PREMIA TNC (TW) Company Application Form

Select Region & Language
Global	English	\|	한국어
Hong Kong	English	\|	繁體中文
Singapore	English	\|	简体中文
Taiwan	English	\|	繁體中文
Vietnam	English	\|	简体中文
Malaysia	English	\|	简体中文
Korea	English	\|	简体中文
China		\|	简体中文
UAE	English	\|	简体中文
India	English	\|
Indonesia	English	\|

Taiwan Company Application Form

(TW) Company Application Form

Company Application Form
Shareholder OR Director's Information
Corporate Shareholder's Information
Registered Office
Bank Account Opening
Information Declaration

Name

Phone Number

Company Name (Proposed Name)

in Chinese	in English

Nature of business

If Others (please specify)

Please provide a brief description of Company’s intended business activities in Taiwan

Capital / Operating fund

NTD Amount

Others

Business Scopes of Taiwan Subsidiary

Individual Director / Shareholder's Information

**Please provide valid Passport copy and Residential Address Proof issued within 3 months of all the Director(s) and Shareholder(s) and Significant Controllers

#Please provide Certificate of incorporation; M&AA; Certificate of Incumbency; Register of Director & Register of Members

[1] Name

Address

[1] Address Line 1

[1] Address Line 2

[1] City

[1] State / Province / Region

[1] Postal Code

[1] Country

[1] Passport No. / Taiwan ID No.

[1] Issuing Country

[1] Occupation

[1] Date of birth

[1] Email

[1] Contact Number

[1] Countries of residence for tax purposes

[1] Number of shares held

[1] Are you, or any party connected to you, a politically exposed person?

[1] I, the above named hereby confirm that the above information is true and accurate, and you are authorized to supply any or all of such information for due diligence purposes to the Regulators. We also undertake to notify you of any future changes to the above information.

Checked

Divider

[2] Name

[2] Address

[2] Address Line 1

[2] Address Line 2

[2] City

[2] State / Province / Region

[2] Postal Code

[2] Country

[2] Passport No. / Taiwan ID No.

[2] Issuing Country

[2] Occupation

[2] Date of birth

[2] Email

[2] Contact Number

[2] Countries of residence for tax purposes

[2] Number of shares held

[2] Are you, or any party connected to you, a politically exposed person?

[2] I, the above named hereby confirm that the above information is true and accurate, and you are authorized to supply any or all of such information for due diligence purposes to the Regulators. We also undertake to notify you of any future changes to the above information.

Checked

Divider

[3] Name

[3] Address

[3] Address Line 1

[3] Address Line 2

[3] City

[3] State / Province / Region

[3] Postal Code

[3] Country

[3] Passport No. / Taiwan ID No.

[3] Issuing Country

[3] Occupation

[3] Date of birth

[3] Email

[3] Contact Number

[3] Countries of residence for tax purposes

[3] Number of shares held

[3] Are you, or any party connected to you, a politically exposed person?

[3] I, the above named hereby confirm that the above information is true and accurate, and you are authorized to supply any or all of such information for due diligence purposes to the Regulators. We also undertake to notify you of any future changes to the above information.

Checked

Shareholder (Corporate)

Checked

Please provide below information in English.

Company Name

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Company Number

Place of incorporation

File Upload

Choose File

Name of representative

Number of shares held