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[接上页] Please answer the following questions- (If there is insufficient space provided for your answer, please continue on a separate sheet of paper, specifying the question number to which your answer relates, and add your signature.) 1. State- (a) the name and any former names of the company in English and Chinese) (b) the place of incorporation (c) the date of incorporation (d) if an oversea company, the date of compliance with Part XI of the Companies Ordinance (Cap 32) (e) the address of the company's registered office (Post Office Box number is not acceptable) (f) the address and telephone number of each place at or from which the company's business as a money lender is carried on (Post Office Box numbers are not acceptable) ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... 1. ..................................... ..................................... 2. ..................................... ..................................... 3. ..................................... .....................................2. Give the following details of every existing director of the company- 1 2 3 4 5 6 Name in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Hong Kong identity card number 3. Give the following details of every person (other than a person named in question 2) who has held office as a director of the company during the period of 12 months immediately preceding the date of this application- 1 2 3 4 5 6 Name in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Period of service as a director Hong Kong identity card number 4. Give the following particulars of any persons (other than the directors named in question 2 above) who will have the authority of the company to grant loans and arrange terms- 1 2 3 4 5 6 Name in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Hong Kong identity card number 5. Give the following particulars of any persons (other than the directors named in question 2 and the persons named in question 4 above) who are to participate actively in the business of the company as a money lender- 1 2 3 4 5 6 Name in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Hong Kong identity card number 6. (a) Will any persons, other than the directors named in question 2 above, have any power to exercise control over, or in relation to, the business of the company as a money lender? (answer "yes" or "no") ............................................ (b) If so, give the following details of those persons- 1 2 3 Name in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Nature of control 7. (a) Give the following details of the 6 principal shareholders of the company or of all the shareholders if less than 6- 1 2 3 4 5 6 Name of shareholder in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) Particulars of shareholdings (including the number and nominal value of the shares held by the shareholders and the total number of shares issued by the company) (b) If any of the principal shareholders given in answer to question 7(a) above is not the beneficial owner of shares held by him, then give the following details in respect of such shareholdings- 1 2 3 4 Name of shareholder Particulars of shareholdings not beneficially owned Name of the beneficial owner in English Name in Chinese characters (if applicable) and code Aliases Residential address (Post Office Box numbers are not acceptable) I declare that all information given by me in this application is true and correct. Dated this ........................ day of .................................... 19 ........... Signed .................................................... A person authorized in this behalf by the company [Note: evidence of authorization should be produced]. PLEASE NOTE 1. You are advised- (a) to read the Money Lenders Ordinance and the Money Lenders Regulations before submitting this application; and (b) not to spend money on the establishment of premises before a licence is granted. 2. A statement in support of this application (Form 5) must also be completed (section 8(1) of the Ordinance). 3. The fee payable upon submitting this application is $6500. |