(REQUIRED INFORMATION FOR REGISTRATION OF THE COMPANY]

SHAREHOLDERS & DIRECTORS INFORMATION

a) Name…………….…..
b) Date of birth……….
c) Nationality.............
d) NIDA/ Passport no. (For non citizen).....................................................
e) TIN No...................
f) P.O Box……….……
g) Region...................
h) District..................
i) Ward.....................
j) Phone………………
k) Street……….….….
l) Email………………
m) Plot No……, House No….., Block No……, Road….... (for surveyed land
only)

COMPANY SECRETARY
a) Name………………..
b) Date of birth……….
c) Nationality………….
d) NIDA/ Passport no. (For non citizen)…………………..………………………
e) TIN No…………..……
f) P.O Box………………
g) Region…..….………..
h) District……..………..
i) Ward……….............
j) Street……….………..
k) Phone…………………
l) Email…………….……
m) Plot No……, House No….., Block No……, Road….. (for surveyed land
only)

PHYSICAL ADDRESS OF THE PROSPECTIVE OFFICE OF THE COMPANY

a) P.O Box..............
b) Region................
c) District...............
d) Ward..................
e) Street……..……..
f) Email………..…..
g) Plot No……, House No….., Block No……, Road….. (for surveyed land only)