If no, please complete the following questions. Does the proposed name contain sensitive words or expressions that require you to seek comments of a government department or specified body? Yes, I confirm that the proposed partnership name contains sensitive or restricted words or expressions and that approval, where appropriate, has been sought from a government department or other specified body and I attach a copy of their approval. No Is the proposed partnership name very similar to another name appearing in the register of partnership names in ADGM or Abu Dhabi or any other relevant jurisdictions, and is this application made AS or ON BEHALF of and with the authority of, the registered owner(s) of the similarly registered business name(s)? Yes, I confirm that the proposed partnership name contains sensitive or restricted words or expressions and that approval, where appropriate, has been sought from a government department or other specified body and I attach a copy of their approval. No Business Activities Business Activity Type* Financial Business Activity Section* K – Financial and Insurance Activities Business Activity* CODE DESCRIPTION
Proof of Impending signed office lease agreement Copy of of impending signed office lease agreement. Letter confirming that the process of negotiation of the office space in ADGM is in progress and the proposed office space is identified. Section 3: Authorised Signatory Partnership must appoint at one authorised signatory. In what capacity are authorised signatories acting?* Jointly Severally Authorised Signatory (1) Please complete this section for each proposed authorised signatory. Use continuation sheet if necessary. Title* Forenames* Surname* Country of Residence* Nationality* Date of Birth* Business Occupation Service Address Please provide details of authorised signatory’s service address. Unit Number / Level Number Building Name Street / Area State / Province PO Box Number* Emirate Country* Fit & Proper This is required to allow ADGM Registration Authority to assess whether you are fit and proper for the purpose of your firm’s registration as a legal entity subject to ADGM Limited Liability Partnership and Commercial Licensing Regulations 2015. Have you ever been convicted of a crime involving dishonesty?* Yes No
accreditation revoked or withdrawn ?* Details Have you ever been dismissed, or asked to resign, from a position of trust, fiduciary appointment or similar position?* Yes No Details Have you ever been placed into statutory management, or has been a director of a company which has been placed into statutory management? Yes No Details Have you ever, in the last 10 years, been a director or senior manager of a company, or other incorporated or unincorporated entity, which has been placed into liquidation, administration or receivership, entered into any compromise agreement, moratorium or other restructuring to avoid liquidation, administration or receivership ?* Yes No Details Are you subject to pending proceedings which, if any adverse finding is reached, will result in one or more of the matters set out in the paragraphs above applying to you ?* Yes No
Business Occupation Physical Address Please provide details of Partner’s service address. Office Number* Building Name* Street Name of Cluster / Square / Area on the island* State / Province* Emirate Country* Residential Address Please provide details of Partner’s residential address. This information will not be visible to the public register. Unit Number / Level Number* Building Name* Street / Area* State / Province Emirate Country Fit & Proper This is required to allow ADGM Registration Authority to assess whether you are fit and proper for the purpose of your firm’s registration as a legal entity subject to ADGM Limited Liabilities Partnership and Commercial Licensing Regulations 2015. Have you ever been convicted of a crime involving dishonesty?* Yes No Details Have you ever served or been sentenced to a term of imprisonment?* Yes No Details Have you ever been convicted of any offence any provision of the financial markets legislation or any offence under any Yes No
Evidence of Appointment Copy of Evidence of Appointment enclosed. Please enclose copy of evidence of appointment. Resolution Authorising Incorporation of ADGM partnership * Copy of Resolution Authorising Incorporation of ADGM partnership enclosed. Please enclose copy of Resolution Authorising Incorporation of ADGM partnership. I consent to act as Partner of the above named entity. I declare that the information in this application is true and complete as at the date of this form. (2) Please complete this section if Partner is ‘other’. Use continuation sheet if necessary. Type of Partner General Partner Limited Partner Company / Firm Name* Entity Type* Physical Address Please provide details of Partner’s service address. Unit Number / Level Number* Building Name* Street / Area* State / Province Emirate Country Mailing Address Please provide details of Partner’s mailing address. Unit Number / Level Number Building Name Street / Area / Province PO Box Number* Emirate Country Certificate Of Incorporation or Registration* Copy of Certificate Of Incorporation or Registration enclosed. Please enclose copy of Certificate Of Incorporation or Registration. Evidence of Appointment Copy of Evidence of Appointment enclosed. Please enclose copy of evidence of appointment.
Resolution Authorising Incorporation of ADGM partnership * Copy of Resolution Authorising Incorporation of ADGM partnership enclosed. Please enclose copy of Resolution Authorising Incorporation of ADGM partnership. I consent to act as Partner of the above named entity. I declare that the information in this application is true and complete as at the date of this form. (3) Please complete this section if Partner is ‘other’. Use continuation sheet if necessary. Type of Partner General Partner Limited Partner Company / Firm Name* Entity Type* Physical Address Please provide details of Partner’s service address. Unit Number / Level Number* Building Name* Street / Area* / Province Emirate Country Mailing Address Please provide details of Partner’s mailing address. Unit Number / Number Building Name Street / Area State / Province PO Box Number* Emirate Country Certificate Of Incorporation or Registration* Copy of Certificate Of Incorporation or Registration enclosed. Please enclose copy of Certificate Of Incorporation or Registration. Evidence of Appointment Copy of Evidence of Appointment enclosed. Please enclose copy of evidence of appointment. Resolution Authorising Incorporation of ADGM partnership * Copy of Resolution Authorising Incorporation of ADGM partnership enclosed. Please enclose copy of Resolution Authorising Incorporation of ADGM partnership.