Signatory Consent I consent to act as authorized signatory of the above named company. I declare that the information in this application is true and complete as at the date of this form. Signature Date Name Designation Authorised Signatory Personal Details Provide details of the authorised signatory including the Arabic translation of the name. Name of the authorized signatory will be printed in the company’s commercial license. Title* Forenames* Surname* Former Names* Forenames in Arabic* Surname in Arabic* Country of Residence* Nationality* Date of Birth* Business Occupation Service Address Provide Post Box number or address at which communication may be effectively serve by postal service. Address* P.O. Box Number Post Code Country* Fit and Proper This is section 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 Companies and Commercial Licensing Regulations 2015. Have you ever been convicted of a involving dishonesty?*
Signatory Consent I consent to act as authorized signatory of the above named company. I declare that the information in this application is true and complete as at the date of this form. Signature Date Name Designation Authorised Signatory Personal Details Provide details of the authorised signatory including the Arabic translation of the name. Name of the authorized signatory will be printed in the company’s commercial license. Title* Forenames* Surname* Former Names* Forenames in Arabic* Surname in Arabic* Country of Residence* Nationality* Date of Birth* Business Occupation Service Address Provide Post Box number or address at which communication may be effectively serve by postal service. Address* P.O. Box Number Post Code Country* Fit and Proper This is section 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 Companies and Commercial Licensing Regulations 2015. Have you ever been convicted of a involving dishonesty?*
INC-02-LTD_FS_V20.docx