COMPANY FORMATION
AND
MANAGEMENT SERVICES AGREEMENT
3rd Floor
Tower A
1 Cybercity
Ebene
Mauritius
Tel.: +230 464 1300
Fax: +230 467 0155
info@dale-trust.com
www.dale-trust.com
Business Registration Number: C06025405
Dale International Trust Company Limited
Dale International Trust Company Limited holds a management licence from the Financial Services Commission in Mauritius. Dale International Trust
Company Limited is a Member Firm of MSI Global Alliance, an international association of independent professional firms, and is also a member of the
Association of Trust and Management Companies in Mauritius.
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COMPANY FORMATION AND MANAGEMENT SERVICES AGREEMENT
Please read the instructions carefully before supplying the requested information. The form should be typed or
completed in block capitals.
PART ONE – The Trust Company (“The Trust Company”)
Dale International Trust Company Limited
3rd Floor, Tower A
1 Cybercity
Ebene
Mauritius
PART TWO – The Principal(s) (“The Principal(s)”)
Beneficial Owner(s)
If shares are to be held in nominee names, please provide details of the beneficial owner(s). (Please note that P.O.
Box numbers are not acceptable)
Beneficial Owner 1
Beneficial Owner 2
Full Name
Permanent Residential
Address
Please advise of any
sensitivity with regard to
correspondence, telephone
calls or faxes
Correspondence address
(if different from above)
Home Telephone
Business Telephone
Mobile
Home Fax
Business Fax
E-mail
Nationality
Date of Birth (dd/mm/yy)
Place of birth
Domicile of origin (if
different from country of
birth)
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Present domicile (if different
from domicile of origin) and
d