ORDER FORMJURISDICTION[ ]Seychelles			

COMPANY NAME
Kindly Propose 1-6 IBC names in order of preference. Please note that it is mandatory for all Seychelles
IBCs to be accompanied by a suffix such as Limited, Corporation, Incorporation or their relevant
abbreviation-Ltd, Corp, Inc

ACTIVITIES[ ]Use standard wording of Company activities (recommended):[The objects of the company are to engage in any act or activity that is not prohibited under any
law for the time being in force in Seychelles, except that the company shall not carry on any
banking, insurance, reinsurance or trust business and subject to specific limitations as set forth
by the Seychelles International Business Companies Act 2016.][ ]Use specific wording of Company activities, as specified below:

SHARE CAPITAL[ ✔]Register standard authorised share capital. [US$100’000 divided into 100’000 shares of
US$1 each][ ]Register other amount of authorised share capital:
Divided intoshares ofeach

ULTIMATE BENEFICIAL OWNER: (must reflect on Proof of Address)
Name:
Address:
City, State, Zip CodePhone No.:()Fax No.:()Email:Countries where company will trade:
Source of Funds:Savings
Offshore Seychelles
Email: welcome@offshore.sc
Website: https://offshore.scCompany Activities:

SHAREHOLDERS
Please indicate type of shareholder(s) to be appointed:[ ]Nominee Shareholder Individual[ ]Nominee Shareholder Corporate[ ]Issue / transfer shares to the following shareholder(s):100’000Name:
Address:[ ]Acting as nominee shareholder/holding shares for another party
Please state details of the other party. Kindly note KYC documentations also required on the otherparty. If there is more than one shareholder, please copy the data fi lds from above to indicate full
information for each shareholder.

DIRECTORS
Please indicate type of director(s) to be appointed:[ ]Nominee Director Individual[ ]Nominee Director Corporate[ ]Appoint the following as Director(s).
Full Name:
Address: (must reflect on Proof of Address)[ ]Acting as nominee director/for and on behalf of another director.

Please state details of the other party. Kindly note KYC documentations also required on the other party
If there is more than one director, please copy the data fi lds from above to indicate full information foreach Director.
POWER OF ATTORNEY (FREE OF CHARGE IF TAKEN WITH NOMINEE DIRECTOR)
No of Power of Attorney:
Full Name:
Nationality:
Personal ID Number:
Passport number:If there is more than one person to be appointed, please copy the data fi lds from above to indicate fullinfor-mation for each person to be appointed.
Offshore Seychelles
Email: welcome@offshore.sc
Website: https://offshore.sc

[ ] LEGALISATION OF DOCUMENTS
Please provide the following additional legalisation for the Company documents
Original Certificate of Incorporation by Apostille[ ]Set of certificated copies of primary documents by Notary and Apostille[ ][ ]
Power(s) of Attorney by Notary and Apostille[ ] by Notary [ ] by Apostille[ ]Other
CORPORATE SEAL (Mandatory for Opening of Bank Accounts in Mauritius)[ ]YES[ ]BANK INTRODUCTION
ABC Bank Mauritius –(minimum deposit call account- us$ 1000 maintained at all times, internet[ ]banking, debit card-mastercard[ ]ABC Bank Mauritius –(minimum deposit call account- US$ 1,000 maintained at all times
Internet banking, debit card-mastercard

Currency of bank account:[ ] EUR						[ ] US$						[ ] Sterling[ ] Other[ ]Internet Banking[ ]International Debit Card
POLITICALLY EXPOSED PERSON DECLARATION
I am NOT a Politically Exposed Person (PEP) I
am a Politically Exposed Person (PEP)[✔][ ]OTHER INSTRUCTIONS/REQUIREMENTS[ ] MAIL FORWARDING

COURIER ADDRESS FOR DELIVERYOffshore Seychelles
Email: welcome@offshore.sc
Website: https://offshore.sc

DUE DILIGENCE (KYC)
PROOF OF IDENTITY DOCUMENTATION FOR EACH BENEFICIAL OWNER, SHAREHOLDER,DIRECTOR AND COMPANY SECRETARY (IF REQUIRED):
1.
2.
3.
4.

CERTIFIED COPY PASSPORT (OR NATIONAL IDENTITY CARD)
CERTIFIED COPY DRIVER’S LICENCEPROOF OF RESIDENTIAL ADDRESS (BANK STATEMENT, UTILITY BILL NOT MORE THAN3 MONTHS)BANK REFERENCE LETTERDOCUMENTS MUST BE CERTIFIED AS TRUE COPY OF THE ORIGINAL BY ANY OF THEFOLLOWING:•••NOTARY PUBLICLAWYERREPUTABLE BANKCONFIDENTIALITY
ALL INFORMATION PROVIDED TO A.C.M.L WILL REMAIN PRIVATE AND CONFIDENTIAL (EXCEPT WHERE REQUIRED BY THE LAW.
I/WE DECLARE AND CONFIRM THAT:•THE INFORMATION CONTAINED ABOVE IS CORRECT AND I UNDERSTAND THAT FALSEINFORMATION MAY BE GROUNDS FOR TERMINATION OF SERVICE BYA.C MANAGEMENT LIM-ITED•I/WE AM/ARE THE ULTIMATE BENEFICIAL OWNER/S OF THE COMPANY•WE HAVE READ AND AGREE TO BE BOUND BY A.C MANAGEMENT LIMITED BUSINESSTERMS AND CONDITIONS (ATTACHED) OR SUCH BUSINESS TERMS AND CONDITIONSAS MAY BE AMENDED FROM TIME TO TIME.

•THE COMPANY WILL NOT BE USED FOR ANY ILLEGAL PURPOSES.

•I/WE WILL COMPLY WITH ANY TAX OR REPORTING REQUIREMENT IN MY COUNTRYOF RESIDENCE OR DOMICILE.

•

UPON RENEWAL OF THE COMPANY I/ WE UNDERTAKE TO CONFIRM TO A.C.M.L AS TO
WHETHER THERE HAS BEEN ANY CHANGES TO THE BENEFICIAL OWNERSHIP, BUSINESSACTIVITY AND COMPANY DIRECTOR/S OR SHAREHOLDER/S OF THE COMPANY.

DATE:BENEFICIALOWNER FULL
NAME AND
SIGN:
Offshore Seychelles
Email: welcome@offshore.sc
Website: https://offshore.sc