Business Setup Application – New Company/Entity
APPLICATION FORM

Licence Type
Please contact your Expo City Dubai Representative if the desired Licence Type is not mentioned below
CommercialIndustrial

Service

For Service Licence with planned Restaurant or Cafe activity, please specify any restrictedbusiness activities:
Alcohol

ShishaAlcohol and Shisha

Unit Type

NoneArea (Sq. Ft.)

Company Name
Please provide in order of priority three (3) options for Trade Name registration.
1.
2.
3.

Activity List*
No. Activity Name

Activity Code

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
*Please use additional page if required.

Applications will not be processed until application submission and payment are completed.
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Business Setup Application – New Company/Entity
APPLICATION FORM

Company Manager
Name:
Address:

P.O. Box:

Email:

Mobile No.:

Nationality:

Passport No.:

Signature:

CapitalInvested
Capital (in AED):

Total Numberof Shares:

Value of each
Share (AED):

Shareholder Details*
List of all Shareholders
Shareholder
Type

Individual/Company
Name

No. ofShares

Value ofShares (AED)

Politically
Exposed Person

Non-Individual
IndividualNo
Yes

Non-Individual
IndividualNo
Yes

Non-Individual
IndividualNo
Yes

Board of Directors Details* (Please provide at least one Director)
Name

Passport No

Nationality

PoliticallyExposed Person

NoYes

NoYes

No
Yes

Applications will not be processed until application submission and payment are completed.
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Business Setup Application – New Company/Entity
APPLICATION FORM

Secretary Details* (optional)
Name

Passport No

Nationality

Politically Exposed
PersonNo
Yes

Legal Representative’s Information: (if any)
Provide the ECD with the name of a natural person residing in the State and authorised to discloseto ECD all data and information required under the AML law.
Full Name:
Current Address:
Mobile No:

Email Address:

Nationality:*Please use additional page if required . All Individual(s) indicated in this application must each provide a SPECIMEN SIGNATURE.

Ultimate Beneficial Owner Declaration
UAE Federal Law 20 of 2018 on Anti-Money Laundering (AML) and Countering the Financing ofTerrorism, Cabinet Decision No. 10 of 2019 issued under the AML Law and Cabinet Decision No. (58)of 2020 Regulating the Beneficial Owner Procedures (the “AML Law”) requires institutions to capture
and identify the details of the Ultimate Beneficial Owner(s) (UBOs) of an applying corporate.
The Expo City Dubai Authority (the “Authority”) requires all the business partners it licences todisclose their ultimate beneficial owners.

Ultimate Beneficial Owner (UBO) Identification
I/We hereby declare that the company is wholly owned by the UAE Local or Federal Government,or any other companies wholly-owned by such companies, and Financial Free Zones.*
I/We hereby declare that the company are/is owned by a company listed on a recognized stock
exchange subject to the disclosure requirement which ensure sufficient transparency on its
beneficial owners or a company wholly-owned by such listed company.*
I/We hereby declare that the individual shareholder(s) is the Ultimate Beneficial Owner (UBO)of the company and there are no more UBO(s) of the company other than the individual shareholder (s) stated in the Articles of Association.*
I/We hereby declare that the company is owned by company(s) stated below and the UBO (s)controls ownership through/is any of the following:
Ultimately owns or controls whether directly or indirectly, 25% or more of the shares orvoting right in the company.
Holds the right to appoint or dismiss the majority of its Directors.
Ultimately exercise controls over the management and/or corporate body.
*If selected the submission of the Ultimate Beneficial Owner Declaration will not be required and is
exempted.

Applications will not be processed until application submission and payment are completed.
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Business Setup Application – New Company/Entity
APPLICATION FORM

Ultimate Beneficial Owner (UBO) – Corporate Entities
Company Ownership
Type

Address ofRegistered OfficeCompany Name

Shares Percentage

Government
SEC
PrivatePublicCharity/Foundation
Trust
RegisteredOwned

Ultimate Beneficial Owner (UBO) - Individual
Personal Details
First Name:

Last Name:

Passport No.:

Passport Issue Date:

Nationality:

Passport Expiry Date:

Date of Birth:

Place of Birth:

Passport Issue Place /Issuing Authority:

Gender:Politically Exposed
Person:Ownership Details

NoYes

Date of Owning Shares:% of Shares in FZ-LLC:
Number of Shares:
Value of Shares:
Source of Income:
Origin of Income:Source Bank Name: (please provide if the origin of income is UAE)

Address Details in UAE
Area:

Street:Building Name/No.:

City:

P.O.Box No.:

Mobile No. 01:

Residence Phone:

Mobile No. 02(Optional):

Applications will not be processed until application submission and payment are completed.
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Business Setup Application – New Company/Entity
APPLICATION FORM

Address Details in Home Country
City:

Country:

Residence Phone:
Mobile No:
Please submit a separate Ultimate Beneficial Owner Declaration Form for each UBO should there be
more than one individual who falls under the definition of UBO.

Ultimate Beneficial Owner (UBO) Declaration
By affixing our signature below, I/we declare that:• I/We acknowledge that we are obliged to read the relevant guidelines and adhere to all the ECD
community requirements.

• I/We hereby authorise the ECD Authority to make any enquiries from any person or entity, it may
deem necessary in connection with this declaration.

• I/We hereby confirm that the information provided herein is accurate, correct and complete andthat the documents submitted along with this application form are genuine. We undertake toinform ECD in writing of any changes to the information provided within 15 days of such changes.
Failure to do so may result in fines as well as suspension or termination of licence.

• I/We understand that the ECD Authority may decline my declaration without being required toprovide any reason.

Applications will not be processed until application submission and payment are completed.
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Business Setup Application – New Company/Entity
APPLICATION FORM

Authorised Contact Person
Please provide contact person(s) authorised to process and submit the application on behalf of the Authorised Signatory

NamePosition

MobileEmail Address

Authorised Signatory
Application Submitted by:
The Owner / Shareholder

Legal Agency / Representative (Attach Power of Attorney)

I hereby declare that the information in this form is true and correct as at the date mentioned below.
Name:
Signature:

Date:

Mobile No.:

Email Address:

Registration and Licence Approval
Name:
Signature:

Date:

Applications will not be processed until application submission and payment are completed.
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