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Translation
Appendix4A
Pro-formacapitalverification report (exampleprovidedby CICPA)
CapitalVerificationReport
To [Companyname]
We accepted the appointment to examine the [second] installment of registered capital
contribution of [Company name] (“the Company”) as at [date] in respect of its application for
incorporation and registration. The responsibilities of all its investor(s) and the Company are to
ensure that the capital contributions comply with the legal requirements of the relevant laws,
regulations, agreements, contracts and articles of association; to provide true, legitimate and
complete information for the verification of capital contributions and to safeguard the Company’s
assets. Our responsibility is to express an opinion on the [second] installment of capital
contribution in accordance with the “Statement of Independent Auditing Practices No.1:
Verification of Capital Contribution”. In the course of our examination, we performed
examinationproceduresasweconsiderednecessary in thecircumstances.
According to the agreements, contracts and articles of association, the Company’s registered
capital to be contributed by [name] (Party A) and [name] (Party B) is [currency] [amount] and
shall be fully contributed in [number] installments prior to [date]. The current contribution is for
the [second] installment,which shallbe contributedbefore [date].Based on our examination and
as at [date],the Company hadreceived capital contribution of [currency] [amount] contributed
by Party A and Party B. The aforesaid actual capital contribution [currency] [amount] isin the
form of cash, [currency] [amount] is in the form oftangible assets, and [currency] [amount] is
in the form ofknow-how.The capital contributedin the form ofknow-how accountsfor % of
theregisteredcapital.
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