General Information of the Company
Type of application /  Listing a local company
 Listing a foreign company
 Listing a company listed in free zone markets
Name of the company
Legal form of the Company
Registration No. with SCA
(for local companies only)
Nationality of the company
Sector
Date and place of incorporation
Fiscal year / Ending on ...... /...... /......
Purpose of the Company
Trade license No.
Commercial registration No.
Main office / City
P.O Box
Tel.
Fax
Website
Name of the markets where the company shares are listed
Ratio of the company's net assets to the capital in the last two years / Year / %
Year / %
Ratio of the net distributable profit to the capital in the last two years. / Year / %
Year / %
Capital Information
Authorized capital
Paid-up capital
Paid percentage of the capital
Number of shares
Nominal value of the share
Currency
Number of shareholders in the share register as of the date of submitting the application
Share Ownership Entries According to the Company's Articles Of Association
Investors'Category / Total Ownership (%) / Maximum Individual Ownership (%) / Warning Limit (%)
Citizens of the country of incorporation
GCC
Arabs
Foreigners
Other entries on the ownership of the company shares:
Board Members' Information
S. No. / Name / Post
1. / Chairman
2. / Vice Chairman
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Other Information
Authorized signatories for documents and correspondence addressed to the SCA
No. / Name / Job title / Signature Specimen
1.
2.
3.
4.
Names of authorized individuals for the company disclosures and governance procedures
No. / Name / Contact Details
1. / Job Title
Department
Tel.
Mobile
Fax.
E-mail
2. / Job Title
Department
Tel.
Mobile
Fax.
E-mail
Main Contact in the Company
Name of contact person
Job Title
Department
Tel. /Direct
Mobile
Fax. Number
E-mail
Legal Consultant
Name of Entity
Name of Contact Person
Tel. No. /Direct
Fax.
E-mail
Address
Auditor
Name of Entity
Name of Contact Person
Tel. No. /Direct
Fax.
E-mail
Address
Names and addresses of the company's auditors for the last two years / Year / Name and address of the auditor
Year / Name and address of the auditor
Manager of the Shareholder Register
Name of Entity
Name of Contact Person
Tel. No. /Direct
Fax.
E-mail
Address
Representative of the company in the UAE in charge of matters related to the registration of share transfers, distribution of profits, receiving and issuing reports and documents related to the company business
(For foreign companies only)
Name of Entity
Name of Contact Person
Tel. No. /Direct
Fax.
E-mail
Address
Approval of the Application
Applicant's Name
Job title
Authorizing party to submit the application
Applicant's signature / Company Stamp
Date of submitting the application:
Please select the name of the financial market where you wish to be list:
ΟAbu Dhabi Securities Market
ΟDubai Financial Market

* Please attach the letter of authorization to submit the application for registration, signed by the chairman of the company and sealed by the company.

** In case any of the above mentioned documents is not available, please notify the SCA by an official letter indicating the reason thereof.