Alpha Services Limited - IBC Application Form

Application for Incorporation

I / We hereby instruct you to form a Belize International Business Company (IBC) on my behalf as follows:

(A) Intended Name of Company
(Name must end in "Corporation", "Limited", "Society Anonyme", "Sociedad Anonima", "Incorporated" or "Altiengesellschaft" or the abbreviations "Corp.", "S.A.", "Inc.", "A.S.", or "A.G.")

(B) Alternative Names If the company name has not already been reserved, please provide two (2) alternative names below:

(a)
(b)

	Standard Provisions Suitable for every type of Business Activity
	Non-Standard Provisions If Yes, Please provide details of your specific requirements below, or on a separate sheet of paper.

(J) Shareholder(s) (Minimum: one share)

Alpha Services Limited to Supply Corporate Nominee Shareholders

Bearer Shares (Bearer Shares MUST be kept with registered agents)

Beneficial Owners for Bearer and Nominee Shares

(1)	Name :
	Full Address:
	Telephone:
	Email Address:
	Number of Shares:
	Passport Attached:
	Certificate Number:

(2)	Name :
	Full Address:
	Telephone:
	Email Address:
	Number of Shares:
	Passport Attached:
	Certificate Number:

Would you like to include addtional Beneficial Owners

Registered Shares to be Issued as follows:

* In the case of a company being the Shareholder, we will require a Certificate of Good Standing for the company, and a Certificate of Incumbency stating the names and addresses of its officers/directors and those authorized to sign on behalf of the company.

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Application for Incorporation