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ONLINE ORDER FORM FOR PLATINUM PACK
Contact Information of Applicant / Beneficial Owner
Full Name :
Contact Number :
Fax Number :
Email Address :
Jurisdiction 1 :
Jurisdiction 2 :
Mailing Address (address where you wish to forward you mail)
For For
Company Name
For
Shelf Company (we will email you latest available shelf list)
Custom Made Company (kindly indicate desired company names)
  First Choice :
  Alternative 1 :
  Alternative 2 :

For
Shelf Company (we will email you latest available shelf list)
Custom Made Company (kindly indicate desired company names)
  First Choice :
  Alternative 1 :
  Alternative 2 :
Company Offices (Director)
(please leave blank if you are using our Nominee Director Fiduciary Service)
if you need more than 2 Director, please contact us at consultant@eNETbiz.com
For
Director 1 Director 2
Full Name : Full Name :
Date of Birth :
(dd/mm/yyyy)
Date of Birth :
(dd/mm/yyyy)
Citizenship : Citizenship :
Share % : Share % :
Address : Address :
Business
Occupation :
Business
Occupation :

For
Director 1 Director 2
Full Name : Full Name :
Date of Birth :
(dd/mm/yyyy)
Date of Birth :
(dd/mm/yyyy)
Citizenship : Citizenship :
Share % : Share % :
Address : Address :
Business
Occupation :
Business
Occupation :
Company Offices (Shareholder)
(please leave blank if you are using our Nominee Shareholder Fiduciary Service)
if you need more than 2 Shareholders, please contact us at consultant@eNETbiz.com
For
Shareholder 1 Shareholder 2
Full Name : Full Name :
Date of Birth :
(dd/mm/yyyy)
Date of Birth :
(dd/mm/yyyy)
Citizenship : Citizenship :
Share % : Share % :
Address : Address :
Business
Occupation :
Business
Occupation :

For
Shareholder 1 Shareholder 2
Full Name : Full Name :
Date of Birth :
(dd/mm/yyyy)
Date of Birth :
(dd/mm/yyyy)
Citizenship : Citizenship :
Share % : Share % :
Address : Address :
Business
Occupation :
Business
Occupation :
Additional Services
For For
Not Applicable Not Applicable
Singapore Telephone Line (US$ 300.00) Singapore Telephone Line (US$ 300.00)
Singapore Telephone Line and Fax
(US$ 400.00)
Singapore Telephone Line and Fax
(US$ 400.00)
Shipment of Company Documents
For For
Self-Collection Self-Collection
Local (Singapore) (S$ 30.00) Local (Singapore) (S$ 30.00)
Overseas (Asia) (US$ 35.00) Overseas (Asia) (US$ 35.00)
Overseas (Others) (US$ 50.00) Overseas (Others) (US$ 50.00)

IMPORTANT!!!

Prices are for Shelf Companies. Please add USD 100.00 for Custom Incorporations.

If sections of the form are not properly completed, we may need to contact you and this will delay the incorporation process.

Please read our Terms and Conditions as you are responsible for understanding and complying with all of our policies


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