View:
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b) (Amendment No. __)* Ctrip.com International, Ltd. - -------------------------------------------------------------------------------- (Name of Issuer) Ordinary Shares - -------------------------------------------------------------------------------- (Title of Class of Securities) 22943F100 - -------------------------------------------------------------------------------- (CUSIP Number) Initial Public Offering - December 9, 2003 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [X] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following pages) - --------------------------- CUSIP NO. 22943F100 Schedule 13 G - --------------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Qi Ji - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION P.R.China - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 1,701,082 shares BENEFICIALLY ------------------------------------------------------ OWNED BY EACH 6 SHARED VOTING POWER REPORTING N/A PERSON ------------------------------------------------------ WITH 7 SOLE DISPOSITIVE POWER 1,701,082 shares ------------------------------------------------------ 8 SHARED DISPOSITIVE POWER N/A - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,701,082 shares - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.57% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- ITEM 1(a). NAME OF ISSUER: Ctrip.com International, Ltd. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 3F, Building 63-64 No. 421 Hong Cao Road Shanghai 200233, People's Republic of China ITEM 2(a). NAME OF PERSON FILING: This statement is filed by Qi Ji (the "Reporting Person"). ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE, OR, IF NONE, RESIDENCE: The address of the Reporting Person's principal business office is: Qi Ji 2F, Building 64 No. 421 Hong Cao Road, Shanghai 200233, People's Republic of China ITEM 2(c) CITIZENSHIP: Qi Ji is a citizen of the People's Republic of China. ITEM 2(d). TITLE OF CLASS OF SECURITIES: Ordinary Shares ITEM 2(e). CUSIP NUMBER: 22943F100 ITEM 3. Not Applicable ITEM 4. OWNERSHIP: The following information with respect to the ownership of the Ordinary Shares of the issuer by the Reporting Person is provided as of ______________, 2004: (a) Amount beneficially owned: See Row 9 of cover page for the Reporting Person. (b) Percent of Class: See Row 11 of cover page for the Reporting Person. (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: See Row 5 of cover page for the Reporting Person. (ii) Shared power to vote or to direct the vote: See Row 6 of cover page for the Reporting Person. (iii) Sole power to dispose or to direct the disposition of: See Row 7 of cover page for the Reporting Person. (iv) Shared power to dispose or to direct the disposition of: See Row 8 of cover page for the Reporting Person. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: Not applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: Not applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY: Not applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: Not applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP: Not applicable ITEM 10. CERTIFICATION: Not applicable SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 12, 2004 Qi Ji /s/ Qi Ji ------------------------- Qi Ji