For Shams Ops use only:

SL. No:

‫ﻧﻤﻮذج ﻃﻠﺐ اﻹﻟﺘﺤﺎق‬ Formation No:

Business License No:

Onboarding Application Form
Agent Name:

License Validity:

Preferred Contact | ‫ﻳﻤﻜﻨﻨﺎ اﻻﺗﺼﺎل ﺑـــــــ‬

Consultant | ‫اﻟﻤﺴﺘﺸﺎر‬ Client | ‫اﻟﻌﻤﻴﻞ‬
a. Name | ‫اﻹﺳﻢ‬
b. Email Address | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
c. Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬
d. Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
e. Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬

Formation Type and Company Name | ‫ﻧﻮع اﻟﺘﺄﺳﻴﺲ وإﺳﻢ اﻟﺸﺮﻛﺔ‬

Package Type | ‫ﻧﻮع اﻟﺒﺎﻗﺔ‬
Standard Package | ‫اﻟﺒﺎﻗﺔ اﻷﺳﺎﺳﻴﺔ‬ Social Media Influencer Package | ‫ﺑﺎﻗﺔ رﺧﺼﺔ ﻣﺆﺛﺮي ﻣﻮاﻗﻊ اﻟﺘﻮاﺻﻞ اﻻﺟﺘﻤﺎﻋﻲ‬

LLC | ‫ذ م م‬
Proposed Company Name in English | ‫إﺳﻢ اﻟﺸﺮﻛﺔ اﻟﻤﻘﺘﺮح ﺑﺎﻟﻠﻐﺔ اﻻﻧﺠﻠﻴﺰﻳﺔ‬
Direct Translation | ‫ﺗﺮﺟﻤﺔ ﻣﺒﺎﺷﺮة‬ Phonetic Sound | ‫ﺗﺮﺟﻤﺔ ﺻﻮﺗﻴﺔ‬ Name Phonetic with Description Translated | ‫ﺗﺮﺟﻤﺔ ﺻﻮﺗﻴﺔ ﻟﻼﺳﻢ وﻣﺒﺎﺷﺮة ﻟﻠﻨﺸﺎط‬
a.
b.
c.

Preferred Company Name in Arabic (Optional) | (‫اﻹﺳﻢ اﻟﺬي ﺗﻔﻀﻠﻪ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ )اﺧﺘﻴﺎري‬
a.
b.
c.

Branch | ‫ﻓﺮع‬
Name of Parent Company | ‫إﺳﻢ اﻟﺸﺮﻛﺔ اﻷم‬

Visa Requirement | ‫اﻟﺘﺄﺷﻴﺮات اﻟﻤﻄﻠﻮﺑﺔ‬

Number of Visas Required | ‫ﻋﺪد اﻟﺘﺄﺷﻴﺮات اﻟﻤﻄﻠﻮﺑﺔ‬

Facility(s) | ‫ﺗﺴﻬﻴﻼت‬
 Shared Desk | ‫ﻣﻜﺘﺐ ﻣﺸﺘﺮك‬  Shared Office | ‫ﻏﺮﻓﺔ ﻣﺸﺘﺮﻛﺔ‬  Dedicated Desk | ‫ﻣﻜﺎﺗﺐ ﻣﺨﺼﺼﺔ‬
 Dedicated Office | ‫ﻣﻜﺘﺐ ﻣﺨﺼﺺ‬  Creative Units | ‫وﺣﺪات إﺑﺪاﻋﻴﺔ‬
• Square Meters | ‫( ﻣﺘﺮ ﻣﺮﺑﻊ‬if applicable | ‫)إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Company Description | ‫وﺻﻒ اﻟﺸﺮﻛﺔ‬

.‫ﻧﻘﺮ ﺑﻤﻮاﻓﻘﺘﻨﺎ ﻛﺬﻟﻚ ﻋﻠﻰ أي ﺗﺤﺪﻳﺜﺎت دورﻳﺔ ﻟﻬﺎ‬/‫ و أﻗﺮ‬www.shams.ae ‫ اﻟﺸﺮوط واﻷﺣﻜﺎم اﻟﺨﺎﺻﺔ ﺑﻢدﻳﻨﺔ اﻟﺸﺎرﻗﺔ ﻟﻺﻋﻼم – ﻫﻴﺌﺔ ﻣﻨﻄﻘﺔ ﺣﺮة )ﺷﻤﺲ( واﻟﻮاردة ﻓﻲ‬،‫ اﻟﺮﺳﻮم‬،‫ اﻹﺟﺮاءات‬،‫ اﻟﺴﻴﺎﺳﺎت‬،‫ﻧﺤﻦ ﻧﻘﺮ ﺑﻤﻮاﻓﻘﺘﻨﺎ ﻋﻠﻰ ﻛﻞ ﻣﻦ اﻟﻘﻮاﻧﻴﻦ‬/‫أﻧﺎ‬
I/We hereby agree to all Sharjah Media City – Free Zone Authority (Shams) Regulations, Policies, Procedures, Fees, Terms & Conditions as posted and periodically updated on www.shams.ae.

