New Account Form for Juridical Entities

NAME OF COMPANY
PLACE OF REGISTRATION		TELEPHONE
ADDRESS		FAX
		TELEX

CURRENCY


WITH SEPARATE SIGNATURES	WITH JOINT SIGNATURES

NAME OF AUTHORIZED PERSONS	NUMBERS OF IDENTITY CARDS
#1
#2
#3
Any holders of a joint account are entitled to use this account.

OTHER INFORMATION:

    PLEASE INCLUDE THE FOLLOWING ITEMS WITH THIS APPLICATION.
    1. Company Registration Copy (Certificate of Incorporation).
    2. Power of Attorney / Resolution of Board of Directors for Authorized Signatures.
    3. Memorandum of Articles.
    4. Passport Copies of Authorized Persons.