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PROFESSIONAL INTERMEDIARIES AND AFFILIATE PROGRAM

APPLICATION
    Please complete the field marks with an '*'
Type of Scheme Applied for: *    
Country of Operation:     Luxembourg
 

About You

    
First Name: *    
Last Name: *    
Nationality: *    
  Highest Academic Achievement :      
  Most relevant professional qualification:      
  Date of birth:      
  Languages:      
       

About your firm
Name of Firm:    
Nature of Business
(e.g. Accountants)		    
Number of qualified professional staff:    
Approx. annual turnover in US Dollars:    
  Total Number of Staff:      
  Number of Years established:      
  Number of local offices:      
  Number of International offices:      
 

Expertise

  
 
Do you currently establish or administer domestic companies or trusts on behalf of others:
      
 
Do you currently establish or administer foreign companies or trusts on behalf of others:
      
 
Do you provide domestic tax advice:
     Yes No  
 
Do you provide international tax advice:
     Yes No  
 
Do you provide investment advice:
     Yes No  
 
Is your firm regulated or licensed and if so how?
      
 
Are you a client of GTA World Wide, if so provide details below.
     Yes No  
       
Contact Details:
 
Address: *
      
 
Telephone Number: *
      
 
Facsimile Number: *
      
 
E-Mail: *
      
 
Internet Home Page: *
      
 
   
 

Why?

  
  What would you seek to benefit from a relationship with GTA Worldwide:      
  How can we assist each other:      
 
Please send your entry now in strict confidence.


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