nominee to act upon verbal instructions given by or on behalf of the Principal or Authorised Person. MOORES or any Nominee may, in their discretion, at any time do or refrain from doing any act without reference to the Principal or the Authorised Person if MOORES or such Nominee deems it to be necessary so to do and the Principal agrees upon demand to ratify everything that MOORES or such Nominee may so do or refrain from doing.

FEES

2. THAT MOORES or any Nominee shall be entitled to charge and the Principal hereby agrees to pay the Fees of MOORES including any professional fees paid to third parties pursuant to the management and administration of the Entity, or termination of the Requested Services by any Nominee for any reason or reasons whatsoever AND THAT if fees are charged by MOORES or any Nominee by way of deduction from any funds, bank accounts or other assets held by the Entity, the Principal shall maintain a cash balance within the Entity at all times sufficient to pay fees as incurred which balance must be at least US$2,000 or its equivalent. The Principal hereby accepts primary responsibility for payment of all Fees charged by MOORES or any Nominee whether billed to the Principal or the Entity.

DISCLOSURE OF INFORMATION

3. THE PRINCIPAL hereby undertakes to keep MOORES and any Nominee fully informed of all material transactions, events or occurrences which affect the legal and/or financial status of the Entity and to provide MOORES and any Nominee with any other information necessary for MOORES and such Nominee to effectively manage and administer the affairs of the Entity. The Principal hereby agrees to provide MOORES and any Nominee with such information, instructions, documentation, or other data as MOORES or such Nominee may from time to time require in order to provide or continue to provide the Requested Services.

3(b) THE PRINCIPAL hereby declares that he/they are the beneficial owner/s of the Entity and he/they may instruct Moores to open or operate bank account/s. The Principal hereby declares that, for the avoidance of doubt, he/they is/are the beneficial owner(s) of the assets to be deposited into the Entity's Bank Account/s. The Principal hereby declares that the deposits to be credited to the Entity's Bank Account/s and/or the assets to be deposited with the Bank are not derived from, nor proceeds off, any forms of unlawful activity whatsoever nor were these assets (including the funds to be deposited) obtained in any manner contrary to the laws of the country whence they came or any other relevant country. The Principal hereby declares that he/they have been made aware by Moores of legislation in Vanuatu including but not limited to the Serious Offences (Confiscation of Proceeds) Act No. 52 of 1989 and The Mutual Assistance in Criminal Matters Act No. 52 of 1989 which he/they understand is designed to prevent amongst other things the laundering of proceeds of criminal activities. The Principal hereby undertakes to inform Moores immediately of any changes in relation to the source of deposits to the Entity Bank Account/s as they might affect the Money Laundering Provisions of the above Acts

3 (c) THE PRINCIPAL hereby declares that he/they has/have obtained professional taxation and legal advice in the jurisdiction of his/their residence in respect of the establishment of the entity AND he/they have checked with the taxation laws of his/their jurisdiction in relation to residency, and the legal requirements for the disclosure of the existence of offshore beneficially owned entities and the income thereof. (Please note that MOORES and all of it’s Partners, Staff and Associates do not recommend the use of offshore entities, bank accounts, or credit cards unless you have first obtained this advice in your country of residence).

MOORES and THE PRINCIPAL and his/their Authorised Person hereby declare and agree that if THE PRINCIPAL is an Australian resident for tax purposes, then MOORES are not in a position to offer any advice whatsoever in relation to the laws of Australia and therefore urge you to seek appropriate legal, professional and tax advice before proceeding with the establishment of any offshore structure. MOORES advise against the use of offshore credit cards for or on behalf of the entity unless THE PRINCIPAL has first ascertained whether it is legal to do so, particularly in the jurisdiction of his/their residence. MOORES take no responsibility for any investigation or action that may be brought against THE PRINCIPAL or Authorised Person by the taxation authorities in any jurisdiction, including Australia in respect of the use thereof by THE PRINCIPAL or any other person.

STATUTORY RECORDS

4. THAT THE PRINCIPAL hereby undertakes and warrants that he will ensure that the Entity maintains proper accounting records and shall file any tax or statutory returns or documents which are required by law to be filed with any Authority and that all taxes and fees required to be paid by the Entity are duly paid and shall further ensure where so required by law that the accounting records and financial statements of the Entity are audited by a firm of Chartered Accountants or Certified Public Accountants.

AND THAT the Principal will procure and undertakes and warrants that all acts required to be done by MOORES or any Nominee will comply with all laws affecting or binding upon the Entity, MOORES, and Nominee, the Principal and the Authorised Person, and that all statements, documents and contracts of whatsoever nature which MOORES or any Nominee is obliged or requested to sign will respectively be true, correct and accurate.

