Singapore Company Incorporation Form FOR PRIVATE LIMITED COMPANY (PTE. LTD.) Please provide the following information: Proposed Name of New Company in Singapore(Please provide 3 Proposed Names. For information, most private limited companies in Singapore end with ‘PTE. LTD.’ or ‘PRIVATE LIMITED’. For example: XXX PTE. LTD.)Proposed Name #1:Proposed Name #2:Proposed Name #3:Company Principal Activities(Please indicate the SSIC code and SSIC description. You may provide a maximum of 2 principal activities)Company Activity #1SSIC CodeSSIC DescriptionCompany Activity #2SSIC CodeSSIC DescriptionLocal Director (Singaporean/Singapore Permanent Resident/Employment Pass Holder/Entrepreneur Pass Holder)All Singapore Private Limited Company must have at least one local director. If you do not have a Local Director, we shall provide for a fee.Name : (As per Singapore NRIC/Singapore FIN)Identification Type :Identification No. :Nationality :Telephone No.:Mobile No. :Email Address :Singapore Address:MANDATORY - Individual Beneficial Owner / Controller(a human with at least 25% ownership in terms of shares in the proposed Singapore company or in terms of control)Name #1:(As per Passport/NRIC/FIN)Shareholder (if shareholder is an individual)(Singapore Private Limited company can be 100% owned by foreigner or local)Name(As per Singapore NRIC/Singapore FIN/Passport)Identification Type :Identification No. :Nationality :Telephone No.:Mobile No. :Email Address :Singapore Address:Foreign Address:Number of Ordinary Shares to be issued to this shareholder:(Minimum is 1 ordinary share)Currency of Ordinary shares:SGD(Ordinary shares can be in any currency. Generally, in Singapore Dollar (SGD) or USD)Price per Ordinary Share :SGD(Generally, $1.00 per Ordinary Share)Price per Ordinary Share :(Generally, $1.00 per Ordinary Share)Amount of Issued and Paid Up Share Capital:(No. of Ordinary Shares x Price per Ordinary Share)Percentage of shareholding for this shareholder (%):What is your source of fund?E.g. Employment / Business / Inheritance/ Others (please specify) etc.?Summary Capital InformationTotal number of Ordinary Shares to be issued to all shareholders:(Minimum is 1 ordinary share)Currency of Ordinary shares:SGD(Ordinary shares can be in any currency. Generally, in Singapore Dollar (SGD) or USD)Price per Ordinary Share :SGD(Generally, $1.00 per Ordinary Share)Total Amount of Issued and Paid Up Share Capital:(No. of total Ordinary Shares x Price per Ordinary Share)Registered Office AddressPlease provide Registered Office Address in Singapore:If you do not have a registered office in Singapore, we shall provide for a fee.Financial Year EndDateDaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924(E.g. 31 December or 31 March or 30 June or 30 September)Registered addressIf you are using our registered office address, please provide your Mailing address in Singapore(All mails will be sent to you on a weekly basis)If you are using our registered office address, please provide your Mailing address in Overseas(All mails will be sent to you on a weekly basis)KYC (KNOW YOUR CLIENT) DUE DILIGENCE FORMINFORMATION ON DIRECTOR/SHAREHOLDER/BENEFICAL OWNERName of director/shareholder/beneficial ownerProfession/DesignationContact – mobileContact – telephone(Office/Home)FaxIM ID(Skype/Yahoo Messenger/Facebook etc.)Residential addressPassport No.NationalityWebsiteEmail AddressCredential / Profile of Director/Shareholder/Beneficial OwnerINFORMATION ON FAMILY MEMBERName of family memberContact NoEmail AddressResidential addressINFORMATION ON YOUR EXISTING BUSINESS (if any)Name of CompanyRegistration numberCountry of IncorporationRegistered addressTelephone NoWebsiteNature of business in detailList of products/servicesList of customers and which country(please provide 3 major customers)List of suppliers and which country(please provide 3 majors suppliers)INFORMATION ON YOUR PROPOSED BUSINESS IN SINGAPORENature of business in detailList of products/servicesList of customers and which country(please provide 3 major customers)List of suppliers and which country(please provide 3 majors suppliers)Projected sales in one yearReason(s) for setting up the company in Singapore?Reason(s) for setting up the bank account in Singapore?Declaration *I confirm that I am not and will not be involved in any illegal activities worldwide (money laundering, fraudulent activities etc.).I confirm all information provided are true and correct.CLIENT'S INFORMATION AND BACKGROUNDINFORMATION ON DIRECTOR/SHAREHOLDER/BENEFICAL OWNERName of director/shareholder/beneficial ownerProfession/DesignationContact – telephone(Office/Home)Contact – mobileFaxIM ID(Skype/Yahoo Messenger/Facebook etc.)Residential addressNationalityPassport No.Email AddressWebsiteCredential / Profile of Director/Shareholder/Beneficial OwnerINFORMATION ON YOUR EXISTING BUSINESS (if any)Name of CompanyRegistration numberCountry of IncorporationRegistered addressTelephone NoWebsiteNature of business in detailList of products/servicesList of customers and which country(please provide 3 major customers)List of suppliers and which country(please provide 3 majors suppliers)INFORMATION ON YOUR PROPOSED BUSINESS IN SINGAPORENature of business in detailList of products/servicesList of customers and which country(please provide 3 major customers)List of suppliers and which country(please provide 3 majors suppliers)Projected sales in one yearReason(s) for setting up the company in Singapore?Reason(s) for setting up the bank account in Singapore?Declaration *I confirm that I am not and will not be involved in any illegal activities worldwide (money laundering, fraudulent activities etc.).I confirm all information provided are true and correct.Submit