Property or Unit Registration Form ‫اﺳﺘﻤﺎرة ﺗﺴﺠﻴﻞ وادراج ﻋﻘﺎر‬

Applicant National ID*: :* ‫رﻗﻢ اﻟﻬﻮ ﻳﺔ ﻟﻤﻘﺪم اﻟ ﻄﻠﺐ‬ Date *: :@ ‫اﻟﺘﺎرﻳﺦ‬

784196251754642 18/03/2020
Transaction Type (Insert √ beside the appropriate option) (‫ﻧﻮع اﻟﻤﻌﺎﻣ ﻠﺔ )ﺿﻊ ﻋﻼﻣﺔ √ أﻣﺎم اﻟﺨﻴﺎر اﻟﻤ ﻨﺎﺳﺐ‬

□ Registration □
✔ Enrolment ‫□ ادراج‬
✔ ‫□ ﺗﺴﺠﻴﻞ‬
Owner Details ‫ﺑﻴﺎﻧﺎت اﻟﻤ ﺎﻟﻚ‬

Name *: :@ ‫اﻷﺳﻢ‬
Shakir Maatouq Marzouq Almarzooqi
EID #*: :@‫رﻗﻢ اﻟﻬﻮ ﻳﺔ‬
784196251754642
Tasjeel ID: :‫رﻗﻢ ﺣﺴﺎب ﺗﺴﺠﻴﻞ‬

Applicant Details ‫ﺑﻴﺎﻧﺎت ﻣﻘﺪم اﻟ ﻄﻠﺐ‬

Name *: :@‫اﻻﺳﻢ‬
Shakir Maatouq Marzouq Almarzooqi
EID # *: :@ ‫رﻗﻢ اﻟﻬﻮ ﻳﺔ‬
784196251754642
Unified No: :‫اﻟﺮﻗﻢ اﻟ ﻤﻮﺣﺪ‬ ( @: :@ ‫رﻗﻢ اﻟﻬ ﺎﺗﻒ اﻟﻤ ﺘﺤﺮك‬

Property\Unit Details ‫ اﻟ ﻮﺣﺪة‬/ ‫ﺑﻴﺎﻧﺎت اﻟﻌﻘﺎر‬

Plot No*: :* ‫رﻗﻢ اﻟﻘﺴﻴﻤﺔ‬

131
ADWEA Premise No*: : * (‫اﻟﺮﻗﻢ اﻟ ﻤﻌﺮف )اﻟﺼ ﺎدر ﻣﻦ اﻟ ﻜﻬﺮﺑﺎء‬
All fields are mandatory ‫ﺟﻤﻴﻊ ﺧﺎﻧﺎت رﻗﻢ اﻟﻤﻌﺮف اﻟﺰاﻣﻴﺔ‬
Total Area: 2
:‫اﻟﻤﺴﺎﺣﺔ اﻟﻜﻠﻴﺔ‬ :@‫اﺳﺘﺨﺪام اﻟﻌﻘﺎر‬
4,800.00 m Property Usage*: Residential - ‫ينكس‬

Unit Actual use: :‫اﻻﺳﺘﺨﺪام اﻟﻔﻌﻠﻲ ﻟﻠﻮﺣﺪة‬ Unit Type*: :@‫ﻧﻮع اﻟﻮ ﺣﺪة‬

Bed rooms No:

5 :‫ﻋﺪد ﻏﺮف اﻟ ﻨﻮم‬ Unit Name: :‫اﺳﻢ اﻟﻮﺣﺪ ة‬
Vila
‫ اﺗﻌﻬﺪ اﻧﺎ اﻟﻤﻮﻗﻊ اﺳﻤﻲ ادﻧﺎه ﺑﺼﻔﺘﻲ اﻟﺸﺨﺼﻴﺔ وﺑﺂي ﺻﻔﺔ اﺧﺮى ﺑﻄﻮﻋﻲ واﺧﺘﻴﺎري ﺑﺎن ﺟﻤﻴﻊ اﻟﺒﻴﺎﻧﺎت اﻟﻤﻘﺪﻣﺔ ﻓﻲ اﻟﻨﻤﻮذج ﺻﺤﻴﺤﺔ‬:‫ﺗﻌﻬﺪ‬ ✔

