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Schedule 1

FORMS

(Regulation 3)

FORM 1

APPLICATION FOR CERTIFICATE OF ELIGIBILITY

ALIEN LANDHOLDING (LICENSING) ACT,
NO. 1 OF 2020: SECTION 8(2)(a)

Please read the following instructions carefully before completing this application form.

INSTRUCTIONS

DOCUMENT CHECK LIST – The following documents are required from the alien:

1. This form must be used to make an application for a Certificate of Eligibility to be eligible to make an application for an Alien Landholding Licence.

1. This application form must be accompanied by all requisite documentation for a Certificate of Eligibility.

2. Proof of payment of the non-refundable application fee for a Certificate of Eligibility.

2. In a case where an application is made by an alien that is a company, a director, shareholder or beneficial owner may fill out the application on behalf of the company.

3. Birth certificate or birth record.

4. In the case of a name change, an alien must provide a certified copy of the name change document, for example, a Deed Poll or Adoption papers. In the case of a company, a certified copy of the merger or amalgamation agreement must be provided.

3. Items 1.4 to 1.8, 2.1 and 2.3 do not apply to an alien that is a company.

4. This application form must be completed in the English Language and must be submitted in BOTH electronic and printed form.

5. Two (2) passport-sized color photographs of the alien taken within the last six (6) months certified as the true likeness of that alien.

5. All supporting documents submitted with this application form must be in the English Language or an authenticated translation in the English Language.

6. A certified copy of the passport bio-data page.

An “authenticated translation” means a translation effected by either a professional translator who is officially accredited by a court of law, a government agency, an international organization or similar institution, or if effected in a country where there are no official accredited translators, a translation effected by a company whose role or business is effecting professional translations.

7. Proof of residential address valid within the last three (3) months immediately preceding the submission of the application. (E.g. an original copy of a recent Utility Bill OR Bank Statement showing the full name and address. In the case of a company, a Notice of Address must be provided.

8. An original Bank Reference Letter issued by an internationally recognized financial institution within the last six (6) months preceding the submission of the application form.

A copy of the credentials or professional certificate(s) of the translator must be presented.

9. An original Police Certificate of Good Character or its equivalent from the alien's country of residence and if not the same, from his or her country of nationality.

6. Where a document is required to be submitted, either the original or a certified copy must be provided. A “certified copy” means a photocopy or facsimile of the original document certified by a Notary Royal, an Attorney-at-Law or the Commissioner of Oaths to be a true copy of the original.

10. In the case of an alien that is a company, a director, beneficial owner and shareholder with at least twenty-five per cent (25%) shares in the company must submit the documentation required at items 2 to 8 above.

7. Note that an application can only be accepted and processed if this application form is properly completed, dated and signed.

11. In the case of an alien that is a company, this application must be accompanied by —

(a) a certified copy of the Certificate of Incorporation or Certificate of Registration;

(b) a Certificate of Good Standing or its equivalent from the country the company was incorporated or registered;

(d) a notice of the directors, beneficial owners or shareholders of the company.

12. A copy of the register of land currently owned in Saint Lucia, if applicable.

13. A statutory declaration verifying the contents of the application.

Part 1 – General

I am completing this form as an

Individual

Company

I am applying for a Certificate of Eligibility for one (1) year.

I am applying for a Certificate of Eligibility for ten (10) years.

1. PERSONAL/COMPANY DETAILS

1.1 (a) Full name (as shown on your birth certificate). Confirmation of your full name (certified copy of full birth certificate OR excerpt of full birth record)

Last Name (family name)

First/Given Name

Middle Name(s)

Other Name(s)

1.1 (b)

Company name

Company number

1.2 Current name, if different from above

Last Name (family name)

First/Given Name

Middle Name(s)

Other Name(s)

1.3 Method of name change:

(a) in the case of an individual:

Marriage

Deed Poll

Adoption

Other

(b) in the case of a company:

Merger

Amalgamation

Other

(Note: You must provide supporting documents for proof of any change of name, such as, a Deed poll, adoption papers, merger or amalgamation agreement or other document.)

