COMPANY FORMATION QUESTIONNAIRE

1)  Country of Registration
2)  Preferred Company Names
1.
(in the order of preference)
2.
3.
3)  Description of Main Business Activities
4)  Country(ies) of Main Business Activity(ies)
5)  Source of Funds (√)
Life Savings / Trading Income / Salary / Other
If Other, please specify
6) Share Capital
No of Shares Authorised / No of Shares
Issued / Share Nominal
Value / Share Capital Currency / Share Classes if special
7) Shareholder(s)
Nominee(s) to be provided by WCS (√)
Name / No. of Shares/Type / Corporate / Physical
1
2
3
4
8)
1) 
2) 
3) 
4) 
5) 
6) 
7) 
8)  Director(s)
If provided by WCS please specify type and number of Directors below
Type / No.
Physical
Corp
rate
If provided by the Client please specify name(s) below
1
2
3
4
(If the Director is not provided by WCS full KYC documentation on the Director(s) must be provided)*
9)  Secretary
Yes / No
To be provided by WCS (√)
If provided by Client, please specify
1
2
3
4
(If the Secretary is not provided by WCS full KYC documentation on the Secretary must be provided)*
Yes / No
10)  Registered Office Address
To be provided by WCS (√)
Address
If provided by client please specify
11)  Ultimate Beneficial Owner(s) [UBO(s)] – Must be a physical person(s)
Name / Percentage held
1
2
3
4
(Full KYC documentation on the UBO(s) must be provided) *
12)  Contact Person(s)
Name
Contact Details (including mailing address, telephone number, e-mail)
13)  Organisational Chart (Ownership of the Company)
Please outline below or attach separately the organisational chart showing the Ownership structure, including intermediates leading up to the UBO(s), clearly indicating the share percentage of each one.

14)  Special Instructions
i)  Please √ preferred contact method and provide details
Email
Phone
Fax
Mail
ii)  Other special instructions
15)  Additional Services Requested
Yes / No
i)  Apostilled Incorporation
Documents (√)
If apostille is required, please list herebelow the documents to be apostilled
ii)  Accounting / Auditing (√)
Papachristoforou & Fandeos Ltd
Other:
iii)  Tax Identification Code (TIC)
Cyprus company only (√)
iv)  VAT Number
Cyprus and UK company only (√)
Yes / No
Yes / No
*Know Your Client (KYC) Documentation
KYC Documentation, as described below, must be provided for all parties indicated in the Organisational Chart (Section 13) as well as for the Directors, Secretary, Shareholders, UBO(s) of all legal entities. Further, the KYC documentation of the Authorised Person(s) should be provided.
KYC documentation for physical persons:
(i)  A legible certified true copy of passports (inclusive of photograph, signature and expiry date). This may
be certified by a lawyer, banker, accountant or a designated officer of WCS. The certifier should also clearly state date, name, title and professional qualifications.
(ii)  A recently issued Bank Reference (not older than 3 months).
(iii)  Proof of current residential address (such as original utility bill or bank statement not older than 3 months).
For all legal entities, please provide certified copies of all official documents.
If any of the above is a nominee, also provide the Trust Deed between the nominee and the UBO.
For Trusts, please provide a copy of the Trust Deed and full KYC documentation in respect of the Settlor(s), Trustee(s), Protector(s) and the Beneficiary(ies).
DECLARATION
I, the undersigned, hereby declare that all the above information and statements are true and correct as of the date of these document.
Full Name / Signature / Date

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