股東資料/shareholder information
A) 中文姓名/name in Chinese:_________________________________________________________
英文姓名/name in English: ___________________________________________________________
身份證/I.D.: ________________________________________________________________________
電話/TEL: ___________________________________________________________________________
B) 中文姓名/name in Chinese: ________________________________________________________
英文姓名/name in English:____________________________________________________________
身份證/I.D.:_________________________________________________________________________
電話/TEL:____________________________________________________________________________
地址/address: _______________________________________________________________________

(地址請填大楷, 方便公司註冊處準確登記。/Please write in block letters for the convenience of the Companies Registry. )
註冊地址/registered address: _______________________________________________________

股份分配/share distribution:________________________________________________________