1.4 Name in Ethnic Script

1.5 Date of Birth (DD/MM/YYYY)

1.6 Place and Country of Birth

1.7 Gender

1.8 Citizenship at birth

1.9 Complete for all your current passports

Complete for each additional passport you hold. Attach additional pages, if required.

Passport 1

Passport 2

Passport 3

Issuing country

Passport Number

Place of issue

Date of issue

Date of expiration

1.10 Contact Information

Home Telephone Number

Mobile Telephone Number

Facsimile Number

Other Telephone Number

Email Address

1.11 Current Address/Registered address of the company (NOTE: An individual MUST provide proof of his or her current residence by a certified copy OR recent Utility Bill OR Bank Statement showing his or her full name and address and in the case of a company the last filed Notice of Address).

Street Address

City

State

Country

Zip Code

Date since residing at current address

(DD/MM/YYYY)

1.12 Permanent Residential Address (if different from current address)

Street Address

City

State

Country

Zip Code

Date since residing at permanent address

(DD/MM/YYYY)

1.13 Please provide an address in Saint Lucia for service of correspondence

2. INCOME AND SOURCE OF WEALTH OF THE PRINCIPAL APPLICANT

2.1 Are you self-employed?

Yes

If yes, please complete the following section 2.2 with the details of your primary business

2.2 Details of your primary business

Name of Business

Nature of Business

Registered Address of Business

Business Website Address

Business Telephone Number

Business Facsimile Number

If not applicable, please complete the following section with the details of your employer.

2.3 Details of employer's business

Name of Employer

Nature of Employer's Business

Registered Address of Employer's Business

Employer's Business Website Address

Employer's Business Telephone Number

Employer's Business Facsimile Number

2.4 What is your main source of income?

2.5 What is the main geographic jurisdiction(s) in which you conduct business?

2.6 What is your estimated gross annual income in US Dollars?

3. ALIEN INVESTOR ENTRANCE PERMIT

3.1 (a) Further to completing the application, do you wish to apply for an Alien Investor Entrance Permit?

YES

3.1 (b) In the case of an alien that is a company: Who is applying for an Alien Investor Entrance Permit?

Number of persons

a director

Number of persons

a shareholder

Number of persons

a beneficial owner

Number of persons

a dependant of a director, shareholder or beneficial owner

3. (a) DECLARATION

To be filled out by the alien and, in the case of an alien that is a company, by each director, shareholder, beneficial owner and each dependent of an alien.

Yes

4.1 Have you ever been arrested, detained, charged or been expunged of any offence(s) in any country?

4.2 Have you ever been sentenced to serve a period of time in detention or been on probation?

4.3 Have you ever been involved, directly or indirectly, in the financing of terrorism or in any terrorist or criminal organization?

4.4 Have you ever been the subject of an order, judgement or decree of a federal or state authority barring, suspending, or otherwise limiting your right to engage in a professional, business practice or activity?

4.5 I confirm that my wealth has been obtained from completely legitimate sources, and is not, whether directly or indirectly, from the proceeds of criminal activity of any kind.

4.6 If you have answered yes to any declaration between 4.1 to 4.4, please provide a full explanation below.

3. (b) DECLARATION

Please ensure that the information provided is true and correct. If you have provided false information or omitted information, your application for a Certificate of Eligibility may be denied under the Alien Landholding (Licensing) Act, No. 1 of 2020 and you may face criminal prosecution.

I certify that I have read and understood all the questions in this application form and that the information provided, whether supplied directly by myself or through an attorney-at-law completing this application form on my behalf, is true and up-to-date in every detail.

I authorize, without reservation, the Citizenship by Investment Unit ('the Unit') to verify any personal information about me. Accordingly, I also authorize the Unit, either directly or through an agent that the Unit may choose to engage, to decide to obtain further information, credit reports, criminal records or any kind of records about me that the Unit considers necessary.

