CRA Registered Person Application

APPLICATION FOR REGISTRATION

TABLE OF CONTENTS

As a requirement for individual registration, this application form must be completed and submitted with all required documents and attachments to the Authorisation Department at the CMA

Section 1	AUTHORISED CRA AND CONTACT PERSON DETAILS
Section 2	PERSONAL INFORMATION FOR THE PROPOSED REGISTERED PERSON
Section 3	CONTACT INFORMATION FOR THE PROPOSED REGISTERED PERSON
Section 4	REGISTRABLE FUNCTIONS
Section 5	DISCIPLINARY AND INVESTIGATIONS RECORD
Section 6	FINANCIAL STATUS
Section 7	COMPETENCE AND QUALIFICATION
Section 8	ADDITIONAL INFORMATION
Section 9	PAYMENT OF FEES
Section 10	CHECKING YOUR APPLICATION
Section 11	DECLARATION OF THE PROPOSED REGISTERED PERSON
Section 12	AUTHORISED CRA DECLARATION

Proposed Registered Person Full Name (Arabic)

Proposed Registered Person Full Name (English)

Section 1: Authorised CRA and Contact Person Details

Authorised CRA Details

Name
License Number
Address
Website
E-mail Address
Telephone Number
Facsimile Number

Contact Person Details

Full Name
Job Title
Address
E-mail Address
Telephone Number
Mobile Number

Section 2: Personal Information for the Proposed Registered Person

Full Name (Arabic):

اسم العائلة	اسم الجد	اسم الأب	الأسم الأول

Full Name (English):

First Name	Middle Name	Grandfather Name	Surname

Gender:

Male	Female

Marital Status

Single	Married

Date of Birth:

Day	Month	Year

Place of Birth:

Nationality:

Other Nationality

Section 2.8 - 2.9 to be completed by Saudi Citizens Only

National ID Number:

National ID Expiration Date:

Day	Month	Year

Section 2.10 - 2.13 to be completed by GCC Citizens Only

Passport Number:

Passport Expiration Date:

Day	Month	Year

National ID Number:

National ID Expiration Date:

Day	Month	Year

Sections 2.14 - 2.16 to be completed by foreign Citizens

Passport Number:

Passport Expiration Date:

Day	Month	Year

Has the proposed registered person obtained an employment Residence Permit to work in the Kingdom of Saudi Arabia:

Yes	No

If Yes, please provide your Residence Permit details

Residence Permit number

Name of Sponsor

Occupation

Residence Permit Expiration Date:

Day	Month	Year

If No, Please state the reasons below

Section 3: Contact Information for the Proposed Registered Persons

Please provide the contact information of the proposed registered person.

Permanent Residential Address

Address (Line 1)
Address (Line 2)
Country
City
Province/State
Postal/Zip Code
Telephone Number
Mobile Number
Facsimile Number
E-Mail

Current Address

Check box if permanent address is the same as the current address

Address (Line 1)
Address (Line 2)
Country
City
Province/State
Postal/Zip Code
Telephone Number
Mobile Number
Facsimile Number
E-Mail

Section 4: Registrable Functions

Section 4.1 to be completed in case the CRA is incorporated in the Kingdom of Saudi Arabia only

Please specify the functions to be carried out by the proposed registered person

CEO/Managing Director	Director/Partner
Compliance Officer	Lead Rating Analyst
Other Function, please specify:

4.1.1 Will the proposed registered person be residing in the Kingdom of Saudi Arabia during his role as a registered person?

Yes	No

If No, Please provide justification below and provide the CMA with all supporting documents (If any) that will illustrate your ability to perform your registered function remotely

Section 4.2 to be completed in case of an authorised foreign CRA only

Please specify the functions to be carried out by the proposed registered person

Branch Managing Director/Branch Manager

Branch Compliance Officer

Lead Rating Analysts engaged in carrying out rating activities in the Kingdom

Other Function, please specify:

4.2.1 Will the proposed registered person be residing in the Kingdom of Saudi Arabia during his role as a registered person?

