Form CFI29

Rule 298

Claim Form
(Applicationfor registration and enforcement of Judgment of the United Arab Emirates)

Court of First Instance
Division / Civil
Case number
Title of Proceedings
[First] Judgment Creditor* / [full name]
[Second Judgment Creditor] [number of Judgment Creditor(s) if more than two] / [#full name #number (refer to Party Details at rear for full list of parties)]
[First] Judgment Debtor* / [full name]
[Second Judgment Debtor] [number of Judgment Debtor(s) if more than two] / [#full name #number (refer to Party Details at rear for full list of parties)]
Filing Details
Filed for* / [name of judgment creditor(s)]
Legal representative / [name]
Firm / [name of firm]
Firm reference / [reference number]
Contact name* / [name]
Contact telephone* / [telephone]
Contact email* / [email address]
Details of Judgment
Date made or given* / [insert date]
Judgment* / [attach a copy of the judgment or, if applicable, the order of the UAE court recognising an arbitral award, affixed with the executory formula, and a copy translated into English by a legal translator][1]
Amount outstanding under judgment*
Judgment sum / [insert the amount of judgment sum]
Recovery under judgment / [insert the amount of judgment sum recovered to date of application and the date(s) of recovery]
Judgment sum outstanding / [insert the amount of judgment sum outstanding at date of application]
Relevant matters*
[state any matter which, if the judgment debtor was heard, the judgment debtor would wish the Court to be aware of, including any matters which might tend to undermine the judgment creditor's application]
Details of interest
Amount of interest / [insert the amount of interest claimed on the judgment sum and the judgment sum on which it is claimed]
Rate(s) of interest / [insert the rate of interest applied during the period in which it has accrued]
Period of interest / [insert the date from which interest is recoverable and the date on which it ceases to accrue]
Details of service*
[attach a copy of the notice sent to the judgment debtor serving the judgment]
Enforcement action*
[state the measures or actions sought for enforcement e.g. attachment of bank accounts]
Pending enforcement action
[provide details of any other procedure or enforcement action that is pending in any other jurisdiction]
Verification*(complete as applicable)
I am a Litigant in person
I certify that the details I have provided in this application are true and correct and that to my knowledge there is no application or other procedure for enforcement pending except as stated herein. I understand that the making of a false statement in this claim may lead to serious consequences, including being held in contempt of court.
Signature / ______
Date of signing / ______
I am the legal representative of the judgment creditor(s)
I certify that the details I have provided in this application are true and correct and that to my knowledge there is no application or other procedure for enforcement pending except as stated herein. I understand that the making of a false statement in this claim may lead to serious consequence, including being held in contempt of court.
Signature / ______
Date of signing / ______

[separate page]

Party Details
Judgment Creditor(s)
ADGM Registration No.
(if applicable) / [ADGM Registration#]
Full Name* / [name]
Address* / [address]
(for additional Judgment Creditor(s), please fill out the section below for each Judgment Creditor)
ADGM Registration No.
(if applicable) / [ADGM Registration#]
Full Name* / [name]
Address* / [address]
Judgment Creditor(s) Contact Details (complete if self-represented or by authorised officer as applicable)
Name of authorised officer / [name]
Capacity to act for Claimant / [e.g. Director]
Address for service* / [address]
Telephone* / [telephone]
Email* / [email address]
Judgment Creditor(s) Legal Representative (complete if legally represented)
Name / [name]
Firm / [name of firm]
Address of Firm / [address of firm]
Contact person / [contact person]
Email / [email address]
Telephone / [telephone]
Firm Ref / [firm reference]
Judgment Debtor(s)
Full Name* / [name]
Address* / [address]
Email / [email address]
(for additional Judgment Debtor(s), please fill out the section below for each Judgment Debtor(s))
Full Name* / [name]
Address* / [address]
Email / [email address]

CFI 291

[1]“The authorities and competent bodies must proceed to execute this instrument and to carry out the requirements thereof, and they must give assistance in the execution thereof even by force if so requested.”