I understand that such information, records and reports may be obtained from online sources, government agencies or private sources.

I also authorize an agent contacted by the Unit to furnish the requested information, reports or records about me, and I release all parties involved from any responsibility and liability in doing so.

Accordingly, I also authorize the release by the Unit of any personal information about me given in this application or otherwise obtained by the Unit in order to verify such information or obtain such reports or records about me, which may assist the Unit in deciding whether my application for a Certificate of Eligibility will be granted.

If there is any change in my circumstances which may affect the information that I have given in this application, I confirm that I will advise, in writing to the Unit, for the interim period between the date of this application and the date of the grant or denial of the application for a Certificate of Eligibility.

If the Certificate of Eligibility is granted to me, I do solemnly pledge that:

(a) I will always faithfully observe the laws of Saint Lucia; and

(b) I will conduct myself in a manner that does not bring disrepute to Saint Lucia.

(Place)

(Date)

(Signature of applicant) / (Signature of director / shareholder or beneficial owner on behalf of company)

FORM 2

(Regulation 5)

NOTICE OF DIRECTOR, BENEFICIAL OWNER AND SHAREHOLDER

ALIEN LANDHOLDING (LICENSING) ACT,
NO. 1 OF 2020: SECTION 8(2)(c)(v)(D)

Please complete for each director, beneficial owner and shareholder with twenty-five per cent or more shares in the company. Attach additional copies on separate sheets as required.

1B1. Name

Last Name

First Name

Other Names

1B2. Nationality

1B3. Date of Birth (DD/MM/YY)

1B4. Address

Permanent Address

City

Zip Code

Country

1B5. Contact Details

Home Phone

Cell Phone

Email Address

1B6. Identification

Social Security Number (SSN)

Number

National Identification Card

Number

Expiry Date (DD/MM/YY)

Passport

Number

Expiry Date (DD/MM/YY)

1B7. Occupation

Employed

Self Employed

Retired

If you are retired, please give details of your past occupation

Name of Company

Last Position Held

Address

City

Zip Code

Country

1B8.

Is the director/shareholder a resident of Saint Lucia?

Yes

If yes, how long has he or she been a resident?

If no, which country(ies) is he or she a resident of?

FORM 3

(Regulation 7)

APPLICATION FOR ALIEN LANDHOLDING LICENCE

ALIEN LANDHOLDING (LICENSING) ACT,
NO. 1 OF 2020: SECTION 15(2)(b)

Please read the following instructions carefully before completing this application form.
INSTRUCTIONS					DOCUMENT CHECK LIST – The following documents are required from the alien:
1. This application form must be used to make an application for an Alien Landholding Licence.					1. This application form must be accompanied by all requisite documentation.
2. An application may be submitted by an alien or an attorney-at-law on behalf of the alien.					2. A valid Certificate of Eligibility.
					3. In relation to the land to be purchased, acquired, leased or subdivided:
3. This application form must be completed in the English Language and must be submitted in BOTH electronic and printed form.					(a) a copy of the register and/or other valid proof of the current owner of land;

					(b) a copy of the Map Sheet and Survey Plan showing the location and size of the parcel or lot of land;
4. All supporting documents submitted with this application must be in the English Language or an authenticated translation in the English Language.
					(c) proof of the agreed purchase price;
An “authenticated translation” means a translation effected by either a professional translator who is officially accredited by a court of law, a government agency, an international organization or similar institution, or if effected in a country where					(d) proof that the land is part of an approved project or development, where applicable; and
					(e) in the case of an application for an alien landholding licence to hold a subdivided lot, the non-refundable application fee.
there are no official accredited translators, a translation effected by a company whose role or business is effecting professional translations.					4. A copy of the register and Map Sheet for the land that the alien currently owns or leases in Saint Lucia, if applicable.
A copy of the credentials or professional certificate(s) of the translator must be presented.					5. A statutory declaration verifying the contents of the application.
5. Where a document is required to be submitted, either the original or a certified copy must be provided. A “certified copy” means a photocopy or facsimile of the original document certified by a Notary Royal, an Attorney-at-Law or the Commissioner of Oaths to be a true copy of the original.