INDEMNITY

5. THAT THE PRINCIPAL hereby undertakes to indemnify and keep indemnified MOORES and any Nominee against all costs, expenses, claims, losses and outgoings, demands and liabilities for which MOORES or such Nominee may become liable and against all actions, suits, proceedings, claims or demands of any nature whatsoever which may be taken or made against MOORES or such Nominee or which may be incurred or which may arise directly or indirectly by reason of any act or any thing done, or services performed by MOORES or such Nominee in relation to or pursuant hereto or by reason of anything omitted to be done or of any failure to do or perform any act or service which ought to have been done or performed by MOORES or such Nominee in relation or pursuant hereto.

EXCLUSION OF LIABILITY

AND IT IS further expressed that neither MOORES nor any Nominee shall be liable to the Principal or the Authorised Person in respect of anything done or omitted to be done by them pursuant hereto unless attributable to proven gross negligence.

TERMINATION OF SERVICES

6. If, in the process of due diligence, MOORES or any Nominee discovers any contravention of this agreement, any illegal activity, money laundering, or other irregularity, or if disputes arise between the beneficial owners, MOORES and its Nominees may, at its absolute discretion and without giving reasons, cease performing all or any of the Requested Services on behalf of the Entity without liability to the Principal or the Authorised Person and if MOORES or any Nominee should exercise such discretion, it shall promptly advise the Principal and the Principal hereby undertakes to assist MOORES or such Nominee to give effect to such cessation by winding up the company or securing the appointment of such substitute Officer, Shareholder, Director, Secretary, Registered Office, Registered Agent, Representative or Trustee as the circumstances may require. Should MOORES or any Nominee, in the process of due diligence, discover criminal activity it will report this activity to the appropriate authorities.

RETAINER

7. THAT NEITHER the nomination nor the provision of services by any Nominee constitutes a retainer. MOORES and the Nominee reserves the right to act for other clients in matters affecting the Company or the Principal or the Authorised Person.

SUCCESSORS AND ASSIGNS

8. THAT THE OBLIGATIONS of the Principal (if more than one) are joint and several and shall bind the legal representatives, successors and assigns of the Principal. However, the Principal shall not be permitted to transfer or otherwise assign its obligations under this Agreement without the knowledge and written consent of MOORES.

AND THAT the benefit of the Principal's agreements and obligations herein contained shall not be affected by any change in the structure of MOORES and shall be for the benefit of any Nominee which MOORES may substitute pursuant to the right herein contained, and shall continue notwithstanding the termination of this Agreement.

ALTERATION OF CHARGES, TERMS, ETC.

9. THAT MOORES and any Nominee may review and vary its charges from time to time, and MOORES may also vary these standard terms and conditions by altering, adding to or deleting any or all of them or making any new terms and/or conditions, and may also from time to time appoint a substitute to act in the place of an existing Nominee.

GOVERNING LAW

10. AND THAT this deed and all rights and obligations hereunder shall be governed by and construed and take effect in accordance with English Law as applicable in the Republic of Vanuatu and in this regard the Principal submits to the jurisdiction of the Supreme Court of the Republic of Vanuatu, provided however, that nothing herein shall prevent MOORES pursuing the enforcement of this Deed in the country of residence of the Principal or in any country in which the Principal has assets.

AS WITNESS our hand the

_____________________day of ___________________ 19

SIGNED for and on behalf of

MOORES ROWLAND
_______________________________________ Witness_____________________________
THE PRINCIPAL ______________________________________ Witness_____________________________

 

Please specify a Code Word to use for identification when providing Moores Rowland with instructions relating to the above entity and/or send us your PGP public key:

Code Word:_____________________________________________

Due Diligence Forms

TO: The Principal/Beneficial Owner (As per Agreement of Services)

OF: ______________________________________________________

In order to comply with Vanuatu laws relating to the Money Laundering of proceeds from criminal activities, we are required to make due inquiry of you to satisfy ourselves that, according to our due diligence herein, that the business activities of:____________________________________________________
have/ will not be derived from, nor have been /will be the proceeds of, any unlawful activity whatsoever, as defined in the Serious Offences (Confiscation of Proceeds) Act No 50 of 1989 and the Mutual Assistance in Criminal Matters Act No 52 of 1989.

We therefore require from you the following documents and information for our records only, which are deemed information subject to the Secrecy Law of Vanuatu and, as such, cannot be revealed to any third party without a Vanuatu Court Order:

A. Completed Instruction Form to set up the Entity (Company, Trust or both).

B. Completed Agreement for Services (Company, Trust or both).

We can commence set up procedures upon receipt of a faxed/emailed version of the above but must have ORIGINAL documents in our file within a month of incorporation/settlement of the Entity before we will act upon the further instructions of the Principal/ Beneficial Owner.

Subsidiary information required for attachment to the above is:

1. Notarized copy of the photo page of your passport and a notarized copy of your Drivers License.

2. Completed Money Laundering Prevention Questionnaire form (see below) if opening a bank account.

3. An original (not a copy) reference from your current banker showing your residential residence (a PO Box will not be accepted) and a reference from your lawyer or accountant.