‫وﺗﻢ اﻟﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺘﻬﺎ ﻋﻠﻲ ان اﺗﺤﻤ ﻞ ﻧﺘﻴﺠﺔ أي ﺧﻄﺄ ﺳﻮاء ﻛﺎن ﻣﺘﻌﻤﺪ ﴽ او ﻏﻴﺮ ﻣﺘﻌﻤﺪ ﻓﻲ اﻟﺒﻴﺎﻧﺎت اﻟﻤﻘﺪﻣﺔ ﻛﻤﺎ أﻟﺘﺰم ﺑﺈرﻓﺎ ق ﺟﻤﻴﻊ اﻟﻤﺴﺘﻨﺪ ات‬
‫اﻟﻤﻄﻠﻮﺑﺔ ﺑﻌﺪ اﻟﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺘﻬﺎ وﻓﻲ ﺣﺎل ﻣﺨﺎ ﻟﻔﺘﻲ ﻟﻤﺎ ذﻛﺮ أﻋﻼه ﻓﺈﻧﻪ ﻳﺤﻖ ﻟﺪاﺋﺮة اﻟﺘﺨﻄﻴﻂ اﻟﻌﻤﺮاﻧﻲ واﻟﺒﻠﺪﻳﺎت اﺗﺨﺎذ اﻹﺟﺮاءات اﻟﻘﺎﻧﻮﻧﻴﺔ‬
ً‫وﻋﺪم ﻣﻄﺎ ﻟﺒﺔ اﻟﺪ اﺋﺮة ﺑﺄي ﺗﻌﻮﻳﻀﺎت ﻣﺴﺘﻘﺒﻼ‬
✔ Declare: I declare who’s my name & signature is below in my profile and any other optional and voluntary basis that all data provided on the
form is correct and validated and to bear any result of any error, whether intentional or unintentional data I also declare that I'm committed to
attach all the required documents after validating them. In the case of disobeying the above, Department of Urban Planning and Municipal
Affairs may proceed to take Legal actions and I declare not to claim any future compensation from Department of Urban Planning & Municipal
Affairs
49 ‫ ﻣﻦ ﻗﻴﻤﺔ ﻋﻘﺪ اﻻﻳﺠﺎر ﻳﻘﻮم ﺑﺪﻓﻌﻬﺎ اﻟﻤﺴﺘﺄﺟﺮ ﻛﺮﺳﻢ ﺑﻠﺪي وﻓﻖ اﻟﻘﺮار رﻗﻢ‬%5 : ‫ﻟﻠﻌﻘﺎرات اﻟﺼﻨﺎ ﻋﻴﺔ و اﻟﻌﻘﺎر ات اﻟﻤﺆﺟﺮة ﻣﻦ ﻗﺒﻞ اﻟﺤﻜﻮ ﻣﺔ‬
2018 ‫ﻟﺴﻨﺔ‬
For Industrial Properties & Properties that are Rented from Government: 5% of Tenancy Contract Rental Value is subjected to be paid by the
tenant as Municipal Fees according to Decision No.49 of Year 2018
To Check Terms & Conditions kindly visit the ‫ﻟﻼﻃﻼع ﻋﻠﻰ اﻟﺸﺮو ط و اﻻﺣﻜﺎم ﻳﺮﺟﻰ زﻳﺎرة‬
website
Bit.ly/2wAknuQ ‫اﻟﺮاﺑﻂ‬

Applicant Signature (in the Box) (‫ﺗﻮﻗﻴﻊ ﻣﻘﺪم اﻟﻄ ﻠﺐ )داﺧﻞ اﻟﻤ ﺮﺑﻊ‬
By Signing I agree On Terms & Conditions / ‫ﺑﺘﻮﻗﻴﻌﻲ ﻓﺎﻧﻨﻲ اواﻓﻖ ﻋﻠﻰ اﻟﺸﺮوط واﻻﺣﻜﺎم‬
Stamp is required in case of companies ‫اﻟﺮﺟﺎء اﻟﺨﺘﻢ ﻓ ﻲ ﺣﺎل اﻟ ﺸﺮﻛﺎت‬

