* mandatory fields
 
1. Parent company
Type: *
Name: *
Country of origin: *
Year of establishment : *
Number of existing branches worldwide: *
Location of existing branches worldwide: *
Total number of staff: *
Head office country: *
Head office full address: *
Head office phone: *
Head office fax: *
Head office email address: *
Website: *


2. Proposed name of the subsidiary in IHC
List 3 options in order of preference:
Option1: *
Option2: *
Option3: *


3. Activities of the subsidiary in IHC
Main focus: *


4. Total capital & shares of the subsidiary in IHC
Share Capital
(
Minimum AED 500,000): *
Total number of shares: *
Value of each share
(
Minimum AED 1,000): *
Bankers's Name: *
Address: *


5. Type of license required for the subsidiary in IHC
Type of license: *


6. Facilities required for the subsidiary in IHC
Office (m2): *
Warehouse (m2): *


7. Staff employed by the subsidiary in IHC
Total number of employees: *
Number Of managers: *


8. Proposed Shareholders of the subsidiary in IHC
SHAREHOLDER NO.1  
Number of shares: *
Name:
 
To add additional shareholders information, please click the check boxes below as required.
SHAREHOLDER NO.2  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident :
 
SHAREHOLDER NO.3  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident :
 
SHAREHOLDER NO.4  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident :
Note: If additional space is required for shareholder(s) information , a separate sheet should be attached to this application.

9. Proposed Board of Directors of the subsidiary in IHC
CHAIRMAN  
Name: *
Permanent address: *
Phone: *
Fax: *
Email address: *
Nationality: *
UAE resident: *
 
To add directors information, please click the check boxes below as required.
DIRECTOR 1  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident:
 
DIRECTOR 2  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident:
 
DIRECTOR 3  
Number of shares:
Name:
Permanent address:
Phone:
Fax:
Email address:
Nationality:
UAE resident:
Note: If additional space is required for director(s) information , a separate sheet should be attached to this application.


10. Appointed Manager of the subsidiary in IHC (as per the Board Resolution)
(must be resident of Dubai)
Name: *
Position: *
Street address: *
P.O. Box: *
Phone: *
Fax: *
Mobile: *
Email address: *
Nationality: *


11. How did you hear about IHC
How did you hear about IHC?: *


12. Application completed by
Name: *
Position: *
Company: *
Phone: *
Email Address: *

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