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1、DIRECTOR / BENEFICIAL OWNER DECLARATION (SAMPLE)I, (name _ ) of (address _ ) being a *director / beneficial owner of (company name _ ) (the "Company") hereby confirm and declare that:1.the place of incorporation of the Company is at _ 2.the business address of the Company is at _ 3.the com
2、pany's registered office address in the place of incorporation is at_ 4.the company is still registered and has not been dissolved, wound up, suspended or struck off 5. the authorised capital of the Company is (total amount of authorised capital _ ) divided into (total number of shares _ ) share
3、s of (amount of authorised capital for each share _ ) each. OR the Company is authorised to issue no more than _ shares issued *with a par value _ / without a par value. 6. the current director(s) of the Company are: NameDate of Appointment7. the current secretary of the Company is: NameDate of Appo
4、intment8. the current principal shareholder(s) (i.e. companies/individuals with 10% or more of the shares/voting rights of the Company, of which none are held in the form of bearer shares) are:Name% of Shares% of Voting Rights 9. the current #beneficial owner(s)(Please refer to Note a - d below)Name
5、% of Shares% of Voting RightsUltimate Control Over Management (Yes/No)Note: #Beneficial Owners Information a. In relation to a corporation (if fulfils any of the following criteria): means an individual who,- owns or controls, directly or indirectly, including through a trust or bearer share holding
6、, not less than 10% of the issued share capital of the corporation; or - is directly or indirectly, entitled to exercise or control the exercise of not less than 10% of the voting rights at general meetings of the corporation; or - exercises ultimate control over the management of the corporation; o
7、r - if the corporation is acting on behalf of another person, means the other person. b. In relation to a partnership (if fulfils any of the following criteria): means an individual who, - is entitled to or controls, directly or indirectly, not less than 10% share of the capital or profits of the pa
8、rtnership; or- is directly or indirectly, entitled to exercise or control the exercise of not less than 10% of the voting rights In the partnership; or - exercises ultimate control over the management of corporation; or- if the partnership is acting on behalf of another person, means the other perso
9、n. c. In relation to a trust (if fulfils any of the following criteria): means an individual who, - is entitled to a vested interest in not less than 10% of the capital of the trust property, whether the interest is in possession or in the remainder or reversion and whether it is defeasible or not;
10、or - the settler of the trust; or - a protector or enforcer of the trust; or - an individual who has ultimate control over the trust. d. In relation to a person other than (a) to (c) (if fulfils any of the following criteria): means an individual who, - ultimately owns or controls the persons; or - if the person is acting
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