4. Completion of the following “Company Profile Questionnaire”

We reiterate, this procedure is necessary due to the heavy penalties worldwide imposed upon offshore industry professionals who provide incorporation, trust and nominee services to any client that is involved with criminal activities.


MOORES ROWLAND

Appendix “F”

COMPANY PROFILE QUESTIONAIRE

Name of company/Trust: ______________________________________________________________

Country of incorporation: ______________________________________________________________

Brief description of business activity: ____________________________________________________

___________________________________________________________________________________

Place where main business will be conducted (1): __________________________________________

Name(s) of any other beneficial owner(s): _________________________________________________

Country of Residence and Citizenship (owner): _____________________________________________

Will the company do businesswith general public?(2): _______________________________________


Estimated value of assets/ income in US$: _________________________________

Expected annual income: ________________________________________________

Bank accounts outside Vanuatu : __________________________________________

______________________________________________________________________

______________________________________________________________________

Assets to be owned by the company: _______________________________________

______________________________________________________________________

______________________________________________________________________


Notes

1. Place where main business will be conducted from?” If the company is an investment holding company, holding property and investments around the world then the place of residence of directors is the place of business. However if the main business is ownership of a building in Tokyo, then the answer is “Tokyo, Japan”. If the company buys goods in Brazil and sends them to Germany, then the answer would be Brazil/Germany.

2 “Will the company do business with the public?” The answer is yes if the company solicits investments
from or sells goods and products to third parties.



Appendix “F” ANZ Bank Money Laundering Prevention Questionnaire

Fill out this form if you wish an account with the ANZ Bank.

Money Laundering Prevention Questionnaire for ANZ Bank

Customer Name: _________________________________________________
Account Number:______________________ Date:_______________________

Banks have a responsibility under the laws of Vanuatu in relation to money laundering activities. For this reason we require to know your responses to the following questions prior to the opening of an account. We thank you for your understanding and co-operation with this requirement.

Source of Funds

1) Please describe fully how the funds to be initially deposited in this account (if any) have been generated.
_______________________________________________________________
_______________________________________________________________

2) Please also describe fully how the funds to be deposited in this account in the future will be generated.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

3 ) Please identify the country(s) in which the funds have been/will be generated.
_______________________________________________________________

Deposit of funds
4) In relation to the deposit of funds in this account, please indicate the following:

a) The expected size of deposits;
______________________________________________________________
b) The expected frequency of deposits;
________________________________________(per week, per month, etc.)

c) The currency in which the deposits are likely to be made;
_______________________________________________________________


d) The expected country of origin of deposit;
_______________________________________________________________

e) How deposits are likely to be made (e.g. telegraphic transfer / cash deposit etc.);

_______________________________________________________________

5) If you intend making cash deposits in excess of USD$5,000 (or foreign equivalent) please indicate:

a) The expected size of deposits;
_______________________________________________________________
b) The expected frequency of deposits; and
_______________________________________________________________
c) The currency in which the deposits are likely to be made;
_______________________________________________________________

Withdrawal / Transmittance / Use of Funds

6) Please indicate what you intend to do with the funds that accumulate in this account:

______________________________________________________________
______________________________________________________________

7) Do you intend to withdraw or transfer/transmit these funds within Vanuatu?
Yes:……………. No:………………..

8) If you intend to withdraw or transfer/transmit these funds within Vanuatu please indicate for what purpose do you intend to use these funds?
_____________________________________________________________
_____________________________________________________________

9) Do you intend to transfer/transmit these funds out of Vanuatu?
Yes: …………………. No:………………..

10) If you intend to transfer/transmit these funds out of Vanuatu please indicate the following:
a) The expected size of the transfers;
_______________________________________________________________

b) The expected frequency of the transfers;

_________________________________________ (per week, per month, etc.

c) The currency in which the funds are likely to be transferred;
_______________________________________________________________

d) The expected country to which the funds will be transferred; and
_______________________________________________________________

e) The expected recipient(s).
_______________________________________________________________

11) Please indicate the purpose for which these funds will be used outside of V Vanuatu.
______________________________________________________________
______________________________________________________________

Company Account holders only

12) If a company proposes to be an account holder:

a) Please describe fully the activities of the company’s business
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

b) Please provide a company profile, company information memorandum
and/or website address.
______________________________________________________________
______________________________________________________________

c) Who or what is the beneficial owner of the capital of the company?
______________________________________________________________
______________________________________________________________

d) Is any of the capital of the company likely to be issued or transferred to any other person/entity within the next 12 months? If so, provide details.
______________________________________________________________
______________________________________________________________
______________________________________________________________


…………………………………………. ……………………………………………..
Signature                                                                    Signature

.

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