Note
• This Document is not referred to as a Tenancy Contract
• Any scratch or modification in the form cancels it unless the
signature of both parties is presented
• Please cross any empty fields to avoid filling them
• The registration of a Tenancy Contract does not absolve the limbs
of legal liability legislation
• Lessor / Owner undertake responsibility towards Decision No.86
P a g e 1 of 2 :‫ﻣﻼﺣﻈﺔ‬
‫• ﻻ ﺗﻌﺘﺒﺮ ﻫﺬه اﻟﻮﺛﻴﻘﺔ ﺑﻤﺜﺎﺑﺔ ﻋﻘﺪ اﻳﺠﺎر‬
‫• أي ﻛﺸﻂ أو ﺗﻌﺪﻳﻞ ﺑ ﺎﻻﺳﺘﻤﺎرة ﻳﻠﻐﻴﻬﺎ إﻻ ﺑﺘﻮاﻓﺮ ﺗﻮﻗﻴﻊ اﻟﻄﺮﻓﻴﻦ‬
AACM-L&P-CF-71 ‫• ﻳﺮﺟﻰ ﺷﻄﺐ اﻟﺨﺎﻧﺎت اﻟﻐﻴﺮ ﻣﻌﺒﺄة ﻟﺘﻔﺎدي اﻻﺿ ﺎﻓﺎت‬
V6.0 10-Sep-18 ‫• إن إﺟﺮاء ﺗﺴﺠﻴﻞ ﻋﻘﺪ اﻻﻳﺠﺎر ﻻ ﻳﻌﻔﻲ أﻃﺮاﻓﻪ ﻣﻦ اﻟﻤﺴﺆوﻟﻴﺔ اﻟﻘﺎﻧﻮﻧﻴﺔ ﻓﻲ ﺣﺎﻟﺔ‬
‫ﻣﺨﺎﻟﻔﺔ اﻷﺣﻜﺎم اﻟﻮاردة ﻓﻲ اﻟﺘﺸﺮﻳﻌﺎت ذات اﻟﺼﻠﺔ‬
86 ‫ اﻟﻤﺎﻟﻚ اﻟﻤﺴﺆوﻟﻴﺔ اﺗﺠﺎه ﻗﺮار رﻗﻢ‬/ ‫• ﻳﺘﺤﻤﻞ اﻟﻤﺆﺟﺮ‬
Property & Units Details ‫ﺑﻴﺎﻧﺎت اﻟﻌﻘﺎرات و اﻟﻮﺣﺪات‬

‫اﻟﺮﻗﻢ اﻟﻤﻌﺮف اﻟﺼﺎدر‬ ‫اﻟﻤﺴﺎ ﺣﺔ‬ ‫ﻋﺪد‬ ‫ﻧﻮع‬ ‫اﺳﻢ‬ ‫رﻗﻢ‬ ‫اﺳﺘﺨﺪام‬ ‫اﺳﻢ اﻟﻌﻘﺎر‬ @‫رﻗﻢ اﻟﻘﺴﻴﻤﺔ‬ #
‫ﻏﺮف‬
@‫ﻣﻦ اﻟﻜﻬﺮﺑﺎ ء‬ ‫اﻟﻜﻠﻴﺔ‬ ‫اﻟﻨﻮم‬
‫اﻟﻮﺣﺪة‬ ‫اﻟﻮﺣﺪة‬ ‫اﻟﻄﺎﺑﻖ‬ ‫اﻟﻌﻘﺎر‬ Property Plot No
Premise No Total # of Unit type Unit Floor Property type Name
Area Bedroo Name No
ms
1
5 vila Vila Residential Vila1 131
2
5 vila vila Vila2 131
3
5 vila Vila Residential Vila3 131
4

10

11

12

13

In Case of more than 14 Units Kindly fill Properties / Units Details / ‫ وﺣﺪة ﻳﺮﺟﻰ اﺳﺘﺨﺪام ﻧﻤﻮذج ﺑﻴﺎﻧﺎت اﻟﻌﻘﺎرات‬/ ‫ ﻋﻘﺎر‬14 ‫ﻓﻲ ﺣﺎل اﻛ ﺜﺮ ﻣﻦ‬
Form ‫اﻟﻮﺣﺪ ات‬

