datacard management board 2

DATA CARD (Corporate)

Data concerning legal entity proposed to be management board member of: [Name of company] 

a.         Name of legal entity                                                :

Official seat                                                                          :

Registration[1]                                                                     :

Office address                                                                      :

Office telephone                                                                   :

Office telefax                                                                         :

b.         List of names, titles and

authority to represent the

legal entity, of all members

of the Management Board,

Board of Directors, Executive

Board or similar internal

body, as the case may be:

c.         Shareholding/group[2]                                           :

d.         This Data Card must be duly

executed and signed on behalf

of the legal entity                                                               :

PLEASE ATTACH HERETO:

-           a photocopy of passport or other official ID-card of the signatory(ies) of this Data Card;

-           copy or extract of the legal entity's registration at the official registration office referred to under a. hereinabove;

-           copies of certificate of incorporation, charter, by laws, articles of association and other constitutional documents of the legal entity (insofar as applicable).

[1]Please indicate registration office (Chamber of Commerce, Trade Register, Commercial Register, Office of the Secretary of State, or similar official registration office, as the case may be) and number of registration (if applicable).

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