Sharjah Research Technology and Innovation Park Application for Change of Company Name

Company Name: _________________________ Contact Number: _________________________

Premises Leased: _________________________ Location: _________________________ Lease Exp.: _________________________

License Type: _________________________ License No.: _________________________ License Exp.: _________________________

I / We being the Owner of the above mentioned Company hereby declare that subject to approval of the SRTI Park, the above mentioned name be changed to the following.

Proposed New Names:

We undertake to accept all previous liabilities related to the old name of the above-mentioned Company.

Reason for Proposed Changes:

Other Amendments:

Authorized representative on behalf of Company

Name: _________________________ Passport # / ID #: _________________________

I/We the undersigned hereby declare and certify that the above details are accurate & confirm that the signature(s) in this request & attac...