IMS COMPANY APPLICATION FORM

INTERNATIONAL MANAGEMENT SERVICES LTD

Fourth Floor, Harbour Centre
P.O. Box 61, George Town
Grand Cayman
Cayman Islands
Tel: 345 949 4244, Fax: 345 949 8635

Company Application Form

If you wish to go ahead with the formation of a company - please print this form, complete it and forward it to the above address by fax or air mail. On our confirmation of acceptance of instructions we will request that bank and professional references, with funds, be forwarded to us (Please see Due Diligence Page ) If you would prefer to complete an electronic form on line please select Electronic Form . If you would prefer to download the form, complete it with a word processor and send it back to us as an E-mail attachment please select Word Processor Form

1. Name of Applicant: __________________________________________

Date: __________________________

2. Person to whom communications are to be sent

Name: _______________________________________________________________

Address: _______________________________________________________________

Telephone: ______________________________ Fax _____________________________

3. Names and addresses of all beneficial owners (Note 2)

(a) __________________________________________________________________

__________________________________________________________________

(b) __________________________________________________________________

__________________________________________________________________

4. Requested name of company in order of preference (Note 3)

(a) _________________________________________________________________

(b) _________________________________________________________________

5. Ordinary or Exempt _________________

6. Client Introduced by

_________________________________________________________________

____________________________________________________________________

7. Proposed Business of Company

_________________________________________________________________

8. Authorised Capital (Note 4)

________________________________ Shares of __________________ each

9. Names of Proposed Shareholders (Note 5)

NAME NO OF SHARES

___________________________________________ ______________________

10. Names of Proposed Directors and Secretary (Note 9)

Directors ________________________________________________________

Secretary ________________________________________________________

11. Proposed Bank Account (s)

Name of Bank ___________________________________________

Signatories to Account (Note 6) ___________________________________________

___________________________________________

12. Special instructions/notes

___________________________________________________________________

13. Persons authorised to give instructions

___________________________________________________________________

14. We hereby instruct IMS to provide the above services and to continue to supply them until otherwise instructed by us in writing.

15. In consideration of I.M.S. Ltd. carrying out my/our instructions and providing services as listed above, I/We hereby jointly and severally agree to indemnify International Management Services Ltd, its directors, officers, employees and its agents in respect of any liability incurred by them as a result of their acting as my/our nominees and carrying out my/our instructions or those of our agents.

I/we have read the published fee schedules of I.M.S. and understand that standard fees are payable in advance and that fees for special work are payable on receipt of an I.M.S. fee note. I/we jointly and severally guarantee payment of all such fees.

Without prejudice to this joint and several guarantee and to our continuing liability under the indemnity given hereabove, we also agree that:-

(a) should any such fee note be unpaid for a period of more than 60 days without reasonable cause and

(b) none of us, prior to the rendering of such fee notes, has requested I.M.S. in writing to resign their services then. on notice being given to any one of us in writing by I.M.S., we agree that I.M.S., its subsidiaries. employees and agents shall be released from nominee agreements or undertakings that may have been in force, such release to take effect from the day of mailing such notice to the address indicated in Clause 2 hereof.

(d) This service agreement shall be governed by and construed solely in accordance with the laws of the Cayman Islands whose Courts shall have exclusive jurisdiction in any dispute arising hereunder

16. Signed this _____________ day of __________________________ 2001

by ________________________________________ (applicant)

by ________________________________________ (witness)

by ________________________________________ (beneficial owner)

by ________________________________________ (witness)

by ________________________________________ (beneficial owner)

by ________________________________________ (witness)

by ________________________________________ (beneficial owner)

by ________________________________________ (witness)

If you wish to pay by Credit Card - please complete this portion of the form:

Name of Card Holder: ______________________________

Card Number: ______________________________

Expiry Date: ______________________________

Type of Card* ______________________________

Amount of Payment: ______________________________

* Only Visa or Mastercard will be accepted

(Card Holder agrees that IMS will be credited and the credit card account debited with the amount shown)

NOTES TO APPLICATION FORM

1. A remittance of US$1,955 for the formation of an exempt company or US$1,815 for the formation of an ordinary company should be enclosed with the application form. A Fee Note for the provision of I.M.S. standard services to 31st December following will be sent with the corporate documents after registration.

2. I.M.S. requires this Form to be signed by all beneficial owners. Unless this section is completed we will assume the Applicant to be the beneficial owner for our records.

3. Over 40,000 companies are registered in Cayman. and sometimes an applicant chooses a name for a company which is already taken. Three alternative choices should therefore be given.

4. Unless otherwise instructed, companies will be registered with US$50,000 authorised capital since this is the maximum permitted by law for the minimum government registration fee quoted in our fee schedules. If a greater authorised capital is required the registration fee should be calculated as indicated in our fee schedules.

5. By Cayman Law a minimum of one shareholder is required.

6. If I.M.S. is requested to provide signatories to a bank account, two senior or qualified staff members signing together will be provided unless otherwise requested.

7. Cayman Islands Law requires that the directors keep records enabling them to produce books of account. It follows that any I.M.S. directors must be given full details of all the client company's receipts and payments. Also, where directors provided by I.M.S. are responsible for the management of the company, it may be necessary for the directors to cause statements to be prepared at the end of each year showing the financial position of the company for internal control purposes. Fees for any accounting work involved will be charged on a time basis.

8. A bankers reference and a professional reference will be required for the applicants to this form.

9. If IMS is to provide directors, please state - "IMS to provide"

10. With regard to any special services requested of us, we claim no expertise in the laws (specifically tax and securities laws and regulations) of any country other than the Cayman Islands. Clients must rely on legal advice from qualified professional persons in their home countries in respect of the consequences of their transactions involving foreign companies.

If you require further information, please use our Information Request Form

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