0219

For office use only:

Name:

Account Number:

ApplicationForm

This form consists of 6 sections

(optional)

Website:

Option1:

Option2:

Per Share Value (AED)

Total Share Value (AED)No.

for FZCO

Board of Directors details: (applicable for Free Zone Company (FZCO)/ Free Zone Establishment (FZE) )

Managers details: (applicable for Free Zone Company (FZCO)/ Free Zone Estab-lishment (FZE)/ Branch )

Dubai Department of Tourisim & Commerce Marketing

TCL power: kw

Water: Gallons

*

TCL: Total Connected Load*

(75-130 KVA)

(20-40 KVA)

Value of number of containers in Twenty Foot Equivalent Units (TEU’s) and General Cargo in Metric Tons is required. Please Enter (0) if no cargo movement is anticipated.