Proposed Co. Name 1
Proposed Co. Name 2
Main Business Activity 1
Main Business Activity 2
Registered Office Address
Authorised Capital
Par value per share: S$1
Particulars of Shareholder/Director 1
Name
Address
Nationality
Singapore Permanent Resident
NRIC/Passport No.
Date of Issue
Employment Pass/FIN No.
Place of Birth
Date of Birth
No. of Shares or %
Appoint as Director
Tel No.
Email Address
Particulars of Shareholder/Director 2
Name
Address
Nationality
Singapore Permanent Resident
NRIC/Passport No.
Date of Issue
Employment Pass/FIN No.
Place of Birth
Date of Birth
No. of Shares or %
Appoint as Director
Tel No.
Email Address
Particulars of Shareholder/Director 3
Fill in the particular if more than 2
directors/shareholders
Name
Address
Nationality
Singapore Permanent Resident
NRIC/Passport No.
Date of Issue
Employment Pass/FIN No.
Place of Birth
Date of Birth
No. of Shares or %
Appoint as Director
Tel No.
Email Address
Particulars of Shareholder/Director 4
Fill in the particular if more than 3
directors/shareholders
Name
Address
Nationality
Singapore Permanent Resident
NRIC/Passport No.
Date of Issue
Employment Pass/FIN No.
Place of Birth
Date of Birth
No. of Shares or %
Appoint as Director
Tel No.
Email Address
Particulars of Shareholder/Director 5
Fill in the particular if more than 4
directors/shareholders
Name
Address
Nationality
Singapore Permanent Resident
NRIC/Passport No.
Date of Issue
Employment Pass/FIN No.
Place of Birth
Date of Birth
No. of Shares or %
Appoint as Director
Tel No.
Email Address