| Name and legal form of the set-up legal entity (VŠĮ): |
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| Registered office: |
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(It is required owner‘s consent for premises: If the owner is an individual entity – a consent verified by a notary; if the owner is a legal entity – a consent signed by the manager and sealed; if the premises are pledged – a consent of the bank to which the premises are pledged.)
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| Type of activity being performed |
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| Purposes of activity |
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| The envisaged management organs |
direktorius collegial |
Partakers |
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| Name, surname / company name |
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| Personal code / company code |
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| Address of the place of residence declared/ registered office |
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The data on the manager |
| Name, surname |
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| Personal code |
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| Address of the place of residence declared |
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| Planned salary |
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Your contacts |
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| Name, surname |
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| Telephone |
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| E-mail |
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