GENERAL INFORMATION

Corporation Name

Purpose of the corporation

Secondary purpose/s of the

corporation
(If any)

Principal Office Address

Telephone Number
(And any alternate numbers, if any)

Email address

Proposed date of Annual

Meeting

Fiscal Year or Calendar Year

GENERAL INFORMATION
 CONTRIBUTIONS

Is the contribution in cash

Name of Contributor Nationality
or in kind? Please indicate
 Amount of
Cash/Property
Contributed
 DIRECTORS/OFFICERS

Name/Current Residential Incorporator Board

(Please indicate if
Address/ Nationality (Please indiciate if
Chairman/Member/Inde
Gender
Birthdate Yes or No)
pendent)
 Officer
(Position: TIN
President/Treasurer/Sec)