New IncorporationChange of Service ProviderRe-domicile










No. of shares Currency Amount
Issued
Paid-up

NAMES OF INDIVIDUALS
OR LEGAL ENTITIES
Director Shareholder % Beneficial Owner % Authorised Person








Corporate Bank AccountsPersonal Bank Accounts

If you require assistance with Bank Account Opening please indicate your preference below. Please note that where
QX Group provides Directors to the Company the Bank account must be under the control of QX Group signatories or
in special circumstance under Joint Signatory Control.