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1、TranslationAppendix4APro-formacapitalverificationreport(exampleprovidedbyCICPA)CapitalVerificationReportTo[Conipanyname]Weacceptedtheappointmenttoexaminethe[second]installmentofregisteredcapitalcontributionof[Companyname]("theCompany")asat[date]inrespectofitsapplicationforinco
2、i卩orationandregistration.Theresponsibilitiesofall让sinvestor(s)andtheCompanyaretoensurethatthecapitalcontributionscomplywiththelegalrequirementsoftherelevantlaws,regulations,agreements,contractsandarticlesofassociation;toprovidetrue,legitimateandcompleteinformationfortheverific
3、ationofcapitalcontributionsandtosafeguardtheCompany'sassets・Ourresponsibilityistoexpressanopiniononthe[second]installmentofcapitalcontributioninaccordancewiththe"StatementofIndependentAuditingPracticesNo.I:VerificationofCapitalContributionM・Inthecourseofourexamination,weperfon
4、nedexaminationproceduresasweconsiderednecessaryinthecircumstances-Accordingtotheagreements,contractsandarticlesofassociation,theCompany'sregisteredcapitaltobecontributedby[name](PartyA)and[name](PartyB)is[cuirency][amount]andshallbefullycontributedin[number]installmentspriorto
5、[date].Thecurrentcontributionisforthe[second]installment,whichshallbecontributedbefore[date].Basedonourexaminationandasat[date],theCompanyhadreceivedcapitalcontributionof[currency][amount]contributedbyPartyAandPartyB.Theaforesaidactualcapitalcontribution[currency][amount]isint
6、heformofcash,[currency][amount]isintheformoftangibleassets,and[currency][amount]isintheformofknow-how・Thecapitalcontributedintheformofknow-howaccountsfor%oftheregisteredcapital.[Inaddition,wealsonotedthatthe[first]installmentofregisteredcapitalcontributionoftheCompany,[cunency
7、][amount],ofwhich[currency][amount]wascontributedbyPartyAand[currency][amount]wascontributedbyPartyB,wasverifiedby[name]CertifiedPublicAccountantsCo.,Ltd.withcapitalverificationreport([numberofreport])issuedon[date].Asat[date],theCompanyhasreceivedaccumulatedcapitalcontributio
8、nof[currency][amount]intotal.]ThisCapitalVerificationReportis