(Translation)

APPLICATION FOR SUBSCRIPTION FOR SHARES



Issue of Shares: _________________________________
Kind of Shares: Shares of common stock
Number of Shares under Subscription: 20 shares
Share Subscription Price: \2,000 (@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: ______________________________________________
Name: ______________________________________________
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