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 1 | 9
 License Validity and Company Activity(s) | ‫ﺻﻼﺣﻴﺔ اﻟﺮﺧﺼﺔ وﻧﺸﺎط اﻟﺸﺮﻛﺔ‬

A. License Validity | ‫ﺻﻼﺣﻴﺔ اﻟﺮﺧﺼﺔ‬ 1 Year 2 Years 3 Years

B. Activity(S) | ‫اﻟﻨﺸﺎط‬
‫رﻗﻢ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫وﺻﻒ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫رﻗﻢ اﻟﻔﺌﺔ‬ ‫وﺻﻒ اﻟﻔﺌﺔ‬
Group No. Group Description Class No. Class Description

Class Description Detail(s) from ISIC list if required | ‫ ﺣﺴﺐ اﻟﻄﻠﺐ‬،‫اﻟﻤﻮﺣﺪ‬

� ‫ذﻛﺮ ﺗﻔﺎﺻﻴﻞ اﻟﻔﺌﺔ ﻣﻦ اﻟﺘﺼﻨﻴﻒ اﻟﺼﻨﺎﻋﻲ اﻟﺪوﻟﻲ‬:

‫رﻗﻢ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫وﺻﻒ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫رﻗﻢ اﻟﻔﺌﺔ‬ ‫وﺻﻒ اﻟﻔﺌﺔ‬

Group No. Group Description Class No. Class Description

Class Description Detail(s) from ISIC list if required | ‫ ﺣﺴﺐ اﻟﻄﻠﺐ‬،‫اﻟﻤﻮﺣﺪ‬

� ‫ذﻛﺮ ﺗﻔﺎﺻﻴﻞ اﻟﻔﺌﺔ ﻣﻦ اﻟﺘﺼﻨﻴﻒ اﻟﺼﻨﺎﻋﻲ اﻟﺪوﻟﻲ‬:

‫رﻗﻢ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫وﺻﻒ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫رﻗﻢ اﻟﻔﺌﺔ‬ ‫وﺻﻒ اﻟﻔﺌﺔ‬

Group No. Group Description Class No. Class Description

Class Description Detail(s) from ISIC list if required | ‫ ﺣﺴﺐ اﻟﻄﻠﺐ‬،‫اﻟﻤﻮﺣﺪ‬

� ‫ذﻛﺮ ﺗﻔﺎﺻﻴﻞ اﻟﻔﺌﺔ ﻣﻦ اﻟﺘﺼﻨﻴﻒ اﻟﺼﻨﺎﻋﻲ اﻟﺪوﻟﻲ‬:

‫رﻗﻢ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫وﺻﻒ اﻟﻤﺠﻤﻮﻋﺔ‬ ‫رﻗﻢ اﻟﻔﺌﺔ‬ ‫وﺻﻒ اﻟﻔﺌﺔ‬

Group No. Group Description Class No. Class Description

Class Description Detail(s) from ISIC list if required | ‫ ﺣﺴﺐ اﻟﻄﻠﺐ‬،‫اﻟﻤﻮﺣﺪ‬

� ‫ذﻛﺮ ﺗﻔﺎﺻﻴﻞ اﻟﻔﺌﺔ ﻣﻦ اﻟﺘﺼﻨﻴﻒ اﻟﺼﻨﺎﻋﻲ اﻟﺪوﻟﻲ‬:

Note: Certain Business License activities require external approval from competent authorities prior to ،‫ ﺗﺘﻄﻠﺐ ﺑﻌﺾ أﻧﺸﻄﺔ اﻟﺮﺧﺺ اﻟﺘﺠﺎرﻳﺔ ﻣﻮاﻓﻘﺎت ﺧﺎرﺟﻴﺔ ﻣﻦ اﻟﺴﻠﻄﺎت اﻟﻤﺨﺘﺼﺔ ﻗﺒﻞ ﺑﺪء ﻣﻤﺎرﺳﺔ اﻟﻨﺸﺎط‬:‫ﻣﻼﺣﻈﺔ‬
commencing operations and Shams will not be responsible to seek information related to the external .‫ ﻟﻦ ﺗﺘﺤﻤﻞ ﻣﺴﺆوﻟﻴﺔ ﻃﻠﺐ وﺑﺤﺚ ﻋﻦ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﻤﻮاﻓﻘﺎت اﻟﺨﺎرﺟﻴﺔ‬،‫ﻣﺪﻳﻨﺔ اﻟﺸﺎرﻗﺔ ﻟﻺﻋﻼم ﺷﻤﺲ‬
approvals.

