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1. Form Title and Reference Number: Clear identification of the document as a Nomination and Declaration Form with unique reference number
2. Date and Place: Date of execution and location where the form is being completed
3. Declarant Information: Full details of the person/entity making the nomination or declaration, including name, Qatar ID/CR number, and contact information
4. Nomination Details: Specific details of the nomination including position/role being nominated for and relevant entity details
5. Declaration Statements: Formal declarations regarding eligibility, conflicts of interest, and compliance with Qatar laws
6. Authentication: Space for signature, attestation, and official stamps as required by Qatar law
1. Corporate Authorization: Required when the nominator is a corporate entity, including board resolution references
2. Professional Qualifications: Required for nominations to regulated positions or professional roles
3. Related Party Disclosures: Required when there are relevant relationships to disclose
4. Power of Attorney: Required when the form is being executed by an authorized representative
5. Regulatory Compliance Statement: Required for nominations in regulated sectors like financial services
1. Schedule 1 - Supporting Documents Checklist: List of required supporting documents to be attached to the form
2. Schedule 2 - Qualification Details: Detailed list of professional qualifications and experience (if applicable)
3. Schedule 3 - Declaration of Interests: Detailed disclosure of any relevant interests or potential conflicts
4. Appendix A - Identity Documents: Copies of required identification documents (Qatar ID, passport, etc.)
5. Appendix B - Corporate Documents: Copies of corporate documents where nomination is by/for a corporate entity
Financial Services
Banking
Insurance
Real Estate
Manufacturing
Energy and Resources
Professional Services
Healthcare
Education
Telecommunications
Construction
Retail and Consumer
Transportation and Logistics
Government and Public Sector
Legal
Compliance
Corporate Governance
Board Secretariat
Human Resources
Risk Management
Internal Audit
Executive Office
Administrative Affairs
Regulatory Affairs
Board Director
Chief Executive Officer
Chief Financial Officer
Company Secretary
Compliance Officer
Executive Director
Non-Executive Director
Department Head
Senior Manager
Legal Counsel
Risk Officer
Internal Auditor
Corporate Governance Officer
Managing Director
General Manager
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