PREMIA TNC (TW) Company Application Form

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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

Please select up to 15 item codes from the provided list and paste them below: (Link: Business codes.xlsx)
Item code ZZ99999(description; business items that are not prohibited or restricted by law, except those that are subject to special approval) will be added as Default.

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

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[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