I.
MINISTRY OF JUSTICE

TRADE REGISTER OFFICE ATTACHED TO THE LAW COURT OF
...... /

II.

APPLICATION

incorporation in the trade register

tax registration authorization of functioning
Form of organization(1)...... / III.
Input no.:......
Date: ......
IV.
Mrs./Mr. Delegated Judge,
1. The undersigned ...... domiciled in ...... street ...... no...... block...... section ...... floor ...... apt. ....….county/district ...... phone ...... identity document ...... series ...... no...... ….. issued by ...... asof (date) ...…...... personal no./ fiscal identification no...... having the quality of…………………………………… through......
in compliance with ...... …...…………….
2. for the company: ...... …......
having the order number in the trade register...... unique registration code ...... …...... …......
3. with registered office in: locality ...... street ...... ….. no......
block ...... section ...... floor ...... apt...... county/district ...... postcode ......
phone ...... fax ...... …. e-mail …...... web site ...... …......
in compliance with Law no. 26/1990 on trade register, as republished and subsequently amended and supplemented and with Law no. 359/2004 on the simplification of formalities for the incorporation of natural persons, family associations and legal persons in the trade register, for the tax registration and for the authorization of the functioning of legal persons, as subsequently amended and supplemented, I apply for:
4. The object of application regarding the registration in the trade register,according to(2): ...... , consists in:
4.1. authorization of legal person formation and/or incorporation in the trade register
4.2.authorization ofbranch formation and incorporation in the trade register
4.3.incorporation as a result of changing the office in/from the county ...... /from the memberstate......
4.4.registration of the change of the legal form
4.5.registration of statement(s) – form(3) :model 1 model 2 model 3
4.6.[registration of amendments] /  [strike off in compliance with art. 25 of Law no. 26/1990 of amendments]regarding:
Marking a box assumes payment of the fee for the requested amendment /  designation (name)(4)
 emblem
office in the same county(4)
company life
suspension of theactivity
resume the activity
share capital
partners/shareholders / transmission of parts of share capital/shares
profit sharing and participation in losses
 object of activity(4)
administrators/designated persons /
legal representatives
 fiscal auditors  auditors
secondary office(3)
manager / representative of secondary office(3) /  merger  division
 dissolution  liquidation
updated Articles of Association
strike off(5)
 others,in compliance with art. …………………………......
...... from the modifying document/irrevocablecourt decision
5.I apply for publicationin the Official Gazette of Romania, Part IV/VII, where appropriate,of……………………......
6.I apply forjudging the application also in my absence, in compliance with art. 242 paragraph(2) of the Civil procedure code.
In support of my application, I submit the proving documents mentioned in the list of documents.
7. The application is legally stampedwith ...... leijudicial stamp feeand...... lei judicial stamp.
Date: ...... Signature......
V.(6)In compliancewith art. 6 of Law no. 26/1990, as republished and subsequently amended and supplemented......
...... the delegated judge to the Trade Register Office attached to the Law court of ...... examining the documents submitted in support of the application and finding that are/are not fulfilled the legal requirements, disposes: ......
……………………………………………………………………………………………………………………………………………………
Delegated judge,
Referent,
Date: ...... / Place for judicial stamp

Note: (1) Shall be filled in with the name of the organizationform, in compliance with the legal regulations: company (private limited company, public limited company, general partnership, limited partnership,partnership limited by shares)/national company/autonomous administration/credit cooperative/central house/cooperative company/agricultural cooperative/national institute of research and development/economic interest group(trader, non-trader)/European economic interest group (trader, non-trader)/European company/European cooperative company/branch;

(2) Shall be filled in with the name of the document (Articles of Association, modifying document:addendum, General Meeting of Shareholders decision, Board of directors decision, act of establishment, unique shareholder decision etc.);

(3) In case of amendments, the fee shall be applied for each model of statement form of own responsibility regarding authorization of functioning and/or the secondary office;

(4)In case of changing the name and/or the office and/or the main activity, the fee for changing the registration certificate shall be added to the calculated fee for the requested amendments;

(5) Shall be filled inonly when the strike off is required as a result of merger/division/changing the office in another county;

(6) The result of the deliberation shall be registered (the minute).

code: 11-10-150 Pag. 1

APPLICATION FOR INCORPORATION Input no. : ...... date: ......

VI. I apply for tax registration in compliance with the data marked with „X” in Annex no. 1.
VII. I apply for obtaining information from the fiscal record for the following persons: ......
......
......
......
VIII.Where appropriate, I apply for:unique shareholderqualityverificationoffice uniqueness verification(1)
IX.Data regarding foreign participation to the capital(2),for statistical processing,are inscribed inAnnex no. 2.
X.I apply for a copy from the application for registration, annex(es) no...... and statement(s)-form model ......

XII. LIST OF DOCUMENTS SUBMITED FOR INCORPORATION/AUTHORIZATION OF FUNCTIONING

No.
crt. / Document name / No. and date of the document / Issuer / No. pages
1. / Annex no. 1 – regarding tax registration
2. / Annex nr. 2 – regarding foreign investment
3. / Evidence for company name availability
4. / Addendum/ General assembly decision / Board of directors decision / Directorate decision
5. /
Articles of association / Administrative document/ updatedArticles of association
6. / Statements of own responsibility of partners/ administrators/ financial auditors
7. / Signature specimen
8. / Copies from the identity documents
9. / Evidence for registered office
10. / Evidence for secondary office
11. / Evidence for share capital
12. / Statement-Form of own responsibility regarding the authorization of functioning – model
13. / Power of attorney
14. / Fee evidence for register and publication in the Official Gazette
15. / Fee evidence for obtaining information from the fiscal record
16. / Evidence of judicial stamp fee
And, where appropriate, based on the requested registrations, the proving documents required by the legal provisions into force shall be mentioned.
17. / office uniqueness
18.
19.
20.
21.
Total pages :
XIII. Annexes no...... and statement(s) – form model ...... are part of the present application.
Drawn up in one copy, of own responsibility, knowing that inaccurate statements are punished in compliance with the law.
Date: ...... Signature......

Note: (1) Shall be filled upon formation and when changing the office;

(2) For the companies that have partners/shareholders with domicile/officeabroad, shall be filledin with the situation of foreign investment at: formation, capital increases/decreases, transmission of parts of share capital/shares.

Pag. 2

ESTIMATED CALCULATION

Register no.:

Company name:

Incorporation and fiscal registration

Authorization of legal person formation and incorporation in the trade register

Authorization of branch formation and incorporation in the trade register

Incorporation as a result of changing the office from the county

Registration of the change of the legal formin the trade register

Amendments – registration of amendments in the trade register regarding:

Complex amendment (two or more operations)

Simple amendment (only one operation)

Updated Articles of Association + one operation

Secondary office

MergerNo. of companies

DivisionNo. of companies

Manager/Representative of the office

Statement-form

Other fees

Liquidation fund (50%)

Bulletin fund in compliance with H.G. 460/2005 (10%)

Fee for publication in the Official Gazette (no. of characters)

Fee for sending by post the documents attesting carrying out the registration

Fiscal record

TOTAL