1. Client Name & Address:

Tel No:
Fax No:

2. Proposed Company Name:


3. Purpose of IBC:

4. Authorised Capital:

- Standard (5,000 shares @ $1.00 per share)

- Special (Please indicate)

5. Types of Shares:


6. Registered Shareholders (Names & Addresses)

7. Bearer Shares will be sent to client's address unless otherwise instructed:

8. Directors (Names & Addresses)

9. Officers (Names & Addresses)

10. Directors and Officers may be provided by Montaque Securities International as Nominees.

11. Power of Attorney Required?


Signed (Beneficial Owner):



Please note that an Annual Management Fee is due each year on or by 31st July which includes the Annual Government Fee. Failure to comply with this will result in either (i) a penalty or (ii) removal from the Official Register.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances