Application for Educational Services Permit for TVET Provider

Application for Educational Services Permit for TVET Provider

• This form must be completed electronically.

Section 1: TVET Provider Details

TVET Provider Profile
TVET Provider Name
TVET Provider No.
NQA Reference No.
Country of origin
Date of establishment in Dubai
Language (s) of Instruction
TVET Provider Head Details
Full Name
Nationality
Job Title
Mobile No.
Telephone No.
Fax No.
Email Address
Legal Representative Details (if applicable)
Full Name
Nationality
Job Title
Mobile No.
Telephone No.
Fax No.
Email Address
Premises Details
Status / Please select RentedGrantedLeasedOwned
Nature of Building / Please select VillaBuildingFlatOfficeOther
If ‘Other’, please specify
Size in square feet
Address Details
Building name/ No.
Street No.
Area No.
Area No.
Floor No.
PO Box No.
Office Phone No.
Office Fax No.
Email address
Web address
Commercial License Details (if applicable)
TVET Provider License
License No.
Issued by
Date of Expiry
First Issue Date
Current Issue Date
Academic Infrastructure Provider / Investing Company
License No.
Date of Expiry
First Issue Date
Current Issue Date

Section 2: Approved TVET Qualifications

• Please provide list of TVET qualifications approved by QAD.

Qualification 1
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED
Qualification 2
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED
Qualification 3
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED
Qualification 4
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED
Qualification 5
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED
Qualification 6
Qualification Title
Qualification Type / Please select National Qualification (NQ)Nationally Recognised Qualification (NRQ)Internationally Recognised Qualification (IRQ) / Approval No.
Qualification Framework / Level / Please select Level 1Level 2Level 3Level 4Level 5Level 6Level 7Level 8Level 9
Total Fees in AED

Section 3: Supporting Documents for TVET Provider Educational Services Permit

• Please use the following checklist to ensure complete and accurate documentation is providedto support your application.
• KHDA shall request any additional documents as required.
• All legal documents must be either in Arabic or English. Documents in any other languages must be accompanied by a certified English or Arabic translation

Documents / Applicant / Official use only
1 / Undertaking for the TVET Provider Head using QADUndertaking template. / ☐ / ☐ /
2 / Undertaking for the Investors/ Shareholders using QAD Undertaking Template. (If applicable). / ☐ / ☐ /
3 / 3.1 For government entities and national NGOs:
True copy of resolution or decree for establishment of TVET Provider. / ☐ / ☐ /
3.2 For private providers and local NGOs:
Copy of the Commercial License from the relevant Commercial Licensing body. / ☐ / ☐ /
4 / Copy of the Commercial License of the Academic Infrastructure Provider (AIP) or Investor company (If applicable). / ☐ / ☐ /
5 / Copy of the lease agreement for the premises (If applicable). / ☐ / ☐ /
6 / Signed Certificate of Authorisation completed by TVET Provider Head on the QAD Certificate of Authorisation Template. / ☐ / ☐ /
7 / Copy of the certificate of fitness from the governing body for Health care (if the TVET Provider has an in-house medical clinic) / ☐ / ☐ /
8 / True copy of the completion certificate from Dubai Municipality or Free Zone (if applicable). / ☐ / ☐ /

Section 4: Payments and Fees

• Application for Educational Services Permit for TVET Provider will be processed on receipt of full payment of Educational Services Permit for TVET Provider fees.
• Application for Educational Services Permit for TVET Provider fees are non-refundable.

Section 5: Undertaking

Undertaking
I hereby certify that I am the authorised party who has the capacity and the authority to make this application for the permit with the KHDA. I accept to settle all fee(s) that are applicable as a result of this application. I also certify that all information provided is correct to the best of my knowledge. I further certify that I shall comply with all regulations in force in the KHDA. I also undertake to submit all the required documents as stated in Section 3 of this application.
(Signature) / (Stamp)
Application for Educational Services Permit for TVET Provider/2015 04 10 / Page 1 of 5