Yes	No

If No, please provide justification below and provide the CMA with all supporting documents (If any) that will illustrate your ability to perform your registered function remotely (this is not applicable to branch compliance officer and lead rating analysts engaged in carrying out rating activities in the Kingdom of Saudi Arabia)

Job Title within the authorised CRA (Arabic)

Job Title within the authorised CRA (English)

Authorised CRA office/branch address

Summary of the proposed registered person’s roles and responsibilities (Please attach a copy of the official job description)

Type of position

Full time	Part Time

Time allocated to the function (%)

Section 4.9 is to be completed by the authorised CRA

Describe below how it was determined that the proposed registered person is qualified to perform the registrable function(s)

Section 5: Disciplinary and Investigation Record

If the proposed registered person is subject to an ongoing investigation which cannot lawfully be disclosed. The proposed registered person must notify the CMA of the investigation within 7 business days of it becoming lawful to disclose, or of the completion of the investigation.

Has

The proposed registered person; or

a company where you were the CEO/Managing Director; or

a company of which you were involved in the management of (decision making); or

a company of which you were a shareholder; or

a company of which you were involved in the rating of other entities/businesses

ever been

5.1.1 refused/restricted from the right to carry on any rating activity, business, or profession for which a specific license, registration, or other authorisation is required by law?

Yes	No

5.1.2 censured, disciplined, or disqualified by any professional or regulatory body in relation to any rating activity, business, or profession?

Yes	No

5.1.3 subject to an investigation conducted by a regulatory/criminal offence or any other body in relation to a rating/business activity?

Yes	No

5.1.4 found by a court to be guilty of a criminal offence other than traffic violations?

Yes	No

5.1.5 committed an act of fraud, dishonesty, malfeasance, or misfeasance or were investigated or currently being investigated or found guilty?

Yes	No

5.1.6 disqualified by a court order?

Yes	No

5.1.7 dismissed or requested to resign from any office of employment?

Yes	No

5.1.8 investigated or currently under investigation for misconduct or malpractice or any actions classified as against the regulations or laws of a jurisdiction?

Yes	No

5.1.9 subject to a complaint that relates to honesty, integrity, competence, fairness, ethical behavior, or compliance with regulations and laws?

Yes	No

If Yes to any of the above, please specify each case and provide justification(s) and attach all supporting documents with the application

Are

5.2.1 You subject to any disciplinary actions or proceeding that are currently pending?

Yes	No

5.2.2 a company where you were the CEO/Managing Director subject to any disciplinary actions or proceeding that are currently pending?

Yes	No

5.2.3 a company of which you were involved in the management of (decision making) subject to any disciplinary actions or proceeding that are currently pending?

Yes	No

5.2.4 a company of which you were a shareholder subject to any disciplinary actions or proceeding that are currently pending?

Yes	No

5.2.5 a company of which you were involved in the rating of other entities/businesses subject to any disciplinary actions or proceeding that are currently pending?

Yes	No

If Yes to any of the above, please specify each case and provide justification(s) and attach all supporting documents with the application

Section 6: Financial Status

Have you ever been subject to any civil litigation in the past 10 years involving damages in amount of excess of SAR 200,000 or equivalent?

Yes	No

Are you presently subject to any civil litigation?

Yes	No

Are there any judgments or court orders that you are currently subject to, or with which you have not complied?

Yes	No

Have you ever been part of a scheme of arrangements or entered into any form of compromise during the past 10 years involving any amount in excess of SAR 200,000 or equivalent?

Yes	No

Have you ever been bankrupt, or served with a bankruptcy petition?

Yes	No

Has the proposed registered person ever been a partner of a firm which was dissolved other than with the consent of all the partners?

Yes	No

Has the proposed registered person ever had an individual appointed to manage their affairs with/without their approval?

Yes	No

Has

The proposed registered person; or

a company where you were the CEO/Managing Director; or

a company of which you were involved in the management of (decision making); or

a company of which you were a shareholder; or

a company of which you were involved in the rating of other entities/businesses

ever been wound up other than by a members voluntary wind up?

Yes	No

If Yes to any of the above questions, please specify each case and provide justification(s) and attach all supporting documents with the application

Section 7: Competence and Qualification

Please fill the following table according to the proposed person academic degree(s)

Qualification	Name of Institution	Country	Year Awarded

Please fill in the following table according to the proposed person professional qualification(s)

Qualification	Name of Institution	Country	Year Awarded

Please fill the following table according to the proposed registered person employment history

Employer Name
Type of Business
Job Title, including Roles & Responsibilities
Start Date
End Date
Reason for Leaving

Employer Name
Type of Business
Job Title, including Roles & Responsibilities
Start Date
End Date
Reason for Leaving

Employer Name
Type of Business
Job Title, including Roles & Responsibilities
Start Date
End Date
Reason for Leaving

7.4 Have any of the proposed registered person's previous employers been regulated by the Authority (or an equivalent regulatory body in another jurisdiction)?

Yes	No

If Yes, please describe below and provide the CMA with all supporting documents

Employer name
Country
Regulator (Full name)

7.5 Has the proposed registered person ever been registered/licensed with the CMA and/or any other regulatory body in the Kingdom of Saudi Arabia/elsewhere to engage in any regulated rating activities or similar?

Yes	No

If Yes, please describe below and provide the CMA with all supporting documents

Country
Regulator (Full name)
Registrable function

Section 8: Additional Information

Will the registered person perform more than one registrable function (including outside of Saudi Arabia)?

Yes	No

If Yes, Please provide justifications below and provide the CMA with all supporting documents (If any) that will illustrate your ability to perform your registrable functions

8.2 Is the proposed registered person also a member of the Board of Director of any company / establishment either registered within or outside of the Kingdom of Saudi Arabia and conducting rating activities or any other business in the Kingdom of Saudi Arabia or any other country?

Yes	No

If Yes, please provide details on the names of such companies and the period of such service:

8.3 Is the proposed registered person performing service on the Management team or overseeing the day to day operations of those companies conducting rating activities or any other business in the Kingdom of Saudi Arabia or in any other country other than or in addition to the Authorised CRA referenced in this Registration Form?

Yes	No

If Yes, please provide details on the names of such companies, the position and the period of employment:

8.4 Is the proposed registered person an Owner/Shareholder of any company/establishment conduction rating activities or any other business in the Kingdom of Saudi Arabia or in any other country other than or in addition to the Authorised CRA referenced in this Registration Application?

Yes	No

If yes, please provide details of the % shareholding/ownership, names of such companies and their country or registration for the Proposed Registered Person. (Please exclude publicly listed companies in the Kingdom of Saudi Arabia or elsewhere, unless shareholding exceeds 5%).

8.5 Is the proposed Registered Person, (who is Saudi citizen or non-Saudi resident) employed in a government or in a company owned and controlled by the Government of the Kingdom of Saudi Arabia or the Government of any country?

Yes	No

If Yes, please provide details of such employment:

8.6 Please provide any additional information as seen necessary in the below box (optional)

Section 9: Payment of Fees

Fill the below fields regarding the payment of fees accordingly:

Registration Fee Amount

Date of Direct Deposit/ Transfer to CMA Account

Day	Month	Year

In case of a direct deposit, provide the following:

Name of the depositor

In case of a bank transfer, provide the following:

Bank Name

Reference Number (UTI)

SECTIN 10: Checking Your Application

Before signing, ensure that all requirements are provided to process this application according to the following checklist

Answered every question (unless not applicable)

Completed the attached declarations

Registration Request Letter

Job Description of the proposed registered person(s)

Provided a CV and all relevant supporting documents

CME Certificate

Attached a copy of the proposed registered person’s ID (for Saudi applicants and GCC citizens only)

Attached a copy of the proposed registered person’s passport (for GCC citizens and Non-Saudi applicants only)

Enclosed the application fee(s)

Attached a copy of the proposed registered person’s employment Residence Permit (for foreign applicant, if applicable)

SECTION 11: Declaration of the Proposed Registered Person

Please attach a recent passport size photograph here To be completed by the proposed registered person

I certify that all the information provided in this application (including all supplements and supporting documents) is complete, true, and correct.

I Understand that the CMA may take any disciplinary or regulatory action against a person who has made a false or misleading representation when applying for registration.

I undertake that if any information in this application changes before this application is approved, I will notify the CMA in writing immediately of the changes.

I consent to the CMA using or disclosing any information I have provided in this application or may provide in the future for purposes of carrying out its responsibilities.

.

Name of proposed registered person in writing

/ /

Signature	Date

SECTION 12: Authorised CRA Declaration

To be completed by the authorised CRA

I declare that I , have reviewed:

The information provided in this application form (including all supplements and attachments).

The documents evidencing . academic and professional qualifications stated in this form (including all attachments).

I also confirm that to the best of our knowledge, the information is true and complete.

I also confirm that . is a fit and proper person to be registered to carry out the functions set out in this application.

.

Name of the Authorised CRA

.

Name of the Director/Responsible Officer in writing

.

Signature

/ /

Date