SOCIALIST REPUBLIC OF VIETNAM

Independence Freedom Happiness

____________________

REQUEST TO ESTABLISH INVESTMENT PROJECT

To: MINISTRY OF PLANNING AND INVESTMENT
VIETNAM SINGAPORE INDUSTRIAL PARK MANAGEMENT BOARD

The investor requests to implement the investment project with the following
contents:
I. INVESTORS:
1. Investor 1:
a) Individual Investor:
Full name (in capital letters):................................Gender:.........................................
Date of birth:................./........./......................Nationality:.........................................
ID Card/Passport No:...................................................................................................
Date of issue:................../........./................Place of issue:.........................................
Other personal identification documents (if no ID Card):...........................................
Date of issue:......./......./..........Expiry date:.........../........./.........Place of issue:.........
Registered permanent address:....................................................................................
Residence address:.......................................................................................................
Phone:..............................Fax:.................................Email:.........................................
b) Organizational Investor:
Enterprises name:.......................................................................................................
Business Registration Certificate/Establishment License No:....................................
Date of issue:.......................................Place of issue:................................................
Address of Head Office:..............................................................................................
Phone:..............................Fax:.......................Email:................Website:.....................

The proportion of contributed charter capital of each investor in their organization

(only applicable to an investor of an enterprise/organization established in
Vietnam):

Ordinal

Name of
foreign
investor(s)

Capital Contribution
Nationality
VND

Proportion
(%)

Equivalent
to .... USD

Legal representative of the enterprise/investor:

Full name:................................................. Gender:.................
Position:..........................Date of birth:.............../...../.............Nationality:...............
ID/Passport No:...........................................................................................................
Date of issue:............/...../.........place of issue:...........................................................
Registered permanent address:....................................................................................
Residence address:.......................................................................................................
Phone:..............................Fax:.......................Email:...................................................
2. Other investors: (to be enumerated as I.1 Investor 1)
II. CONTENTS OF THE ENTERPRISE BEING REGISTERED FOR
ESTABLISHMENT
1. Name of enterprise: ...............................................................................................
2. Type of enterprise:.................................................................................................
3. Charter capital:..............................(in letters) VND, equivalent to ........... (in
letters) USD
4. Portion of Charter Capital contribution:
Ordinal

Name of investor(s)

Capital Contribution

Proportion of
the capital
contribution

VND

Equivalent to USD

(%)

III. CONTENTS OF THE INVESTMENT PROJECT

Name of the investment project:..............................................................................
As stated in the enclosed form of Proposal for Investment Project.
IV. THE INVESTOR UNDERTAKES:
1. To be responsible for the accuracy of the contents of the investment application
file and attached documents;
2. To comply strictly with the provisions of the law of Vietnam and of the
Investment Certificate.
V. ENCLOSED DOCUMENTS
- The documents specified in Item 1 of Article 33/34/35 or Item 2 of Article 37 of
the Investment Law.
- Other relevant documents (if any).
Bnh Dng, day .. month ..year
The Investor
(Signature, seal, full name & title)