| (This part to be completed if the application is being made by an individual) |
| 10. | Full name (surname in capitals). |
| 11. | Attach a completed Personal Declaration Form. |
| 12. | Are you or your spouse a Director or Officer in any Company, whether incorporated in Saint Lucia or elsewhere (state YES or NO) ... |
| If YES, give full details of the Company. |
| 13. | In relation to this application are you acting wholly or partly as a nominee or an agent for, or trustee of another person, persons or organisations (state YES or NO) ... |
| If YES, give full details of the arrangement. |
| 14. | Give the name and address of your accountants and/or auditors. |
| 15. | Are you in business as an individual at the present time (state YES or NO) |
| If YES, give full details of the business |
| 16. | Will the business which is the subject of this application be carried on under a business name (state YES or NO) ... |
| If YES, state the full business name and address. |