Economic Substance Notification
License Details
License name *
Commercial Licence / Trade License / Permit No. *
Financial year end / accounting reference period *

Legal form *
Registered office address *
Reportable Period
Start Date End Date
Reportable Period for Economic Substance purposes *

Relevant Activities
Did the Licensee carry on a Relevant Activity (as defined under Article 4 of the Economic Substance Regulations) during the Reportable Period? *
Please indicate which Relevant Activity(ies) the Licensee carried on during the Reportable Period Did the Licensee earn income from the Relevant Activity during the Reportable Period? Is the income earned from the Relevant Activity subject to tax outside the UAE?
RelevantActivity2A
Relevant Activity
Income during Reportable Period?
Tax Outside
Actions
Relevant Activity
Income during Reportable Period?
Tax Outside
If you selected "Intellectual property business" in Question 2A, please confirm if you are a High Risk IP Licensee
If you are a High Risk IP Licensee, please provide the following details relating to your direct parent company, ultimate parent company, and ultimate beneficial owner(s) (as applicable) Name country
Parent Company
Ultimate parent company
Utlimate Beneficial Owner1 Name
Utlimate Beneficial Owner Name
Utlimate Beneficial Owner Country
Actions
Utlimate Beneficial Owner Name
Utlimate Beneficial Owner Country
Additional Information
During the Reportable Period, was the share capital of the Licensee at least 51% directly or indirectly owned by the UAE Federal Government, or the Government of an Emirate, or any governmental authority or body of the UAE Federal or an Emirate Government during the Reportable Period?
If "Yes", please select the country in which the Licensee was resident for tax purposes
Was the Licensee tax resident outside the UAE during the Reportable Period?
Declaration
Designated contact person *
By submitting this Notification, the Licensee confirms that the information provided in this Notification is accurate, and acknowledges that there are sanctions for providing inaccurate information as per Article 11 of the Economic Substance Regulations. The Licensee further declares that the designated contact person is authorised to respond to queries raised by and provide further information and documentation to the Regulatory Authority.