Limited Partner Title* Forenames* Surname* Name by which the individual Former Names was formerly known for business purposes. Country of Residence* Nationality* Date of Birth* Business Occupation Registered Office Please provide details of Partner’s service address. Physical Address Office Number* Floor* Building Name* Street Name of Cluster / Square / Area on the island* State / Province* Emirate Country* Please provide details of Partner’s residential address. This Residential Address information will not be visible to the public register. Unit Number / 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 Yes convicted of a No involving dishonesty?*
Limited Partner Title* Forenames* Surname* Former Names Name by which the individual was formerly known for business purposes. Country of Residence* Nationality* Date of Birth* Business Occupation Registered Office Physical Address Please provide details of Partner’s service address. Office Number* Floor* 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 / 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 involving dishonesty?* Yes No
p-inc-02_applicationtoregisterpartnership_2015-11-20_v10.docx