Annual Return Authorization Form 周年申報表授權表格 COMPANY INFORMATIONCompany English Name 公司英文名*Company Chinese Name 公司中文名Company No. 公司編號*Annual Date 申報日期* Date Format: DD dash MM dash YYYY Company Address 公司地址*Issued share capital (Shares) 已發行股本(股份)*Issued share capital (Amount) 已發行股本(金額)*Shareholders/Members 公司股東/成員Directors 公司董事Company Secretary 公司秘書TERMS & CONDITIONS 條款和細則1. I declare that all information given in this Authorization Form is correct, complete and true to the best of my knowledge and belief. 盡本人所知所信，及證實在本授權表格內提供的資料均是全面、詳盡及正確無誤。 2. I here authorize KPC CORPORATE SERVICES LIMITED to submit the Annual Return to Hong Kong Companies Registry on behalf of the Company. 本人現委託 KPC CORPORATE SERVICES LIMITED 代為本公司向香港公司註冊處申報周年申報表。 3. I here authorize KPC CORPORATE SERVICES LIMITED to connect and use the e-Registry of Hong Kong Companies Registry on behalf of the Company. 本人現委託 KPC CORPORATE SERVICES LIMITED 代為本公司向香港公司註冊處之「註冊易」網站建立關聯及使用。* I Agree & Confirm the above declaration. 本人同意並確認以上聲明。 Your Signature 請在此簽署確認*Signed By 簽署人*Capacity/Role 簽署人職位*Director 董事Shareholder/Member 股東/成員Employee 僱員Date for Signature 簽署日期* Date Format: DD dash MM dash YYYY CONFIRMATION {all_fields}