ࡱ>  ~bjbj 4!!8 Z`]s%%% Z"Z"Z"Z"Z"Z"Z$]_FZ%!%%FZ!![Z%|!8q8 Z% ZQY$VuRS, ZqZ0ZSHY`PY`X$V$VY`8V%%%%%%%FZFZC%%%Z%%%%Y`%%%%%%%%% :  Date: ||Prior to the completion of this application form kindly review the Ras Al Khaimah Free Trade Zone International Companies Regulation 2006. DETAILS PERTAINING TO THE INTERNATIONAL COMPANY Proposed International Companys Name Please provide up to a choice of three names. If a company name has been reserved, please provide the RESERVATION NUMBER. Share Capital Divided into: 1 share of AED 1,000. 00 Each. Address Please advise the physical location, address as well as a valid Post Office Box Number of the proposed registered office.(if available) Business Activity Please identify the nature of your business activity and provide a brief description of your business.Please confirm that you will not be conducting any activities within the Zone. Please confirm if you shall be carrying out any financial services or insurance business as defined in the Regulations?We Confirm that we will not conduct: 1. Any business of Financial Services or Insurance as restricted by RAKICs regulations. 2. Any activities restricted by RAKIC regulations within the RAK Free Trade Zone or outside  DETAILS CONCERNING INCORPORATORS Any one or more person may, by signing and delivering to the Register an application for a certificate of incorporation, apply for the formation of an incorporated International Company with Limited Liability. Incorporator (s):NAMENUMBER OF SHARESVALUE   Please provide the names and address of the ultimate shareholders. Please attach a copy of their curriculum vitae. Have any of the ultimate shareholders made an application to form a company in any jurisdiction in the UAE, which has been refused?  DETAILS CONCERNING BOARD OF DIRECTORS & SECRETARY Subject to any limitation in the articles, the business and affairs of an International Company Shall be managed by not less than one Director. DirectorDirectorName : Address :Nationality :Passport No :Resident in the UAE :Occupation : DirectorSECRETARYName : Address :Nationality :Passport No :Resident in the UAE :Occupation :Note: If insufficient space has been provided for any section, please provide the information on a separate sheet, indicating clearly the section to which the information relates. DETAILS CONCERNING THE APPLICABLE LAW Applicable law in the event of dispute between partners:Applicable law in the event of death of partners:Applicable law in any other matters to be specified:Note: To be mentioned in the Memorandum & Article of Association DETAILS CONCERNING REGISTERED AGENT By signing below. I/we am/are a Registered Agent of the International Company, with the capacity and authority to make this application to the Ras Al Khaimah Free Trade Zone Authority. I/we irrevocably undertake and agree to comply with all Regulations and other implementing and interpretative rules issued from time to time by the Ras Al Khaimah Free Trade Zone Authority. I/we also certify that all the information provided in this application is true and complete and to the best of my/our knowledge I/we will advise the Ras Al Khaimah Free Trade Zone Authority of any changes to the ultimate Shareholders.Name of Registered Agent :Worldwide FormationsPhone Number :04 3721184 | 043042600Fax Number :04 3721182 | 043042601Current Address :Monarch Office Tower | One Sheikh Zayed Road P O Box 33964 | Dubai | UAE Signed on Behalf of Registered AgentName in Print :Rajesh AmbikanPosition :Head of Free Zones & UAE Offshore OperationsMobile Number :050 3711733Date : DATE \@ "MMMM d, yyyy" January 13, 2013All information is subject to verification by the Ras Al Khaimah Free Trade Zone Authority, at its sole discretion. False and misleading statements will result in the refusal of the application. The Ras Al Khaimah Free Trade Zone Authority reserves the right to request further information or clarification as is considers necessary and appropriate to this application. Please be advised that our review of your application and follow up with you does not include the consideration of additional/non-Ras Al Khaimah Free Trade Zone Authority operational approvals which may be required by UAE and/or Ras Al Khaimah governmental agencies in connection with your proposed activities and which are your responsibility to ascertain and obtain. All fees submitted with regards to application are non-refundable, and the Ras Al Khaimah Free Trade Zone Authority reserves the right to revise or vary fees as it deems necessary. If a holding company structure is employed, full ownership disclosure of the ultimate beneficial ownership is required. 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