KenInvest/IS form/002
KENYA INVESTMENT AUTHORITY
INVESTMENT APPLICATION FORM
(Full and accurate completion of this form will speed up the project approval process)
A. DETAILS OF THE APPLICANT
(i) Name of Company / Business ____________________________________________
(ii) Contact Person _______________________________________________________
(iii) Address of Contact Person _______________________________________________
Tel __________________________________________________________________
E-mail: _______________________________________________________________
(iv) Legal form of the business Entity (Limited Company, Partnership, Etc.)
_____________________________________________________________________
(v) Country and date of Incorporation
_____________________________________________
(vi) Indicate whether the Company is:-
(a) New [ ]
(b) Operating [ ]
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KenInvest/IS form/002
(vii) How did you know about KenInvest?
_________________________________________________________________________
_________________________________________________________________________
(viii) What were the most important factors that influenced your decision to invest in Kenya?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
B. PROPOSED LOCATION OF BUSINESS
(i) Land Registration Number (L.R. No.) ______________________________________
(ii) Street/ Road ______________________Town ______________________________
(iii) County ______________________________________________________________
C. COMPANY SHAREHOLDERS
Name of Shareholder Shareholder Country of Address %shareholding
residence
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KenInvest/IS form/002
D. COMPANY DIRECTORS
Name of Director Nationality Address
(i) Sector
(ii) Project Description (Products/Services)
___________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
(E) EMPLOYMENT DETAILS
KENYAN EMPLOYEES NUMBER
Managerial _____________________________
Skilled _____________________________
Unskilled _____________________________
Total
EXPATRIATE EMPLOYEES NUMBER
Management ________________________________________
Skilled ________________________________________
Total
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KenInvest/IS form/002
(i) Explain need for expatriate employee(s)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(F) INVESTMENT AND FINANCING PROGRAMME
(i) CAPITAL COSTS (ESTIMATED)
FIXED COSTS AMOUNT
Land,
Plant and Machinery
Working Capital
Others
TOTAL
(ii) FINANCING PLAN
Type of Financing Foreign Local
Equity
Debt
TOTAL
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KenInvest/IS form/002
PART V: DECLARATION
I hereby certify that the foregoing particulars are correct to the best of my knowledge.
Name _____________________________________________________________________________
Signature ___________________________________________________________________________
Date ______________________________________________________________________________
Indicate Enclosures:
1. Certificate of Incorporation in Kenya.
2. Memorandum and Articles of Association
3. Others_______________________________________________________________________
To be submitted to:
MANAGING DIRECTOR
KENYA INVESTMENT AUTHORITY P.O. Box 55704-00200
NAIROBI
Tel: +254 20 2221401-4, Mobile: 0722-205424 / 0733-601184 Fax: +254 20 2243862
Email: info@investmentkenya.com
Website: www.invest.go.ke
FOR OFFICIAL USE ONLY
1. REF NO. ____________________________________________________
2. DATE RECEIVED _____________________________________________________
3. RECEIVING OFFICER ______________________________________________________
4. DATE PROCESSED _____________________________________________________
KENYA INVESTMENT AUTHORITY
UAP Old Mutual Tower, 15th Floor, Upper Hill Road. P.O. Box 55704 - 00200 City Square, Nairobi, Kenya
Tel: +254 730-104-200/210, Email: info@investmentkenya.com |Website: www.invest.go.ke
Representative Offices: Eldoret|Kisumu|Mombasa
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