Issuer Membership Form

Applicant Details

Name of applicant*

Postal address

Address for hand delivery of notices

Notices to be marked for the attention of

Telephone No.*

Fax No.

E-Mail*

Is the applicant incorporated in Dubai?

Yes

Does the applicant hold a trade license in Dubai?

Yes

Please Provide Details

Is the applicant a subsidiary, branch or representative office of a company incorporated outside Dubai? If so, please provide full details (name, address, telephone and fax number) of the company of which the applicant is a branch or subsidiary or representative office

Yes

Name

Address

Telephone No.

Fax No.

E-Mail

Does the applicant have professional indemnity insurance?

Yes

Please Provide Details

Number of warehouses/vaults in respect of which the applicant proposes to issue GMRs

Warehouses Details

Location address

Name of the person in charge

Telephone No.

Fax No.

E Mail

Is the warehouse designated for a particular commodity or group of commodities

Yes

Please Provide Commodity Details

Is the warehouse a

Dry storage facility

Cold storage facility

A tank farm

Open yard

Does the warehouse hold ISO certification?

Yes

Please Provide the Details

Approximate total storage capacity of the warehouse (in cubic metres)

Is the applicant the owner of the warehouse?

Please provide the name and address of the owner

Name

Address

Yes

Is the applicant leasing the warehouse?

Yes

Is the applicant the first leaseholder? No

Please provide details of lessor

What is the expiry date of the lease?

Please provide details of any option to renew

Please provide the details of any rights the lessor may have over the goods stored in the warehouse in the event of default by the lessee on its obligations to the lessor

Yes

State the materials used for the construction of the warehouse

Walls

Roof

Floor

Door(s)

Please state

Number of floors

Floor(s) loading per square metre

Number of windows

Height from floor

Number of roof lights

State the type and height of the boundary fences and/or walls

State the type and height of the gate(s)

State how the doors are secured and protected

State how the windows are secured and protected

State alarm types

Movement

Yes

Sound

Yes

Beam

Yes

Contact

Yes

Give information on watchmen and/or security patrols operating outside the warehouse

State if floodlights are used

Yes

State if remote and/or automatic cameras are in use

Yes

Provide any additional relevant information in security

Has the warehouse been surveyed for insurance? Is so, state the date and if any/all the modifications requested have been carried out

Yes

State the date and if any/all the modifications requested have been carried out

Is the warehouse insured?

Yes

Please provide the details in terms of coverage and exclusions

If the warehouse is in a free zone, please state

The free zone registration no.

Is the licence in the name of Applicant?

Yes

Zone operator (i.e Jafza, Dafza etc.)

Date commenced working in the free zone

Demonstrate compliance with safety and environmental requirements depending on type of goods to be stored.

Describe any warehouse receipt and/or tracking system presently in place (computerised, document templates, manual) and security measures presently implemented

Describe weighing and tallying system and equipment available

Vault Details

Location address

Name of the person in charge

Telephone No.

Fax No.

E-Mail

Does the vault hold any other assets?

Yes

Please provide the details

Does the vault hold ISO certification?

Yes

Please provide the details

Approximate total storage capacity of the vault (in cubic metres/kilograms)

Is the applicant the owner of the vault?

Please provide the name and address of the owner

Name

Address

Yes

Is the applicant leasing the vault?

Yes

Is the applicant the first leaseholder? No

Please provide details of lessor

What is the expiry date of the lease?

Please provide details of any option to renew

Please provide the details of any rights the lessor may have over the goods stored in the vault in the event of default by the lessee on its obligations to the lessor

Yes

State the material used for the construction of the vault

Walls

Roof

Floor

Doors

Please state the type and height of the outside boundary walls

State the type and height of the gate(s)

State how the doors are secured and protected

State how the buildings are protected

State alarm types

Movement

Yes

Sound

Yes

Beam

Yes

Contact

Yes

Give information on watchmen and/or security patrols operating outside the vaults

State if remote and/or automatic cameras are in use

Yes

Provide any additional relevant information on security

Has the vault been surveyed for insurance?

Yes

State the date and if any/all the modifications requested have been carried out

Is the vault insured?

Yes

Please provide the details in terms of coverage and exclusions

If the vault is in a free zone, please state

The free zone registration no.

Is the licence in the name of Applicant?

Yes

Zone operator (i.e Jafza, Dafza etc.)

Date commenced working in the free zone

Demonstrate compliance with safety and environmental requirements

Describe any vault receipt and/or tracking system presently in place (computerised, document templates, manual) and security measures presently implemented

Describe weighing and tallying system and equipment available

Checklist

A statement describing the applicantâ€™s business activities. Attach company structure (holding company, subsidiary, group company) and state the activities of each unit with their inter-linkages.

A statement describing the applicantâ€™s warehousing/vaulting activities. Attach a proposed strategy reflecting the companyâ€™s understanding of the tasks to be performed and include detailed budget e

A statement describing the applicantâ€™s experience in dealing with instruments such as the GMR. Where applicable describe activities carried out in dealing with instruments such as GMRs and describe

Copies of the applicantâ€™s audited financial statements for the most recent three years for which such statements are available; provide copies of insurance cover and history of warehouse/vault insur

The name and contact details of the applicantâ€™s present auditor.

Evidence (in the form of an extract from the signature book, power of attorney or similar authorisation) demonstrating the due authority of the person signing this application to do so on behalf of th

Do you have a quality assurance system in place?

Yes

Copies of QA certitificates you have received.

Details of the auditors of your QA system (contact details)

Name(s) of the personnel at the warehouse/vault premises responsible for the QA system

Please attach the CVs of key managerial persons who will be managing the issuance of GMRs, Management structure (a clear management/staffing structure; technical and support staff inputs and their pos

Provide at least one bankerâ€™s and insurerâ€™s reference.

Please attach a copy of the lease agreement

Please provide a scale drawing of

The warehouse showing dimensions and door locations

The site showing the external boundary and gate(s) and the contained warehouse

Please provide a management organisatio chart for the personne managing the warehouse and curriculum vitae for at least two senior managers located responsible for the premises at the warehouse address.Provide details of training that responsible personnel for the activity have

Please provide a scale drawing of

The vault showing dimensions and door locations

The site showing the external boundary and the gate(s) and the contained vault

Please provide a management organisation chart for personnel managing the vault and curriculum vitae fo at least senior managers located reponsible for the premises by the vault address.Provide details of training that responsible personnel for the activity have undergone.

ATTACHMENTS

Upload details

GENERAL CONDITIONS

We hereby apply for membership of the [DCR] [DGR] [ICR] System ** delete as applicable** for the jurisdiction of (“the Jurisdiction”) as an Issuer (as defined in the [DCR] [DGR] [ICR] Rules (as may be amended from time to time) and to pay all membership and transaction fees as provided for under said Rules and/or as shall be notified to us in writing by DMCCA from time to time. The DCR, DGR, and ICR Systems are all part of the DMCCA’s Global Multi Commodity Receipt System (‘GMR’).

Name of applicant*

VERIFICATION*

DUBAI MULTI COMMODITIES CENTRE

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