To be completed by each Director, Company Secretary, Authorised Official and 10%+ Shareholder
2. Full Physical Address: P.O. Box not allowed: *
3. Mailing Address: *
15. Have there ever been any criminal or civil proceedings brought against you? If yes, please describe: *
16. Are you or your spouse, singularly or as part of a group, in a position of control or similarly connected to any publicly listed company of any jurisdiction? Please state details:*
17. Are you, your spouse or your immediate family, Politically Exposed Persons? Do you work in a Ministry, Embassy, non-governmental international organisation, or any other institution that represents a government or nation, whether abroad or here in T&T? Even if not, are you related or closely connected to any such individual?