Note that an application can only be accepted and processed if this application form is properly completed, dated, signed.
1. PERSONAL DETAILS
1.1 Your full name (as shown on your birth certificate). Confirmation of your full name (certified copy of Birth Certificate OR excerpt of full birth record)

	Last Name (family name)					First/Given Name

	Middle Name(s)					Other Name(s)
1.2 Your current name, if different from above

	Last Name (family name)					First/Given Name

	Middle Name(s)					Other Name(s)
2. LAND DETAILS
2.1 State reason for applying for an alien landholding licence:
		to purchase land

		to acquire land for rental purposes or otherwise

		to lease land

		a subdivided lot
2.2 Is the land to be purchased, acquired, leased or subdivided part of an approved project or development?
		Condominium Act, Cap. 5.05

		Tourism Stimulus and Investment Act, Cap. 3.18

		Tourism Incentives Act, Cap. 15.30

		under any other law.
Please specify
2.3 Do you currently own or lease land in Saint Lucia							Yes	No
If yes, please specify the details of the land which you currently own or lease in Saint Lucia (including the size of the land)


2.4 Provide the purpose for which the land is to be utilized.


2.5 Provide land details here (including location, Block and Parcel Number)


2.6 Name and particulars of the current land owner.



2.7 State the agreed purchase price or consideration for the purchase, acquisition or lease of the land


3. DECLARATION
Please ensure that the information provided is true and correct. If you have provided false information or omitted information, your application for an Alien Landholding Licence may be denied in accordance with the Alien Landholding (Licensing) Act, No. 1 of 2020 and you may face criminal prosecution.
I certify that I have read and understood all the questions in this application form and that the information provided, whether supplied directly by myself or through an attorney-at-law completing this application form on my behalf, is true and up-to-date in every detail.
I authorize, without reservation, the Citizenship by Investment Unit ('the Unit') to verify any personal information about me. Accordingly, I also authorize the Unit, either directly or through an agent that the Unit may choose to engage, to decide to obtain further information, credit reports, criminal records or any kind of records about me which the Unit considers necessary.
I understand that such information, records and reports may be obtained from online sources, government agencies or private sources.
I, therefore authorize any agents contacted by the Unit to furnish the requested information, reports or records about me, and I release all parties involved from any responsibility and liability in doing so.
Accordingly, I also authorize the release by the Unit of any personal information about me given on this application form or otherwise obtained by the Unit in order to verify such information or obtain such reports or records about me, which may assist the Unit in deciding whether I qualify for an Alien Landholding Licence.
If there is a change in my circumstances which may affect the information that I have given in this application, I confirm that I will give written notice to the Unit, for the interim period between the date of this application and the date of granting the Alien Landholding Licence to me.
If the Alien Landholding Licence is granted to me, I do solemnly pledge that:
(a) I will always faithfully observe the laws of Saint Lucia; and
(b) I will conduct myself in a manner that does not bring disrepute to Saint Lucia.

(Place)			(Date)	(Name and Signature of applicant) / (Name and signature of director / shareholder/beneficial owner on behalf of the company)

FORM 4

(Regulation 11)

APPLICATION FOR AMENDMENT OF AN ALIEN LANDHOLDING LICENCE

ALIEN LANDHOLDING (LICENSING) ACT,
NO. 1 OF 2020: SECTION 22(2)

