This Form is required for all new Clients, along with:

1. A letter of reference from a bank, accountant and/or lawyer with whom you have had a professional relationship for a least two years;

2. Suitable identification (e.g., certified copy of passport and/or driver's licence); and

3. A covering letter with an indication as to existing source of funds and likely transactions proposed for your Turks and Caicos company.

Items (1) and (2) are also required for a professional adviser who is introducing business to GARDINER & CO. for the first time. Initially, this Form plus items (1), (2) and (3) can be faxed or emailed, but originals should be sent by post or courier to GARDINER & CO., P.O. Box 8, Caribbean Place, Leeward Highway, Providenciales, Turks and Caicos Islands.

IMPORTANT NOTE: The data entered in this form is transmitted to GARDINER & CO. via Internet E-Mail. All Clients and potential Clients are cautioned not to rely on the confidentiality of such email. Submission of this form does not establish an attorney-client or any other form of professional relationship.

Name of Client:
Title:
Company/Firm Name:
Street Address:
Postal Address:
Phone (office):
Phone (home):
Fax:
Email:
Name of the person from whom instructions are to be given and to whom information provided
Name of the person authorized to receive and pay invoices
Name of client's contact person(s), if different
The following information is required for a new TCI Company
Proposed name of Company and two alternatives
Objects of Proposed Company
Name of Proposed Directors, Shareholders and Offices
Check the following required for your Proposed Company
Bank Account       Securities Account       Credit Card Account
Does the company intend to hold title to any real estate in the Turks and Caicos Islands?
Yes       No
The following is required for an existing TCI Company
Name of Existing Company
Check the following you would like for your Existing Company
Companies Name       Resgistered Capital       Credit Card Account
Check the following you would like changed for your Existing Company
Diretors       Officers       Shareholders
Do you require an existing corporate entitity formed in a jurisdiction other than Turks and Caicos to be registered:

1) As a foreign company to carry out business in Turks and Caicos Islands.
Yes       No

2) By way of continuation as a Turks and Caicos Islands exempted company
Yes       No
If you checked any of the above, then please provide details below:
WIRE TRANSFER INSTRUCTIONS
Ask you bank to wire funds to:
Barclays Bank PLC, 75 Wall Street, New York, NY 10265, USA SWIFT Code BARCUS33 Routhing Number ABA#026 002 574

For the initial credit of Barclays Bank PLC:
Turks and Caicos
Providenciales
Turks and Caicos Islands

SWIFT Code:
BARCU33
(ABA# 066010746)

Account Number:
280 48 78 4865

For further credit to:
GARDINER & CO. account number 125-2760
Barclays Bank Providenciales, Turks and Caicos Islands
Bank sending wire transfer:
Location of sending bank:
Date to be sent:

Jurisdiction -//- Areas of Practice -//- Main Page

Gardiner & Company
P.O. Box 8
Caribbean Place,
Providenciales
Turks & Caicos Islands 		Phone 649 946-4819
Fax 649 941-3452
tcilaw@tciway.tc



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