(Translation)

APPLICATION FOR SUBSCRIPTION FOR SHARES



Issue of Shares: _________________________________
Kind of Shares: Shares of common stock
Number of Shares under Subscription: 79 shares
Share Subscription Price: \7,900 (@100)

***********************

Upon approval of the Articles of Incorporation of _________________________K.K. and the particulars set forth herein, an application for subscription for shares is hereby submitted as above.

______________________, 20__

Applicant
Address: ___________________________________________________
Corporate Name: ___________________________________________________
Representative Officer: ___________________________________________________
Attorney-in-Fact
Address: ___________________________________________________
Name: ___________________________________________________

To: Promoter of __________________________ K. K.




Particulars


Date of Authentication by Notary Public of the Articles of Incorporation:
________________, 20__
Name of Notary Public Who Performed Authentication:
_________________________________________
Attached to Tokyo Legal Affairs Bureau
Corporate Name: _________________________________________
Location of Head Office: _________________________________________
Objectives:
(i)
___________________________________________________________________________________ ; and
(ii)
To do any and all businesses related or incidental to any of the foregoing businesses.


Total Number of Shares Possible to Be Issued:

100 shares
Method of Public Notices: To be published in the Official Gazette
Matters Pertaining to Shares to Be Offered upon Incorporation:
Number: 99 shares
Amount to be Paid in \100 per share
Period of Payment: From __________, 20__ to __________, 20__
Recipient Bank of Share Subscription Payment:
_________________________________________
Restriction on Transfer of Shares: Any transfer of the shares of the Company shall require the approval of the Board of Directors.
Name and Address of Promoter, Number of Shares Subscribed Thereby and Amount Thereof are as follows:
Name: _________________________________________
Address: _________________________________________
Number of Shares Subscribed:
One (1) share
Amount of Share Subscription Money:
\100