Company Designation & Issuance of Shares (Local Holding Company)

Authorized share capital of the company

Consideration (and currency) to be paid for the shares

List Shareholders




Additional Fund Investment

When applicable, confirm the amount (including currency), source and account on which any additional funds to be invested in the company will pass from the shareholder(s) to the company, (i.e. shareholders loan, contributed surplus, etc.)

Other Supporting Document(s)

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