Application form for issuance of a certificate/reference from the register

TO
THE PRESIDENT OF
BULGARIAN CHAMBER OF
COMMERCE AND INDUSTRY

A P P L I C A T I O N F O R M

From , representative of
      /full name of the person/


/enter the name of the legal entity registered in BCCI in Bulgarian language/


/enter the name of the legal entity registered in BCCI in Latin letters/

UIC/BULSTAT

DEAR MR. PRESIDENT,

I would like to obtain a certificate with data from the Unified Trade Register of BCCI about the status of the above-mentioned legal entity in
language.

I would like /I would not like/ the certificate to contain the following data:
/the required is to be selected/
  about the legal representative(s): name, Personal ID/Personal Number of Foreigner; ID Card, passport data
When selected - I provide the data for inclusion in the certificate as follows:


  about the authorized representative(s): name, Personal ID/Personal Number of Foreigner; ID Card, passport data
When selected - I provide the data for inclusion in the certificate as follows:


  about the partners – natural persons: name, Personal ID/Personal Number of Foreigner; ID Card, passport data
When selected - I provide the data for inclusion in the certificate as follows:


  about the partners – legal entities: name, UIC/BULSTAT, legal seat;
  the share participation of the partners in the capital of the legal entity;
  the bank accounts of the legal entity.
The duration of the expressed wish for inclusion of the above-cited data in the certificate is until its explicit withdrawal in writing.

The certificate will serve before:

The names and data of the legal and/or authorized representatives and of the partners, in compliance with their passports are written in Latin letters as follows:
/enter only if you want the certificate to be issued in a foreign language/


I hereby DECLARE that up to the present moment all the data about the legal entity entered in the Unified Trade Register of BCCI are true and up-to-date. I am aware of the responsibility I bear for falsely declared data.

ENCLOSURE: copy of a notarized power of attorney in case the Application Form is submitted by a person who is not entered as a representative of the legal entity in the Register of BCCI.

Date:  

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