Investment project: Proposed development plan

(Form of 4 pages (3 of them to completed by applicant, 1 for internal use))

Application no.( )

Investor name\ Company\ Project: …………………………………………………………………
Commercial name (if registered):…………………………………………………………………..
Proposed plan submission date: / /
Applicant name:………………………………. Applicant title:…………………..
Company information
Company\ project address:…………………..……….. Governorate:…………………………. Tax registration no. (if available): _ _ _ _ _ _ _ _ _ Land line: …………………… Facsimile:………………………… Cellular: ……………………. Website: ……………………………………. e-mail: …………………………………………….. Sector: Industry Tourism Agriculture Education Health Services, others please specify:……………………………………………………………………………..
Did you recieved any investment incentives from PIPA? Yes No Preferred contact and communication via: e-mail Facsimile Land line

Main current and proposed products and services
New products after development	Current products

Cost of machinery, buildings, furniture and fixtures
Cost (USD)	Quantity	Item	No.
Gross total (approx.)

Investment volume
Capital according to the latest approved statement (USD):……………………………………….… Expected capital volume to be added (USD):……………………………………………………..…

Labor Force
Current total amount of employee::…………………….. Expected direct jobs to be created due to the development plan:………………………. Expected of jobs appointment period, from: / / to: / /

Expected schedule time for development
Start date of implementation of the plan
Expected end date of the plan
Expected date of production after plan implementation

Note: the development plan for any existing project is a crucial step to obtain the pre-approval or PIPA to register the development activity as qualified activity to receive investment incentives, and the pre-approval of the activity does not mean by any means as approval to complete the application or receive the incentives.

(*) Name and signature of Authorized applicant (in case of applying via PIPA’s portal, the account registration data will be used as temporary signature to proceed with the pre-approvals process, and signing the application will be completed as soon as possible):…………………………………..

……………………………………………………………………………………………………..

يتم إرفاق الاشعار الرسمي للطلب مع نموذج الطلب لغايات تحويله إلى لجنة الحوافز:

للإستعمال الرسمي رقم طلب الخطه المقترحة: إسم المشروع:
اسم الموظف مستلم الخطة: ..................... تاريخ الاستلام: / / التوقيع:..................
إعتماد مدير نافذة الاستثمار:
قرار المجلس: ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... رقم القرار:....................... رقم الجلسه:......................... التاريخ: / /
اسم الموظف مبلغ المستثمر: ....................... تاريخ التبليغ: / / التوقيع:..................... طريقة التبليغ: رساله إلكترونية فاكس شخصياُ رساله نصيه
تاريخ تحويل الطلب إلى لجنة الحوافز: إعتماد مدير عام الادارة العامة للاستثمار: