I. Company Data
1. * Name and Legal Status:

2. * ResidentNon-resident
3. * Owners (founders), their names, current addresses and shares in Owners’ capital:

4. * Place and Date of Registration of the Company, Registration No.:

5. * Year Founded:

6. * Legal Address:

7. * Current Address:

8. Local Currency Account No.:

9. Foreign Currency Account No.:

10. Other bank accounts (specify account numbers and names of banks):

11. * Describe your problem (or the kind of help you need):

12. Name of the defendant or plaintiff, against which the case is initiated:

13. Legal and Current Addresses of the defendant or plaintiff:

II. Management Team Data:
Name of Responsible Person, Phone No.:

General Director (President):

Executive Director:

Deputy Executive Director:

Chief Accountant:

Number of Employees:

QUESTIONNAIRE

1. General Director (President):
Family Name:

First Name:

Patronymic:

Date of Birth (day, month, year):

Place of Birth:

Passport No.:

Issued by:

Registration Address:

Phone No.:

Current Address:

Phone No.:

2. Executive Director:
Family Name:

First Name:

Patronymic:

Date of Birth (day, month, year):

Place of Birth:

Passport No.:

Issued by:

Registration Address:

Phone No.:

Current Address:

Phone No.:

3. Chief Accountant (accountant):
Family Name:

First Name:

Patronymic:

Date of Birth (day, month, year):

Place of Birth:

Passport No.:

Issued by:

Registration Date:

Phone No.:

Current Address:

Phone No.:

Additional Information:

I certify that the information provided above is accurate to the best of my knowledge and may be verified by INTERLAWYER experts

Fields marked with an asterisk * are required.