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 2 | 9
Shareholders | ‫( اﻟﺸﺮﻛﺎء‬Individual | ‫)ﻓﺮد‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 3 | 9
Shareholders | ‫( اﻟﺸﺮﻛﺎء‬Individual | ‫)ﻓﺮد‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬4 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬5 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬6 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬  Residence Visa Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬
 Emirates ID Copy (if applicable) |
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ (‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬

Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Passport Size Photo |

‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)
Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 4 | 9
Shareholders | ‫( اﻟﺸﺮﻛﺎء‬Company | ‫)اﻟﺸﺮﻛﺔ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬ ‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬

 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬
‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬
Authorized Person | ‫اﻟﻤﺨﻮل‬
ّ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬ ‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬

 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬
‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬
Authorized Person | ‫اﻟﻤﺨﻮل‬
ّ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Shareholder | ‫ – ﺷﺮﻳﻚ‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬ ‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬

 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬
‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬
Authorized Person | ‫اﻟﻤﺨﻮل‬
ّ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Share Percentage | ‫ﻧﺴﺒﺔ اﻟﺴﻬﻢ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 5 | 9
Managers | ‫( اﻟﻤﺪﻳﺮون‬Individual | ‫)ﻓﺮد‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 6 | 9
Managers | ‫( اﻟﻤﺪﻳﺮون‬Company | ‫)اﻟﺸﺮﻛﺔ‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Manager | ‫ – اﻟﻤﺪﻳﺮ‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 7 | 9
Directors | ‫( اﻟﻤﺪﻳﺮون اﻹدارﻳﻮن‬Individual | ‫)ﻓﺮد‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Full Name | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ‬

 Passport Copy | ‫ﺻﻮرة ﻋﻦ ﺟﻮاز اﻟﺴﻔﺮ‬
Name in Arabic | ‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬
 Residence Visa Copy (if applicable) |
Nationality | ‫اﻟﺠﻨﺴﻴﺔ‬
(‫ﺻﻮرة ﻋﻦ اﻹﻗﺎﻣﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Passport Number | ‫رﻗﻢ اﻟﺠﻮاز‬  Emirates ID Copy (if applicable) |
(‫ﺻﻮرة ﻋﻦ ﺑﻄﺎﻗﺔ اﻟﻬﻮﻳﺔ )إذا ﻛﺎن ﻳﻨﻄﺒﻖ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 Passport Size Photo |
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬ ‫( ﺻﻮرة ﺷﺨﺼﻴﺔ ﻣﻠﻮﻧﺔ‬2)

UAE Resident | ‫ﻣﻘﻴﻢ ﻓﻲ اﻹﻣﺎرات‬  Yes | ‫ﻧﻌﻢ‬  No | ‫ﻻ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬
These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 8 | 9
Directors | ‫( اﻟﻤﺪﻳﺮون اﻹدارﻳﻮن‬Company | ‫)اﻟﺸﺮﻛﺔ‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬1 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬2 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Director | ‫ – اﻟﻤﺪﻳﺮ اﻹداري‬3 Required Documents | ‫اﻷوراق اﻟﻤﻄﻠﻮﺑﺔ‬

Company Name | ‫إﺳﻢ اﻟﺸﺮﻛﺔ‬  Certificate of Incorporation |

‫ﺷﻬﺎدة اﻟﺘﺄﺳﻴﺲ‬
Country of Formation | ‫ﺑﻠﺪ اﻟﺘﺄﺳﻴﺲ‬
 Certificate of Good Standing |
Registration Number | ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ‬ ‫ ﺷﻬﺎدة ﺣﺴﻦ اﻟﻮﺿﻊ‬or | ‫او‬

Authorized Person | ‫اﻟﻤﺨﻮل‬ ‫اﻟﺸﺨﺺ‬ Certificate of Incumbency |

ّ
‫ﺷﻬﺎدة ﺗﻔﻮﻳﺾ‬
Email ID | ‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
 MOA | ‫ﻋﻘﺪ اﻟﺘﺄﺳﻴﺲ‬
Mobile Number | ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬  Board Resolution | ‫ﻗﺮار اﻟﻤﺠﻠﺲ‬

Full Address | ‫اﻟﻌﻨﻮان اﻟﻜﺎﻣﻞ‬

These fields are mandatory. Ignoring these fields may result in returning the application or, in some cases, suspend the business license. | ‫ ﺗﻌﻠﻴﻖ ﻟﺮﺧﺼﺔ اﻟﻌﻤﻞ‬،‫ اﻟﺘﺨﻠﻒ ﻋﻦ اﻹﺟﺎﺑﺔ ﺳﻴﺆدي إﻟﻰ إﻋﺎدة اﻟﻄﻠﺐ أو ﻓﻲ ﺑﻌﺾ اﻟﺤﺎﻻت‬.‫اﻹﺟﺎﺑﺔ ﻋﻠﻰ ﻫﺬه اﻷﺟﺰاء إﻟﺰاﻣﻲ‬

Address Line 1 | ‫اﻟﻌﻨﻮان اﻷول‬ Address Line 2 | ‫اﻟﻌﻨﻮان اﻟﺜﺎﻧﻲ‬ City | ‫اﻟﻤﺪﻳﻨﺔ‬ Country | ‫اﻟﺒﻠﺪ‬

Client Name:
Client Signature:
Date:

ONBFORM 30OCT2019 P a g e 9 | 9