FORM 3 |
The statement must be delivered to the Registrar. |
Number of Certificate |
REGISTRATION OF BUSINESS NAMES ACT |
Application for Registration by a Corporation |
having a place of business in Saint Lucia and carrying on the business wholly or mainly as nominee or trustee of or for another person or other persons or another corporation or acting as general agent for any foreign firm. |
(Insert name of corporation) |
hereby apply for registration under the provisions of the Registration of Business Names Act and for that purpose furnish the following statement of particulars— |
(1) | The business name |
(2) | The general nature of the business |
(3) | The principal place of the business |
(4) | The date of the commencement of the business if the business was commenced after the date of the commencement of the Act |
(5) | The other name or names (if any) under which the business is carried on |
(6) | The corporate name of the corporation applying for registration |
(7) | The registered or principal office of the corporation applying for registration |
The following Statement of Additional Particulars (8), (9), (10), (11) and (12), is to be furnished in respect of the carrying on by such Corporation of the business wholly or mainly as nominee or trustee of or for another person or other persons or another Corporation, however, if the business is carried on under any trust and any of the beneficiaries are a class of children or other persons, then the particulars required under (12) only need be furnished. |
(8) | The present Christian name or names and surname or the corporate name of every person or corporation on whose behalf the business is carried on |
(9) | Any former name or names of any person on whose behalf the business is carried on |
(10) | The nationality of every person on whose behalf the business is carried on |
(11) | The usual residence of every person on whose behalf the business is carried on |
(12) | Description of the class of beneficiaries |
The further following Statement of Additional Particulars is to be furnished in respect of any corporation having a place of business within Saint Lucia and acting as general agent for any *foreign firm. |
(13) | The business name and address of the foreign firm as agent for whom the business is carried on |
If the business is carried on as Agent for 3 or more foreign firms it is sufficient to state the fact that the business is so carried on, specifying the countries in which such foreign firms carry on business. |
Dated the .................... day of .......................... 20....... |
Signature. |
(For instructions as to signing, see Note A.) |
*“Foreign firm” means any firm, individual or corporation whose principal place of business is situate outside the Commonwealth countries. |
Note A.—This statement must in all cases be signed by a director or the secretary of the corporation applying for registration. |
Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine of $5 for every day during which the default continues, and where a Corporation commits an offence under this Act, every director, secretary and officer of the corporation who is knowingly a party to the default will commit a like offence and are liable to a like penalty. Any statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term of 3 months or to a fine not exceeding $96, or to both such imprisonment and fine. |