Personal Information
Identification
Permanent Address
Present Address
Contact Information
Other Details
Yes No
Have you taken up legal permanent resident status in any country other than that of your nationality?
If answer is "yes" , which country?
Yes No
Have you taken any legal steps towards changing your present nationality?
If answer is "yes" explain fully,
Directors Add Director
Legal Details
Yes No
Have you ever been arrested , indicted or summoned into court as a defendant in a criminal or civil proceeding, or convited, fined or imprisoned for violation of any law (excluding minor traffic violations)?
If Yes, please give full particulars of each case in an attached statement.
Spouse Information "(If Applicable)"
Spouse Identification
References

First

Second

CV Upload: "CV of Principal Investor(s)"
Confirmation

I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief.

I understand that any misrepresentation or material omission made on a Personal History form or other document requested by Invest Turks and Caicos will result in the cancellation of any offer of incentives or signed Development Agreement with the Government of the Turks and Caicos Islands.

I hereby provide my consent for Invest Turks & Caicos to conduct a background investigation by way of credit inquiries, personal property registrations, litigation searches, bankruptcy registrations, criminal record verification and any other legally available corporate or personal information on myself and my businesses / companies. I further consent to provide Invest Turks and Caicos or their Agents with up to date records to assist them in verifying the information contained in this report.