Bravada International Ltd (BRAV)

[Shift-4]

Here is what I get while going through the tax payment system on the DE SOS website. Clicking the circled/indicated link then takes me to the form you provided. The contemporary version generated today is included below:



This is the current form when 'file annual 2018 is clicked (link circled above)':



^^ Do you see what I mean that if I can generate this today, with its similarities to the image you provided, that the only thing we can glean from the screencap you posted is that it's from a while ago?

-$