Please read the following instructions carefully before completing this application form.
INSTRUCTIONS			DOCUMENT CHECK LIST – The following documents are required from the alien —
1. This application form must be used to make an application for an amendment of an Alien Landholding Licence.			1. This application form must be accompanied by all requisite documentation for an amended alien landholding licence.
2. An application may be submitted by an alien or an attorney-at-law on behalf of the alien.			2. A valid Certificate of Eligibility belonging to the person making the application for the amendment.
3. This application form must be completed in English and must be submitted in BOTH electronic and printed form.			3. A valid licence issued under the former Act or an alien landholding licence.
4. All supporting documents submitted with the application must be in the English Language or an authenticated translation in the English Language.			4. Proof of entitlement to the land by court order or otherwise.
			5. Proof of payment of the fee for an amended alien landholding licence.
An “authenticated translation” means a translation effected by either a professional translator who is officially accredited by a court of law, a government agency, an international organization or similar institution, or if effected in a country where there are no official accredited translators, a translation effected by a company whose role or business is effecting professional translations.
A copy of the credentials or professional certificate(s) of the translator must be presented.
5. Where a document is required to be submitted, either the original or a certified copy must be provided. A “certified copy” means a photocopy or facsimile of the original document certified by a Notary Royal, an Attorney-at-Law or the Commissioner of Oaths to be a true copy of the original.
Note that an application can only be accepted and processed if this form is properly completed, dated and signed.
PERSONAL DETAILS
1.1 Your full name (as shown on your birth certificate). Confirmation of your full name (certified copy of full birth certificate OR excerpt of full birth record)

Last Name (family name)				First/Given name

Middle Name(s)				Other Name(s)
1.2 Your current name, if different from above

Last Name (family name)				First/Given name

Select the reason for applying to amend the licence or alien landholding licence and insert full details below.
	Divorce of an alien

	Death of an alien

	Receivership or liquidation of an alien that is a company

	Other



State the name to be entered on the re-issued Alien Landholding License


DECLARATION
I certify that I have read and understood all the questions in this application form and that the information provided, whether supplied directly by myself or through an Attorney-at-Law completing the form on my behalf, is true and up-to-date in every detail.
I authorize, without reservation, the Citizenship by Investment Unit ('the Unit') to verify any personal information about me. Accordingly, I also authorize the Unit, either directly or through an agent that the Unit may choose to engage, to decide to obtain further information, credit reports, criminal records or any kind of records about me which the Unit considers necessary.
I understand that such information, records and reports may be obtained from online sources, government agencies or private sources. I authorize any agents contacted by the Unit to furnish the requested information, reports or records about me, and I release all parties involved from any responsibility and liability in doing so.
Accordingly, I also authorize the release by the Unit of any personal information about me given on this application form or otherwise obtained by the Unit in order to verify such information or obtain such reports or records about me, which may assist the Unit in deciding whether I qualify for an amended Alien Landholding Licence.
If there is a change in my circumstances which may affect the information that I have given in this application, I confirm that I will give written notice to the Unit, for the interim period between the date of this application and the date of granting an amended Alien Landholding Licence to me.
If an amended Alien Landholding Licence is granted to me, I do solemnly pledge that —
(a) I will always faithfully observe the laws of Saint Lucia; and
(b) I will conduct myself in a manner that does not bring disrepute to Saint Lucia.

(Place)		(Date)			(Name and Signature of applicant) / (Name and Signature of director / beneficial owner/shareholder)

FORM 5

(Regulation 14)

APPLICATION FOR AN EXTENSION OF TIME

ALIEN LANDHOLDING (LICENSING) ACT,
NO. 1 OF 2020: SECTION 31(1)

The Tribunal
TAKE NOTICE that , hereby seeks an
extension of time:
(a) to make full payment of the non-refundable non-development fee;
(b) to make full payment of the non-refundable non-operation fee;
(c) to take action to rectify a breach of a condition of an alien landholding licence.
1. Details of notice to alien or alien investor:
2. Grounds for extension of time:
3. Order sought:
4. Specific power the Tribunal is asked to exercise.
	Dated:
	Signed:
Address for service of the alien or alien investor is:

FORM 6

(Regulation 15)

