| A. IDENTIFICATION |
| 1. Name of company/party: …………………………………………………………………………………. |
| 2. Registered address/no. and location: ……………………………………………………………… |
| 3. Date of registration: …………………………………………………………………………………………. |
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| 4. Company's share capital | | issued | | to be issued |
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| 5. Give names, nationalities and domiciles of legal representatives. |
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| Principal banker: ……………………………………………………………………………………………………………… |
| Other banker: ………………………………………………………………………………………………………………….. |
| Business principals |
| 1. ……………………………………………………………………………………………………………………………. |
| 2. ……………………………………………………………………………………………………………………………. |
| B. OPERATIONS |
| 1. Provide full details of your business and the nature of products to be traded. Also, indicate if you will operate hazardous cargo. |
| ……………………………………………………………………………………………………………………………. |
| ……………………………………………………………………………………………………………………………. |
| 2. Expected commencement date of operations …………………………………………………. |
| 3. Expected date of maximum operations …………………………………………………………… |
| 4. Is there a limited time frame of operations? If yes, please state ………….………. |
| ……………………………………………………………………………………………………………………………. |
| C. EMPLOYMENT |
| 1. Do you intend to recruit foreign staff? …………………………………………………………….. |
| If so, give reason(s): ………………………………………………………………………………………… |
| ……………………………………………………………………………………………………………………………. |
| Category of workers: (indicate level of skill, for example, top and middle management, floor staff) |
| ……………………………………………………………………………………………………………………………. |
| ……………………………………………………………………………………………………………………………. |
| ……………………………………………………………………………………………………………………………. |
| ……………………………………………………………………………………………………………………………. |
| 2. Give data on proposed local employment as per the following (FZMA requires a minimum of three persons to be employed). |
| Category of workers | Employment at the initial stage of operations | Employment at maximum stage of operations |
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| D. REQUIREMENTS |
| 1. List requirements for — |
| (a) Utilities ………………………………………………………………………………………………………………. |
| (b) Telecommunications …………………………………………………………………………………………. |
| (c) Other (e.g. shipping etc.) please specify …………………………………………………………. |
| ……………………………………………………………………………………………………………………………. |
| 2. Physical plant size in square metres: |
| (a) Warehousing ……………………………………………………………………………………………………… |
| (b) Office …………………………………………………………………………………………………………………. |
| (c) Outside area (land) …………………………………………………………………………………………… |
| (d) Other (specify) ………………………………………………………………………………………………….. |
| Name of Applicant ……………………………………………………………………………………………………………. |
| Signature of Applicant ……………………………………………………………………………………………………… |
| On behalf of ……………………………………………………………………………………………………………………… |
| Address of applicant: ………………………………………………………………………………………………………. |
| Telephone number: …………………………………………………………………………………………………………. |
| Facsimile: …………………………………………………………………………………………………………………………. |
| Email address: …………………………………………………………………………………………………………………. |
| Date: ………………………………………………………………………………………………………………………………… |