For private company) 表格 NAR1

1 Specimen Annual Return (For private company).. Companies Registry . Notes: All the particulars filled in this specimen form are fictitious. Any resemblance to individuals or companies is entirely coincidental. Form NAR1. Please deliver a complete form ( pages 1-7 & Schedule 1 including Company Number pages with inapplicable items) except unused continuation sheets. Please read the Notes for Completion before completing this form. 8888888 Note 1 Company Name GREAT RICH SUCCESS LIMITED . The company number and company name must be the same as those stated in the company's Certificate of Incorporation or the last Certificate of Change of Name.

2 7 2 ( ) Business Name (If any). Note: This form must be properly signed and delivered with the correct annual registration fee within 42 days after the date of return stated in Section 4. Late delivery is 3 Type of Company subject to payment of higher registration fee. Please tick the relevant box . private company Public company Company limited by guarantee 8 4 The company in this example was incorporated on 10 03 2015. Date to which this Return is Made Up DD MM YYYY. ( . 6 . 9 . For a private company, the information in this return should be made up to the anniversary of the date of its incorporation.)

3 For a public company, the return should be made up to the date that is 6 months after the end of its accounting reference period. For a company limited by guarantee, the return should be made up to the date that is 9 months after the end of its accounting reference period.) 9. 5 . Period Covered by Financial Statements Delivered with this Form ( A private company need not complete this section).. To DD MM YYYY DD MM YYYY. 10 6 Address of Registered Office Full address of the registered office in Hong Kong should be stated.

4 Room 8801-8803, 88/F, Happy Commercial Building, 1 Queensway, HONG KONG. 3 Presentor's Reference For Official Use Name: QualiSec Services Limited Address: Room 708, 7/F, Lucky Commercial Building, Please fill in the Presentor's Reference section 2 Nathan Road, Kowloon, to facilitate follow up, if necessary. Hong Kong Tel: 1234 5678 Fax: 8765 4321. Email: Reference: qss/grs-NAR1. 1/2014 (2014 3 ) Specification No. 1/2014 (March 2014). Company Number Form NAR1 8888888. Please provide the email address of the company 11 7 Email Address to facilitate electronic communication.

5 8 Mortgages and Charges 1912 1 . 1 . Total amount of the indebtedness as at the date to which this return is made up in respect of all mortgages and charges which are required to be registered with the Registrar of Companies pursuant to the Companies Ordinance or would have been required to be so registered if created after 1 January 1912. Please state NIL' if this HK$999,999 section is not applicable. 9 Number of Member(s) of a Company Not Having a Share Capital ( Company having a share capital need not complete this section).

6 Number of Member(s) as at the Date to which this Return is Made Up 12 10 Share Capital ( Company not having a share capital need not complete this section). As at the Date to which this Return is Made Up Issued Shares ( . ) . Class of Shares Currency . ( Ordinary Total Number Total Amount Total Amount Paid up or Preference etc.) Regarded as Paid up Ordinary HKD 10,000 20,000 20,000. This number must agree with the total number of issued shares of all the classes in Schedule 1. HKD 10,000 20,000 20,000.

7 Total Page 2. 1/2014 (2014 3 ) Specification No. 1/2014 (March 2014). Company Number Form NAR1 8888888. 11 Company Secretary A. ( ) Company Secretary (Natural Person). ( A Use Continuation Sheet A if more than 1 company secretary is a natural person).. Name in Chinese .. Name in English Surname Li . Other Names Bei Shu . Previous Names Chinese For a company incorporated before , if the company secretary, who is a natural person, has not reported his / her English correspondence address in a Form ND2A / ND2B, please state the address of the company's registered office in this box.

8 Alias Chinese . English 13 . Room 8801-8803, 88/F. Hong Kong Please provide the Hong Kong Identity Card Correspondence Happy Commercial Building number or the passport number and issuing Address country registered with the Companies Registry (CR) (as appropriate). If these particulars have 1 Queensway not yet been reported to the CR, please report the change by completing a Form ND2B. If the Region HONG KONG company secretary does not have a Hong Kong Identity Card or a passport of any country, please 14.

9 Email Address state NIL' in the boxes provided. 15 Identification (a) . Hong Kong Identity Card Number M 6 6 6 6 6 6 ( 6 ). (b) . Passport Issuing Country . Number B. ( ) Company Secretary (Body Corporate) ( A Use Continuation Sheet A if more than 1 company secretary is a body corporate) 16 . Name in Chinese If the company secretary is a firm, please state its particulars in 16 these boxes. Name in English QualiSec Services Limited 17 . Room 708, 7/F. Hong Kong Address Lucky Commercial Building 2 Nathan Road, Kowloon.

10 Region HONG KONG. 14 . Email Address Company Number 6888888. Page 3. 1/2014 (2014 3 ) Specification No. 1/2014 (March 2014). Company Number Form NAR1 8888888. 12 Directors A . ( ) Director (Natural Person). ( B Use Continuation Sheet B if more than 1 director is a natural person). Please tick the relevant box(es). 18 Alternate to . Capacity Director Alternate Director . Name in Chinese .. Name in English Surname Ko . Other Names Goo Jik Jackie . Previous Names Chinese . English . Alias Chinese . English Jack Ko 19.