2
Type of business:………………………………. Commencement date…………………………………….
Income TAX number………………………………….VAT no……………………………………………
Social Security number:…………………………………………………………………………………..…
Have you and /or your business including shareholders, been involved or declared in bankruptcy or
insolvency proceedings?
Yes
No
If Yes, please explain:
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
Ownership and shareholding (Please list below all persons with a shareholding in the business):
Name and
Gender (male
Identification /
%
Citizenship
Full or part
surname
or female)
Passport
Shares
time involved
number
held
Subsidiary /Associated /Affiliated Companies:
Name of business
Registration
Nature of business
%
Guarantees
number
Shares held
required
(if any)
Initial here………………………….