Incorporation Order Form

1. PLACE OF INCORPORATION:

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2. PROPOSED COMPANY NAME (Please provide three choices in case the proposed name is not available.)

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3. PURPOSE OF PROPOSED COMPANY (Attach business plan or outline proposed activities in the field below)

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4. GEOGRAPHICAL AREA OF OPERATIONS

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5. CAPITAL STRUCTURE

STANDARD AUTHORISED SHARE CAPITAL

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(Please check on Profiles of the Most Popular Jurisdictions as to the standard authorized share capital for each jurisdiction.)

CURRENCY:

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OTHER

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(If the authorized share capital are above standard, please specify here.)

6. SHAREHOLDERS

ONE

NAME:

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NATIONALITY:

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PASSPORT/ID NUMBER:

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MAILING ADDRESS:

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TELEPHONE:

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FAX:

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EMAIL ADDRESS:

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TWO

NAMES:

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NATIONALITY:

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PASSPORT/ID NUMBER:

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MAILING ADDRESS:

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TELEPHONE:

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FAX:

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EMAIL ADDRESS:

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PLEASE ADD ATTACHMENT IF MORE SPACE IS REQUIRED FOR SHAREHOLDERS INFORMATION

7. DIRECTORS

ONE

NAMES:

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NATIONALITY:

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PASSPORT/ID NUMBER:

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MAILING ADDRESS:

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TELEPHONE:

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FAX:

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EMAIL ADDRESS:

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TWO

NAMES:

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NATIONALITY:

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PASSPORT/ID NUMBER:

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MAILING ADDRESS:

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TELEPHONE:

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FAX:

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EMAIL ADDRESS:

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PLEASE ADD ATTACHMENT IF MORE SPACE IS REQUIRED FOR DIRECTORS INFORMATION

8. CONTACT PERSON

NAMES:

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MAILING ADDRESS:

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TELEPHONE:

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FAX:

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EMAIL ADDRESS:

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9. OPEN A BANK A/C FOR THE COMPANY

YES

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NO

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10. IF YOU WOULD LIKE LEHMAN, LEE & XU TO BE YOUR COMPANY SECRETARY OR PROVIDE NOMINEE SHAREHOLDER(S) OR DIRECTORS, PLEASE SPECIFY HERE.

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11. OTHER REQUIREMENTS OR SPECIAL INSTRUCTIONS.

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