Annual Return Form – International Companies Company Name* Registration Number* Registration Date* Month Day Year Please state whether audited financial statements of the company for the last 12 months are available?* Yes No Audited Financial StatementsPlease provide PDF of the audited financial statements Drop files here or Select files Max. file size: 50 MB. Description of business activities* Holding Company Financial Dealers Licensing Company or Financial Activities International Bank Company Other service activities. Please Specify Description of Business activities – Other service activitiesPlease SpecifyRegistered agent: PAUL DE MONTGOLFIER ET ASSOCIES LIMITED Registered address: 1276, Govant Building, Kumul Highway, Port Vila, Republic of Vanuatu Postal Address*Please insert the postal address where main operational office is located Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Directors detailsPlease select the number of directors in your company*1234Director 1Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Director 2Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Director 3Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Director 4Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Saheholders detailsPlease select the number of shareholders in your company*1234Shareholder 1Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Shareholder 2Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Shareholder 3Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) Shareholder 4Full name of person or legal entity Residential postal address Phone Number Email Nationality or Registration country (legal entity) Passport or registration number(legal entity) UBOs detailsPlease select the number of UBOs in your company*1234UBO 1Full name of person Residential postal address Phone Number Email Nationality Passport Number UBO 2Full name of person Residential postal address Phone Number Email Nationality Passport Number UBO 3Full name of person Residential postal address Phone Number Email Nationality Passport Number UBO 4Full name of person Residential postal address Phone Number Email Nationality Passport Number SignatureName of authorized signatory Date Month Day Year Signature Email for form confirmation
