Application for License

1. Proposed set up of your business within Dubai Knowledge Village. Please

select one (1) of the two options below only.

New Incorporation of a Free Zone Limited Company (Authorised and issued

capital must be paid up)

Shareholders Information (If Individuals) (for Business centre, Maximum 2

shareholders)

Date of Number of
Name (First, Last) Nationality Share Value
Birth Shares

Shareholders Information (If Group Entity)

Company Name (As Publicly

Incorporat No. of Share
per Registration Nationality Listed
ed On Shares Value
Document (Y/N)

Director(s) Information (for FZ-LLC)

Date of Resident in
Name (First, Last) Nationality Contact No.
Birth UAE

Manager in Charge information:

Date of Resident in
Name (First, Last) Nationality Contact No.
Birth UAE

Dubai Knowledge Park, P.O. Box 73000, Dubai, United Arab Emirates, 1
Ph: +971 4 390 1111, Fax: +971 4 390 1110, E-Mail: info@kp.ae, Web: www.dkp.ae
 Application for License

Legal Representative Information:

Date of Resident in
Name (First, Last) Nationality Contact No.
Birth UAE

OR

Branch (A Regional/International company that should be at least two (2) years

old to be registered as a branch by Dubai Knowledge Village)

Date of Incorporation
Country of
Incorporation
Name
Full Address
P.O. Box
City
Country
Zip Code
Phone Number
Fax Number
Web Address
Email Address
Year of Incorporation
Place of Registration
Type of Registration

Manager in Charge information:

Date of Resident in
Name (First, Last) Nationality Contact No.
Birth UAE

Legal Representative Information:

Date of Resident in
Name (First, Last) Nationality Contact No.
Birth UAE

Dubai Knowledge Park, P.O. Box 73000, Dubai, United Arab Emirates, 2
Ph: +971 4 390 1111, Fax: +971 4 390 1110, E-Mail: info@kp.ae, Web: www.dkp.ae
 Application for License
2. Proposed Official Name of the Entity at Knowledge Village

First Choice: _________________________________________

Second Choice: _______________________________________

3. Proposed Visa Requirements

Senior Middle Skille

Support/Ad
Manageme Manageme d Others
min
nt nt Staf
No. of Employees
Monthly Gross
Income
Projected No.
Employees after 2
Years

4. Proposed Office Area Requirement

Minimum Sq. Ft: _____________________

Maximum Sq. Ft: _____________________

5. Estimated Date Office is Required

Date: ______________________________

By signing blow, I/We hereby certify that, I/We are an authorised party who has
the capacity and authority to make this application to Dubai Knowledge Village.
I/We accept to settle all fees that are applicable as a result of this application.
I/We also certify that all information provided is correct to the best of my/our
knowledge. (Please contact Dubai Knowledge Villages Account Management Team
in the event clarification is required.)

Name of
Applicant
Position
Address
Date

Dubai Knowledge Park, P.O. Box 73000, Dubai, United Arab Emirates, 3
Ph: +971 4 390 1111, Fax: +971 4 390 1110, E-Mail: info@kp.ae, Web: www.dkp.ae
 Application for License
Signature

Dubai Knowledge Park, P.O. Box 73000, Dubai, United Arab Emirates, 4
Ph: +971 4 390 1111, Fax: +971 4 390 1110, E-Mail: info@kp.ae, Web: www.dkp.ae