Send to: MATTER DETAILSNAME OF CLIENT*MATTER NUMBER*CASEHANDLER/PARTNER*Nathan Warren BanksAndrew MorrisAmir IzeldinDarragh WalshePARALEGAL*Nathan Warren BanksAndrew MorrisAmir IzeldinDarragh WalsheGOVERNMENT LIAISON OFFICER*Nathan Warren BanksAndrew MorrisAmir IzeldinDarragh WalsheESTIMATE OF FEES*CRITICAL DATE FOR ESTABLISHMENTDay12345678910111213141516171819202122232425262728293031Month123456789101112Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920RELATED MATTERS* APPLICANT/CLIENT DETAILSNAME OF FOREIGN COMPANY (i.e. APPLICANT)*COUNTRY OF INCORPORATION OF FOREIGN COMPANY*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweREGISTERED ADDRESS* Street Address City AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country CONTACT PERSON*TELEPHONE/MOBILE NUMBER OF CONTACT PERSON*EMAIL ADDRESS OF CONTACT PERSON* ADD ANOTHER CONTACT PERSON?*YESNOCONTACT PERSON:*TELEPHONE/MOBILE NUMBER OF CONTACT PERSON:*EMAIL ADDRESS OF CONTACT PERSON:* AUTHORIZED SIGNATORY TO SIGN ON BEHALF OF FOREIGN COMPANY/LLC (IF ANY)LANGUAGE OF CONSTITUTIONAL DOCUMENTS*ArabicAwadhiAzerbaijaniBengaliBhojpuriBurmeseDutchEnglishFrenchGermanGujaratiHausaHindiItalianJapaneseJavaneseKannadaKoreanMaithiliMalayalamMandarinMarathiOriyaPanjabiPersianPolishPortugueseRomanianRussianSerbo-Croatian4SindhiSpanishSundaTamilTeluguThaiTurkishUkrainianUrduVietnameseYorub PROPOSED ENTITY DETAILSPROPOSED ENTITY*LLCBRANCHFZCFZEOFFSHORE CO.NAME OF PROPOSED ENTITY*LOCATION OF PROPOSED ENTITY*ABU DHABIAJMANDUBAIFUJAIRAHRAS AL-KHAIMAHSHARJAHUMM AL-QUWAINPROPOSED ACTIVITY*SPECIAL APPROVAL REQUIRED?*YESNOSPECIFY THE SPECIAL APPROVAL REQUIRED*TYPE OF LICENCE APPLYING FOR*PROFESSIONALCOMMERCIALINDUSTRIALCOMPANY'S OTHER REGISTRATION IN THE UAE (IF ANY)TYPE OF PREMISES REQUIRED*PROPOSED GENERAL MANAGER'S NAME*PROPOSED GENERAL MANAGER'S NATIONALITY*AfghanAlbanianAlgerianAmericanAndorranAngolanArgentineArmenianAromanianArubanAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBermudianBoerBosniakBrazilianBretonBritishBritish Virgin IslanderBulgarianMacedonian BulgarianBurkinabèBurundianCambodianCameroonianCanadianCatalanCape VerdeanChadianChileanChineseColombianComorianCongoleseCroatianCubanCypriotTurkish CypriotCzechDanesDominicanDutchEast TimoreseEcuadorianEgyptianEmiratiEnglishEritreanEstonianEthiopianFaroeseFinnFinnish SwedishFijianFilipinoFrench citizenGeorgianGermanBaltic GermanGhanaianGibraltarGreekGreek MacedonianGrenadianGuatemalanGuianeseGuineanGuinea-Bissau nationalGuyaneseHaitianHonduranHong KongHungarianIcelanderI-KiribatiIndianIndonesianIranianIraqiIrishIsraeliItalianIvoirianJamaicanJapaneseJordanianKazakhKenyanKoreanKosovarKurdKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLiechtensteinerLithuanianLuxembourgerMacedonianMalagasyMalaysianMalawianMaldivianMalianMalteseManxMauritianMexicanMoldovanMoroccanMongolianMontenegrinNamibianNepaleseNew ZealanderNicaraguanNigerienNigerianNorwegianPakistaniPalauanPalestinianPanamanianPapua New GuineanParaguayanPeruvianPolePortuguesePuerto RicanQuebecerRéunionnaisRomanianRussianBaltic RussianRwandanSalvadoranSão Tomé and PríncipeSaudiScotsSenegaleseSerbSierra LeoneanSingaporeanSindhianSlovakSloveneSomaliSouth AfricanSpaniardSri LankanSt LucianSudaneseSurinameseSwedeSwissSyriacSyrianTaiwaneseTajikTanzanianThaiTibetanTobagonianTrinidadianTunisianTurkTuvaluanUgandanUkrainianUruguayanUzbekVanuatuanVenezuelanVietnameseWelshYemeniZambianZimbabweanPROPOSED GENERAL MANAGER'S QUALIFICATIONS*ADDRESS OF PROPOSED GENERAL MANAGER* Street Address City AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country REQUIRED NUMBER OF EMPLOYEES*NAME OF AUDITOR*CONTACT DETAILS OF AUDITOR*NAME OF BANK*CONTACT DETAILS OF THE BANK*NAME OF LOCAL SPONSOR* Δ
