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2019-12-06T14:01:51+00:00
APPLICATION FOR A NEW LICENCE
Application Reference
Date
*
Type of License
New
Please provide type of set-up preferred
*
Company - Actual Office Space (Minimum Space 350 sq.ft)
Baby Business
Freelance Company
Commercial License
If set-up option is : Company - Actual Office Please specify additional details below :
Regular Company
Branch of a UAE-based Company
Branch of Foreign Company
Required Office Space
Proposed Name of Company
*
Main Business Activity
*
Business Activty
Consultancy
Media & Marketing
Media Consultancy
New Media
Business Information
Audio & Visual
Audio
Publishing
Event Management
Media Support Services
Film / Production / Post‐Production
Music & Entertainment
Information Technology
Education
Import / Export
Name of Main Company if opening branch office
Company Information / Current Contact Details / Correspondence to be Addressed to
Name of Contact Person
*
Company Name
Address
*
P.O.Box
*
Country
*
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
City
*
Tele
Fax
Mobile
*
Primary Email Address
*
Secondary Email Address
Country of Origin
*
Estimated Number of Visas Required
*
Proposed Staffing Levels
Managerial
Skilled / Professional
Unskilled
Details of Shareholder(s)
Full Name
*
% of Shares
Contact Details (email, Contact No, address, etc.. )
Full Name
% of Shares
Contact Details (email, Contact No, address, etc.. )
Full Name
% of Shares
Contact Details (email, Contact No, address, etc.. )
Full Name
% of Shares
Contact Details (email, Contact No, address, etc.. )
Full Name
% of Shares
Contact Details (email, Contact No, address, etc.. )
Please indicate the Name and exact Designation of Person In-charge to appear in your License (Managing Director / Executive Director / CEO / General Manager):
Full Name
*
Designation
*
DECLARATION
I/We Hereby declare that to the best of my/our knowledge and belief, all the particulars furnished in this application are true and accurate in all respects. I/We hereby irrevocably undertake and agree to comply with all rules, regulations and other conditions issued from time to time by HMD International & Fujairah Management Services.
I Agree
*
I Agree
Submit
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