Company

Enterprise Legal Name: *

Enterprise Registration №:*

N.B. The declaration is to be completed and signed by a warranted Certified Public Accountant.

	Euro	Euro
Financial Year
Projected Turnover
Projected Total Assets
Share Capital
Share Premium (if any)
Projected Total Equity
Projected Total Liabilities

Name of Certified Accountant*

First NameLast Name

Warrant №*

Signature*

Date*

Date

Please note that once the application has been submitted no amendments can be made.