Section 11: Particular of Shareholders

No te: Please attached v alid colo red photocopy of yo ur National Identification Card, NASSIT ID or Passport fo r sierra Leonean. Foreigner shall attach colored photocopy of passport and residential permit (if applicable). Copy of certificate of incorporation of the company should be provide additional sheet of shareholders information (if necessary) attached 11 Date o f submission of last annual repo rt and financial statement 12 . Does a company have an existing charge YES NO If yes state brief particulars 13 . ACCOUNTING PERIOD OF THE COMPANY 14 . PARTICULARS OF DIRECTORS Name of Director Address Signature National Revenue Authority Tax Identification Number (TIN) NASSIT Number 130 131 CHECK LIST 1. NAME OF COMPANY (MANDATORY 2. CERTICATE OF INCORPORATION (MANDATORY) 3. CURRENT ADDRESS/LOCATION OF THE COMPANY (MANDATORY) 4. TELEPHONE NUMBER AND EMAIL OF BUSINESS, MOBILE NUMBER (MANDATORY) 5. NOMINAL ISSUED CAPITAL (MANDATORY) 6. NAME OF CONTACT PERSON OR PERSON TO RECEIVE DOCUMENT(MANDATORY) 7. SHARE HOLDERS PARTICULARS AND THEIR ID’S COPIED IN CLOURED.(MANDATORY) 8. PARTICULARS OF DIRECTORS AND THEIR ID’S.(MANDATORY) 9. DATE OF LAST ANNUAL REPORT AND FINANCIAL STATEMENT WITH ATTACHED COPIES.(MANDATORY) 10. PARTICULARS OF TRANSFER OF SHARES WITH RELEVANT DOCUMENTS(IF ANY) 11. SECURITY/CHARGED CREATED WITH DOCUMENT.(IF ANY)