Required Documents ‫اﻟﻮﺛﺎﺋﻖ اﻟﻤﻄﻠﻮﺑﺔ‬

Registration 1. Registration/ Enrolment Form ‫ اﺳﺘﻤﺎرة ﺗﺴﺠﻴﻞ وادراج اﻟﻌﻘﺎر‬.1 ‫اﻹدراج‬
/ Enrolment 2. Site plan ‫ ﻣﺨﻄﻂ اﻻرض‬.2 ‫اﻟﺘﺴﺠﻴﻞ‬/
3. Building drawings ( Lessor undertake ‫ ﺗﻔﺎﺻﻴﻞ اﻟﻤﺒﻨﻰ )ﻳﺘﺤﻤﻞ اﻟﻤﺆﺟﺮ‬/‫ ﻣﺨﻄﻂ اﻟﺒﻨﺎء‬. 3
Responsibility towards administrative ‫ ﻣﻦ ﺳﻨﺔ‬86 ‫اﻟﻤﺴﺆو ﻟﻴﺔ اﺗﺠﺎ ه اﻟﻘﺮار اﻻدار ي رﻗﻢ‬
Decision No. 86 of Year 2016) (2016
4. ADWEA meters details sheet ‫ ﻛﺸﻒ اﻟﻌﺪادات‬.4
5. DMK File in Excel Format inserted in ‫ ﺑﺼﻴﻐﺔ إﻛﺴﻞ ﺷﻴﺖ ﻳﺘﻢ‬DMK‫ ﻧﻤﻮذج اﻻدراج‬.5
either CD or Flash Disk Flash Disk ‫ارﻓﺎﻗﻪ ﻋﻦ ﻃﺮﻳﻖ اﻟﻘﺮص اﻟﻤﺮن او‬
(For Abu Dhabi & Al Dhafra Municipality (‫)ﻟﺤﺎﻻت اﻻدراج ﻓﻲ ﺑﻠﺪﻳﺔ اﺑﻮﻇﺒﻲ واﻟﻈﻔﺮة‬
Property Enrollment )
Fees 1000 Dhs For Each Property ‫ درﻫﻢ ﻟﻠﻌﻘﺎر‬1000 ‫اﻟﺮﺳﻮم‬
5 Dhs for Each Unit ‫ دراﻫﻢ ﻟﻜﻞ وﺣﺪة إﻳﺠﺎرﻳﻪ‬5

Applicant Signature (in the Box) (‫ﺗﻮﻗﻴﻊ ﻣﻘﺪم اﻟﻄﻠﺐ )داﺧﻞ اﻟﻤﺮﺑﻊ‬
By Signing I agree to Terms & Conditions‫ﺑﺘﻮﻗﻴﻌﻲ ﻓﺎﻧﻨﻲ اواﻓﻖ ﻋﻠﻰ اﻟﺸﺮوط واﻻﺣﻜﺎم‬
Stamp is required in case of companies ‫اﻟﺮﺟﺎء اﻟﺨﺘﻢ ﻓﻲ ﺣﺎ ل اﻟﺸ ﺮﻛﺎت‬

To get eForms kindly scan QR Code QR Code ‫ﻟﻠﺤﺼﻮل ﻋ ﻠﻰ اﻻﺳﺘﻤﺎرات اﻻﻟ ﻜﺘﺮو ﻧﻴﺔ ﻳﺮﺟﻰ ﻣﺴﺢ‬

Note
• This Document is not referred to as a Tenancy Contract
• Any scratch or modification in the form cancels it unless the
signature of both parties is presented
• Please cross any empty fields to avoid filling them
• The registration of a Tenancy Contract does not absolve the limbs
of legal liability legislation
• Lessor / Owner undertake responsibility towards Decision No.86
P a g e 2 of 2 :‫ﻣﻼﺣﻈﺔ‬
‫• ﻻ ﺗﻌﺘﺒﺮ ﻫﺬه اﻟﻮﺛﻴﻘﺔ ﺑﻤﺜﺎﺑﺔ ﻋﻘﺪ اﻳﺠﺎر‬
‫• أي ﻛﺸﻂ أو ﺗﻌﺪﻳﻞ ﺑ ﺎﻻﺳﺘﻤﺎرة ﻳﻠﻐﻴﻬﺎ إﻻ ﺑﺘﻮاﻓﺮ ﺗﻮﻗﻴﻊ اﻟﻄﺮﻓﻴﻦ‬
AACM-L&P-CF-71 ‫• ﻳﺮﺟﻰ ﺷﻄﺐ اﻟﺨﺎﻧﺎت اﻟﻐﻴﺮ ﻣﻌﺒﺄة ﻟﺘﻔﺎدي اﻻﺿ ﺎﻓﺎت‬
V6.0 10-Sep-18 ‫• إن إﺟﺮاء ﺗﺴﺠﻴﻞ ﻋﻘﺪ اﻻﻳﺠﺎر ﻻ ﻳﻌﻔﻲ أﻃﺮاﻓﻪ ﻣﻦ اﻟﻤﺴﺆوﻟﻴﺔ اﻟﻘﺎﻧﻮﻧﻴﺔ ﻓﻲ ﺣﺎﻟﺔ‬
‫ﻣﺨﺎﻟﻔﺔ اﻷﺣﻜﺎم اﻟﻮاردة ﻓﻲ اﻟﺘﺸﺮﻳﻌﺎت ذات اﻟﺼﻠﺔ‬
86 ‫ اﻟﻤﺎﻟﻚ اﻟﻤﺴﺆوﻟﻴﺔ اﺗﺠﺎه ﻗﺮار رﻗﻢ‬/ ‫• ﻳﺘﺤﻤﻞ اﻟﻤﺆﺟﺮ‬