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General Information 
 
Name, Surname
Email

Company information 
 
Company name:*
Company code:*
Unique number:
Contact phone:
Company registration country:
Description of the company's activities:

Project information 
 
Website URL address (or several):*
Project description (3-7 words):*
Average amount and currency of one transaction:*
Maximum amount and currency of one transaction:*
Planned monthly turnover:*

Documents 
 
Statement from the Register of Legal Entities:*
Articles of Association of the company:*
Company registration certificate:

Shareholders 
 
First shareholder:
1. Name, Surname:*
1. Address:*
1. Shareholder’s date of birth:*
1. Number of shares in percentage:*
Second shareholder (if any):
2. Name, Surname:
2. Address:
2. Shareholder’s date of birth::
2. Number of shares in percentage:
Third shareholder (if any):
3. Name, Surname:
3. Address:
3. Shareholder’s date of birth:
3. Number of shares in percentage:

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