APPLICATION FOR CARD ISSUANCE

Date 2 0

REQUESTED SERVICE: :

New Renewal Amendment Replacement Cancellation

Type of Application: Urgent Normal :

REQUESTED ID RAK FTZ Card

Health Card
Establishment Card

COMPANY DETAILS

Company Name: :

Telephone/Mobile No.: : /

Email Address: :

Office Location & Number: :

APPLICANT DETAILS

Applicant Name: :

Passport No.: :

Mobile No.: :

Email Address: :

Authorised Signatory & Company Stamp:

Authorised Signatory
Important Note: :
with Company Stamp
For information on requirements/charges, please
refer to the checklist provided by RAK FTZ. .

FOR RAS AL KHAIMAH FREE TRADE ZONE USE ONLY

Receipt No.: Sales Order No.: Prepared by:

Date Received: Remarks:

Issue No. 01 | Issued by: QEMR | Issue Date: Jul 27, 2015 | Ref: CRD/GOV.SERV.-026 1/1