Professional Documents
Culture Documents
First Choice
Second Choice
Third Choice
Non-Profit Profit
Full Name:
4. PROPOSED ACTIVITIES
Notes:
If you require additional space for the activities, a separate sheet must be attached to this application
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5. PROPOSED LOCATION
Company Name (As per the Registration Country & Date of Paid-up Capital (AED)
Document) Incorporation
Director 1 Director 2
Name
Address:
Nationality:
Place of residence:
Occupation:
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Director 3 Director 4
Name
Address:
Nationality:
Place of residence:
Occupation:
Notes:
If you require additional space for the names and details of Directors, a separate sheet must be attached to this
application
Meeting minutes signed by the Board assigning the Manager of the Social Club to take care of application
and other communication with CDA
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Signature Sheet below to be completed by ALL Applicants
By signing below, I/we, hereby certify that, I/we am an authorized party who has the capacity and authority to
make this application to CDA. I/we accept to settle all fee(s) that are applicable as a result of this application.
I/we also certify that all information provided is correct to the best of my knowledge. I/we agree to abide by the
laws, rules and regulations of CDA applicable in the Emirates of Dubai.
Phone:
Fax:
Mobile:
E-mail:
Notes:
Once completed, please submit this form to CDA Social Regulatory& Licensing.
All fields are mandatory and subject to verification by CDA.
Incomplete applications will not be accepted.
CDA reserves the right to request any additional information.
CDA reserves the right to inactivate the application if requested information is not furnished within 30 days from the
date of communication sent by CDA.
CDA reserves the right to request attestation of legal documents from any Embassy or Consulate.
False statements/information may result in de licensure of the entity, office closure, and/or legal proceedings.
Please contact CDA's Facility & Society Licensing department in the event of any clarification.
Signature: Signature:
Date: Date:
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