Company Name: ___________________________________________________________________________________________

Company Number: _________________________

(the “Entity”)	Date (format: dd/mm/yyyy): ____/____/________

BVI Register of Members and Beneficial Owner Information – Confirmation

We hereby confirm that:

☐ A. The Entity is not exempt from the filing of Register of Members and Beneficial Ownership Information. We provide the attached Data Form(s) for each shareholder, beneficial owner, exempted owner and nominator, where applicable.

☐ B. Subsidiary of BVI Parent, BTCA Trustee or Foreign Fund: The Entity is exempt from the filing of Beneficial Ownership Information. Details required for the exemption are listed below. The Entity is required to file its Register of Members. We provide the attached Data Form(s) for each shareholder and nominator, where applicable.

☐ B1. Subsidiary of BVI Parent: The Entity is a subsidiary of another legal entity (the “Parent”) that is subject to the filing of Beneficial Ownership Information, where the Parent holds directly or indirectly 75% or more beneficial interest or voting rights.

BVI Parent Name: _______________________________________________________________________________
BVI Parent Entity Number: ______________________	Parent Date of Incorporation: ____/____/________

☐ B2. BTCA Trustee: The shares of the Entity are held by a trustee licensed under the BVI Banks and Trust Companies Act (BTCA).

Name of BTCA Trustee: ____________________________________________________________________

☐ B3. Foreign Fund: The Entity is a Foreign Fund that is subject to disclosure and transparency rules that are contained in international standards and are equivalent to those applicable to a BVI fund. A copy of the license or certificate is attached.

Name of Foreign Fund (“FF”): _______________________________________________________________
FF Entity Number: _____________________________	FF Date of Incorporation: ____/____/________
FF Place of Incorporation: _____________________	Address Reported: ☐ Registered Off. ☐ Principal
FF Address: ____________________________________________________________________________________
Exemption Criteria: _____________________________________________________________________________
Disclosure and Transparency Rules: ______________________________________________________________
International Standards: ________________________________________________________________________

☐ C. Listed Company or BVI Fund: The Entity is exempt from the filing of Register of Members and Beneficial Ownership Information. Details required for the exemption are listed below.

☐ C1. Listed Company: The Entity is a listed company in a Recognized Stock Exchange.

Stock Exchange Name: ___________________________________________________________________
Ticker Symbol: __________________________________________	Listing Date: ____/____/________
Stock Exchange Regulator: ___________________________________	Country: _______________________

☐ C2. BVI Fund: The Entity is a specified fund licensed in the BVI.

License Number: ________________________________________________________________________

Submitted by:

_____________________________

Name: _________________________________

Relationship with the Entity: ________________________________