Form I.5

Written registration for the establishment of the executive office

(Point a, Clause 4, Article49 of the Investment Law)

THE SOCIALIST REPUBLIC OF VIETNAM

Independence - Freedom - Happiness

WRITTEN REGISTRATION FOR THE ESTABLISHMENT OF THE EXECUTIVE OFFICE

To: ...... (Name of Investment Registration Agency)

Investors register to establish the executive office of the investment project with the following contents:

I. INVESTORS

1. The first investor:

A) For investors as individuals:

Name: ...... Gender: ......

Date of birth: ...... / / ...... Nationality: ......

Identity card / Citizenship / Passport number:…………………………

Date of issue: ……../…./………Place of issue: ………………….

B) For investors as enterprises / organizations:

Name of enterprises/ organizations: ......

Number of Decision on the establishment or number of business registration certificate / enterprise registration certificate or business code ornumber ofinvestment license / investment certificate / investment registration certificate or other documents of the same legal validity: ......

Date of issue: ...... Granting agencies:......

Name of representative office in Vietnam (if any): ......

Address of representative office in Vietnam (if any): ......

II.Investment Information

1. Project name: ......

2. Project number / investment registration certificate / investment certificate / investment license / business license: ......

3. Date of issue (for the first time): ......

4: Grantingagency: ......

5. Location of project implementation: ......

6. Project objectives: ......

III. THE CONTENT OF REGISTRATION OF EXECUTIVE OFFICE FOR INVESTMENT PROJECT

1. Name of executive office:

Name in Vietnamese: ......

Name in foreign language (if any): ......

Abbreviated name (if any): ......

2. Office address (number of house, street / hamlet, ward / commune, district, province / city): ......

3. The contents and scope of operation of the executive office (specifying the concrete content and scope of operation of the executive office): ......

4. Operation duration (stating number of years from the date of issuance of the operation registration certificate of the executive office): ......

5. Information of head of executive office:

Name: ...... Gender: ......

Date of birth: ...... / ... .. / ...... Nationality:

Identity card / Citizenship / Passport number:

Date and place of issue:

Permanent address: …………………..……………………………………

Current residence: ......

Phone: ...... Fax: ...... Email: ......

IV. COMMITMENT OF INVESTOR

1. To take responsibility before law for the legality, accuracy and truthfulness of dossiers and documents sent to competent state agencies.

2. To comply with the provisions of Vietnamese law and the regulations of operation registration certificate of the executive office.

V. ENCLOSED DOCUMENTS

1. Documents are specified in Point b, c, d of Clause 4 of Article 49 of the Investment Law (giving detailed list of enclosed documents).

2.Documents proving the right to use the location of the investor (contract or lease agreement, ... ..).

...... , (Location and date) ......

Investors

(Signature, full name and seal) (if any)