APPLICATION FOR AN ALIEN INVESTOR ENTRANCE PERMIT

ALIEN LANDHOLDING (LICENSING) ACT:
NO. 1 OF 2020 SECTION 44

Please read the following instructions carefully before completing this application form.
INSTRUCTIONS		DOCUMENT CHECK LIST – The following documents are required from the alien:
1. This application form must be used to make an application for an Alien Investor Entrance Permit.		1. This form must be accompanied by all requisite documentation.
2. An application may be submitted by an alien or an attorney-at-law on behalf of the alien.		2. A valid Certificate of Eligibility issued to the person making the application for the amendment.
3. This application form must be completed in English and must be submitted in BOTH electronic and printed form.		3. A valid licence issued under the former Act or an alien landholding licence.
4. All supporting documents submitted with the application must be in the English Language or an authenticated translation in the English Language.		4. A letter in support of an application for an alien investor entrance permit issued by the Citizenship by Investment Unit.
An “authenticated translation” means a translation effected by either a professional translator who is officially accredited by a court of law, a government agency, an international organization or similar official institution, or if effected in a country where there are no official accredited translators, a translation effected by a company whose role or business is effecting professional translations.		5. The passport —
		(a) of the alien;
		(b) of the dependant(s) of an alien;
		(c) in the case of an alien that is a company, a copy of the valid passport of each director, beneficial owner or shareholder of that company.
		6. Evidence of the alien's relationship with each dependant.
A copy of the credentials or professional certificate(s) of the translator must be presented.
5. Where a document is required to be submitted, either the original or a certified copy must be provided. A “certified copy” means a photocopy or facsimile of the original document certified by a Notary Royal, an Attorney-at-Law or the Commissioner of Oaths to be a true copy of the original.
Note that an application can only be accepted and processed if this application form is properly completed, dated and signed.
PERSONAL DETAILS
1.1 Your full name (as shown on your birth certificate). Confirmation of your full name (certified copy of full birth certificate OR excerpt of full birth record)

Last Name (family name)				First/Given name

Middle Name(s)				Other Name(s)
1.2 Your current name, if different from above

Last Name (family name)			First/Given name

1.3 Indicate your reason(s) for applying for an Alien Investor Entrance Permit.
1.4 State the name of your dependents to this application and their relationship to you.
FULL NAME		RELATIONSHIP


1.5 DECLARATION
I certify that I have read and understood all the questions in this application form and that the information provided, whether supplied directly by myself or through an attorney-at-law completing the form on my behalf, is true and up-to-date in every detail.
I authorize, without reservation, the Chief Immigration Officer to verify any personal information about me. Accordingly, I also authorize the Chief Immigration Officer, either directly or through an agent that the Chief Immigration Officer may choose to engage, to decide to obtain further information, credit reports, criminal records or any kind of record about me which he or she considers necessary.
I understand that such information, records and reports may be obtained from online sources, government agencies or private sources. I authorize any agents contacted by the Chief Immigration Officer to furnish the requested information, reports or records about me, and I release all parties involved from any responsibility and liability in doing so.
Accordingly, I also authorize the release by the Chief Immigration Officer of any personal information about me given on this application form or otherwise obtained by the Chief Immigration Officer in order to verify such information or obtain such reports or records about me, which may assist the Chief Immigration Officer in deciding whether I qualify for an Alien Investor Entrance Permit.
If there is a change in my circumstances which may affect the information that I have given in this application, I confirm that I will give written notice to the Chief Immigration Officer, for the interim period between the date of this application and the date of granting the Alien Investor Entrance Permit to me.
If an Alien Investor Entrance Permit is granted to me, I do solemnly pledge that:
(a) I will always faithfully observe the laws of Saint Lucia; and
(b) I will conduct myself in a manner that does not bring disrepute to Saint Lucia.

(Place)	(Date)				(Name and Signature of applicant) / (Name and Signature of director / beneficial owner/shareholder)