Mauritius Trust Services Questionnaire

If you need help completing this form, please contact Dharmesh Naik on +230 217 5100.

	ABOUT THE MAURITIUS TRUST
	Please provide us with a choice of the THREE names for the Proposed Trust.* FIRST* THE   TRUST SECOND* THE   TRUST THIRD* THE   TRUST
	Forum of Administration Please select the Country in which you would like the Trust managed: Isle of Man Seychelles Mauritius Luxembourg Hong Kong Switzerland
	ABOUT THE ASSETS OF THE TRUST*
	Please provide detailed information about the assets which will be settled into the Trust.
	Purpose of Trust and Source of Funds We need detailed information about the purpose of the Proposed Trust and how the Trust will be initially and subsequently funded.
	Who will be the Creator (Settlor) of the Trust?
	INFORMATION ABOUT THE BENEFICIARIES
	Please provide basic details at this stage about who the intended beneficiaries are to be
	ABOUT YOU - MANDATORY
	We require the following information to process your enquiry. Please complete ALL fields marked with an *
	What is your name? * Are you an existing client of OCRA Worldwide? Yes No If yes to above, which office?
	Address *
	How would you like us to contact you? Email Telephone Mobile Facsimile Please supply us with at least one relevant contact detail: E-mail Mobile Telephone Facsimile
	Today's Date DD    MM    YYYY
	MARKETING INFORMATION
	How did you first find out about OCRA Worldwide? Which of our advertisements have you seen?
After submission of this questionnaire we will contact you shortly in order to clarify your requirements, provide you with a full quotation and address mandatory issues relating to due diligence and "know your customer" procedures. Please review our terms of business.