Date:

(1)  Instruction given by:                              

                              Name:               
                Email Address:               
Firm or Company Name:               

Correspondance Address:
                                                        

Telephone Number:                       
Fax Number:                                  

(2)    Proposed Name of Company:           1.
        In order of preference:                      2.
                                                                    3.

(3) Situation Of Dwellings    
     State Whether Houses Or
     Apartments Or Commercial Units

(4)     Amount of Nominal Capital:              
(1 Share For Each Dwelling Or Commercial Unit) 

(5) Name Of Lessor Or Transferor     
     (Possibly Developer)

(6)    Registered Office Address:   (Must be situate in Country of Registration)
                                                        

(6)    Name/s of Director/s: 

(5)    Outline of Main Objects, State Management of: