‫اﺳﺘﻤﺎرة ﻃﻠﺐ ﺗﺴﺠﻴﻞ ﻣﻨﺸﺄة ﺟﺪﻳﺪة‬

New Establishment Registration Form

Application Date ‫ﺗﺎرﻳﺦ ﺗﻘﺪﻳﻢ اﻟﻄﻠﺐ‬
‫ﺗﻌﺪﻳﻞ اﻟﺒﻴﺎﻧﺎت‬ ‫ﺗﺴﺠﻴﻞ ﺟﺪﻳﺪ‬
Amendments New Registration

Establishment Details ‫ﺑﻴﺎﻧﺎت اﻟﻤﻨﺸﺄة‬

Establishment Type ‫ﻧﻮع اﻟﻤﻨﺸﺄة‬ CR No. ‫رﻗﻢ اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬
‫ﻏﻴﺮ ﺗﺠﺎرﻳﺔ ﻏﻴﺮ ﺣﻜﻮﻣﻴﺔ‬ ‫ﺣﻜﻮﻣﻴﺔ‬ ‫ﺗﺠﺎرﻳﺔ‬
Non-Commercial Non-Governmental (NCNG) Government Commercial
Establishment Name (In English or Arabic) (‫اﺳﻢ اﻟﻤﻨﺸﺄة )ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ أو اﻧﺠﻠﻴﺰﻳﺔ‬

‫ اﻟﺸﺨﺺ اﻟﻤﺴﺆول‬/ ‫اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ ﻟﺼﺎﺣﺐ اﻟﻌﻤﻞ‬

Name (In English or Arabic) (‫ اﻻﺳﻢ )ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ أو اﻧﺠﻠﻴﺰﻳﺔ‬Employer / Responsible Person Personal No.

Responsible Person Email (For EMS PIN) (‫اﻟﺒﺮﻳﺪ اƒﻟﻜﺘﺮوﻧﻲ ﻟﺼﺎﺣﺐ اﻟﻌﻤﻞ )رﺳﺎل اﻟﺮﻗﻢ اﻟﺴﺮي‬

Correspondents Address of the Establishment ‫ﻋﻨﻮان اﻟﻤﺮاﺳﻼت ﻟﻠﻤﻨﺸﺄة‬

‫اﻟﻤﻨﻄﻘﺔ‬ ‫ﻣﺠﻤﻊ رﻗﻢ‬ ‫ﻃﺮﻳﻖ رﻗﻢ‬ ‫ﻣﺒﻨﻰ رﻗﻢ‬ ‫ﺷﻘﺔ رﻗﻢ‬
Area Block No. Road No. Building No. * Flat No.
*
‫ اﻟﺸﺨﺺ اﻟﻤﺴﺆول‬/ ‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻨﻘﺎل ﻟﺼﺎﺣﺐ اﻟﻌﻤﻞ‬
E-mail * * ‫ اﻟﺒﺮﻳﺪ اﻟﻜﺘﺮوﻧﻲ‬Employer / Responsible Person Mobile No.
* Fax No. ‫ رﻗﻢ اﻟﻔﺎﻛﺲ‬Office Telephone No. * * ‫ﻫﺎﺗﻒ اﻟﻌﻤﻞ‬

P.O. Box .‫ب‬.‫ص‬ Electricity Account No.* (Non-Governmental Entities) * ‫رﻗﻢ ﺣﺴﺎب اﻟﻜﻬﺮﺑﺎء‬ Website ‫اﻟﻤﻮﻗﻊ اﻟﻜﺘﺮوﻧﻲ‬

Corresponding Methods* * ‫ﻃﺮﻳﻘﺔ اﻟﻤﺮاﺳﻼت‬ Corresponding Language* * ‫ﻟﻐﺔ اﻟﻤﺮاﺳﻼت‬

‫رﺳﺎﺋﻞ ﻣﻄﺒﻮﻋﺔ‬ ‫ﻓﺎﻛﺲ‬ ‫رﺳﺎﺋﻞ ﻧﺼﻴﺔ ﻗﺼﻴﺮة‬ ‫ﺑﺮﻳﺪ إﻟﻜﺘﺮوﻧﻲ‬ ‫اﻧﺠﻠﻴﺰﻳﺔ‬ ‫اﻟﻌﺮﺑﻴﺔ‬
Letter Fax SMS E-mail English Arabic

Authorised Persons Details ‫ﺑﻴﺎﻧﺎت ا
ﺷﺨﺎص اﻟﻤﺨﻮﻟﻴﻦ ﺑﺘﻘﺪﻳﻢ اﻟﻄﻠﺒﺎت‬

Personal No. ‫اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ‬ Name ‫اﻻﺳﻢ‬

‫ﺗﻨﺸﻴﻂ‬ ‫ﺣﺬف‬ ‫إﺿﺎﻓﺔ‬
Activate Delete Add
E-mail ‫اﻟﺒﺮﻳﺪ اƒﻟﻜﺘﺮوﻧﻲ‬ Office Telephone No. ‫رﻗﻢ ﻫﺎﺗﻒ اﻟﻌﻤﻞ‬ Mobile No. ‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻨﻘﺎل‬

‫ﻛﻼﻫﻤﺎ‬ ‫دﻓﻊ اﻟﻔﻮاﺗﻴﺮ وﻃﺒﺎﻋﺔ ﺗﺼﺎرﻳﺢ اﻟﻌﻤﻞ‬ ‫إدﺧﺎل اﻟﺒﻴﺎﻧﺎت وﺗﻘﺪﻳﻢ اﻟﻄﻠﺒﺎت‬
Level of Authority ‫اﻟﺼﻼﺣﻴﺎت‬
Both Bill Payments/Work Permit Printing Data Entry and Submission

Personal No. ‫اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ‬ Name ‫اﻻﺳﻢ‬

‫ﺗﻨﺸﻴﻂ‬ ‫ﺣﺬف‬ ‫إﺿﺎﻓﺔ‬
Activate Delete Add
E-mail ‫اﻟﺒﺮﻳﺪ اƒﻟﻜﺘﺮوﻧﻲ‬ Office Telephone No. ‫رﻗﻢ ﻫﺎﺗﻒ اﻟﻌﻤﻞ‬ Mobile No. ‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻨﻘﺎل‬

‫ﻛﻼﻫﻤﺎ‬ ‫دﻓﻊ اﻟﻔﻮاﺗﻴﺮ وﻃﺒﺎﻋﺔ ﺗﺼﺎرﻳﺢ اﻟﻌﻤﻞ‬ ‫إدﺧﺎل اﻟﺒﻴﺎﻧﺎت وﺗﻘﺪﻳﻢ اﻟﻄﻠﺒﺎت‬
Level of Authority ‫اﻟﺼﻼﺣﻴﺎت‬
Both Bill Payments/Work Permit Printing Data Entry and Submission

Personal No. ‫اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ‬ Name ‫اﻻﺳﻢ‬

‫ﺗﻨﺸﻴﻂ‬ ‫ﺣﺬف‬ ‫إﺿﺎﻓﺔ‬
Activate Delete Add
E-mail ‫اﻟﺒﺮﻳﺪ اƒﻟﻜﺘﺮوﻧﻲ‬ Office Telephone No. ‫رﻗﻢ ﻫﺎﺗﻒ اﻟﻌﻤﻞ‬ Mobile No. ‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻨﻘﺎل‬

‫ﻛﻼﻫﻤﺎ‬ ‫دﻓﻊ اﻟﻔﻮاﺗﻴﺮ وﻃﺒﺎﻋﺔ ﺗﺼﺎرﻳﺢ اﻟﻌﻤﻞ‬ ‫إدﺧﺎل اﻟﺒﻴﺎﻧﺎت وﺗﻘﺪﻳﻢ اﻟﻄﻠﺒﺎت‬
Level of Authority ‫اﻟﺼﻼﺣﻴﺎت‬
Both Bill Payments/Work Permit Printing Data Entry and Submission
Version 1- 2022

Employer / Responsible Person ‫ اﻟﺸﺨﺺ اﻟﻤﺴﺆول‬/ ‫ﺻﺎﺣﺐ اﻟﻌﻤﻞ‬

Date ‫اﻟﺘﺎرﻳﺦ‬ Signature ‫اﻟﺘﻮﻗﻴﻊ‬ Name ‫اﻻﺳﻢ‬

- -

* *
 Authorised Persons Details
Personal No. Name

Activate Delete Add

E-mail Mobile No.

Level of Authority
Both Bill Payments/Work Permit Printing Data Entry and Submission
Personal No. Name

Activate Delete Add

E-mail Mobile No.

Level of Authority
Both Bill Payments/Work Permit Printing Data Entry and Submission

Notes
1. All correspondences shall be addressed to the responsible and authorised persons. .١
2. For further information queries, please contact the call centre on 17506055. .١٧٥٠٦٠٥٥ .٢
3. The system’s access password will be sent to your email within 24 hours after registration. ٢٤ .٣

Required Documents
Fill the required form.
Copy of the commercial registration (commercial sector).
For NCNG - Certificate containing unit number issued by the Information & e-Government ‫ ﺷﻬﺎدة ﻣﻄﺒﻮﻋﺔ ﻳﺬﻛﺮ ﻓﻴﻬﺎ رﻗﻢ اﻟﻮﺣﺪة ﻣﻦ‬- ‫ﻟﻠﻮﺣﺪات اﻟﻐﻴﺮ ﺗﺠﺎرﻳﺔ‬
Authority. .‫ﻫﻴﺌﺔ اﻟﻤﻌﻠﻮﻣﺎت و اﻟﺤﻜﻮﻣﺔ اﻻﻟﻜﺘﺮوﻧﻴﺔ‬
Copy of the license (NCNG).
A Copy of the recent electricity bill (for non-governmental entities).
Copy of the responsible person Identity card.
Copy of the authorised person Identity card and clearing agent ID or the power of attorney.
Letter in case of registering a company.
MOIC registration form for companies.
Proof of Board members names in case of societies.

Terms and Conditions

1. All documents and information stated in the application should be correct. .١
The applicant is held liable for all the above. ً
2. The Authority shall keep all the information about employer and expatriate .٢
employee confidential. However, the Authority is entitled to release such information
upon a written request from a judicial or government agency. .٣
3. The application is subject to Acts, Regulations, orders and resolutions, currently in
.٤
force, in the Kingdom of Bahrain.
.٥
4. The above mentioned terms and conditions are enforceable as from the date of
perusal and signature of the application. .٦
5. The employer undertakes to immediately inform the authority of any changes or
updates to the information stated in the application.
6. The person authorised by the employer/ person in charge, undertakes to be liable
within the limits of the level of his authority.
Work permit applications include: Issuing new, renew and cancellation of work permits
and dependants residence permits, occupation change, entering and updating employer,
expatriate employee and establishment details.

Declarations (Business Owner / Person In Charge)

I, the undersigned, declare that all the information mentioned above is correct and I shall be held liable if it was proved otherwise.
Personal No. Signature Name

Date Mobile No. Phone No.

- -
Version 1- 2022

Date Signature Application received by

- -