Application to Renew a VIPA Certificate

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Application to Renew a VIPA Certificate 1/5

Vanuatu Investment Promotion Act No. 15 of 1998

(Section 8A)

This form must be completed annually by all investors to whom a foreign investment approval certificate has been granted. Please note that without the completion and lodgement of this form VIPA will not be able to renew your approval certificate.

This application form must be accompanied by a fee of VT60,000 and must be made payable by cash or cheque to the Vanuatu Investment Promotion Authority.

This fee is non refundable.

Please submit the completed application form to;

VANUATU INVESTMENT PROMOTION AUTHORITY

PMB 9011,

PORT VILA,

VANUATU

Incomplete Application Will Be Returned

SECTION 1 - GENERAL INFORMATION AND CHECKLIST

1. Details of Foreign Investment Approval Certificate (FIAC)

Business Name

Certificate Number

Approved investment codes, activities and locations:

2. Contact Details

Key Contact Person

Mailing Address

Telephone

3. Investor Nationality (please select country of origin representing the majority of shareholders)

Countries Australia China New Zealand Other

Others

4.Status of Investment (please select the option that best reflects your current situation)

4. Status of Investment (please select the option that best reflects your current situation) Under consideration Confirmed and implementing shortly Carrying on business but not as fully planned Carrying on business Carrying on business with new investment under consideration Intending to divest

5. Checklist

Copy of last 12 months VAT returns

VAT returns

Copy of existing business licence

Business Licence

Application to Renew a VIPA Certificate 2/5

SECTION 2 - FINANCIAL INFORMATION

6. Total Level of Actual Investment (for the period ending your latest financial year)

a) For each proposed new shareholder provide the following details:*

For the period ending (day/month/year);

Actual investment (millions of vatu)

Land and buildings

Other Fixed assets

Working capital and inventory

Total Investment

7. Total Level of Actual Employment (during the past 12 months as per VNPF returns)

Foreign workers

Average Number for the past year

Wages Paid (millions of vatu)

Citizen workers

Average Number for the past year

Wages Paid (millions of vatu)

Total employment

Average Number for the past year

Wages Paid (millions of vatu)

Number of citizen workers who are female

Average Number for the past year

Wages Paid (millions of vatu)

8. Total level of Actual Sales (for the past 12 months as per VAT returns)

Actual turnover sales

Total gross sales

Application to Renew a VIPA Certificate 3/5

SECTION 3 - RESERVED ACTIVITIES

9. Achievement of minimum investment conditions related to reserved activities

Have you received approval to operate in a reserved activity listed in Appendix A? Yes No

If yes, please identify the reserved activity and the level of operation with respect to this activity you have attained.

Code

Business Activity

Location

Minimum Threshold Met? Yes No

Level of Operation Attained

If yes, please identify the reserved activity and the level of operation with respect to this activity you have attained.

Code

Business Activity

Location

Minimum Threshold Met? Yes No

Level of Operation Attained

If you have been unable to attain the required minimum threshold level please explain the reasons why you have been unsuccessful, and what steps you are taking to address the problem.

Application to Renew a VIPA Certificate 4/5

SECTION 4 - PLANS AND PROBLEMS ENCOUNTERED

* Note: Each non-citizen investor is required to sign a statutory declaration

I/We the undersigned, solemnly and sincerely DECLARE that:

to the best of my/our knowledge and belief the information contained in this application form related to the proposed investment of

10. Difficulties Negatively Affecting Investment Implementation

Please describe any problems you have encountered over the past 12 months that are (a) holding up implementation of your investment, or (b) making it difficult to operate your business.

11. Expansion Plans

Please describe any expansion plans you have for the coming 12 months including appoximate timing of the new investment, nature of the proposed activity(s) and approximate value.

12. Plans to wind down your investment

If you are winding down an existing investment or intend to divest completely please identify when this is expected to occur, the reasons behind your decision and approximate value.

Once you have completed the application form and appended all relevant supporting information please sign the following confirming the information you have provided is complete and accurate:

Name

Date

Signature

Application to Renew a VIPA Certificate 5/5

You can submit the form and we will contact you for the payment.

Human ?

Application to Renew a VIPA Certificate - Done !

Thanks you,

We will contact you after reviewing your application with questions or agreement normally in the next 36 hours.

Best regards,
The Global Immigration Team