Application for Investment Land

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UGANDA INVESTMENT AUTHORITY

APPLICATION FOR AN ALLOCATION OF INVESTMENT LAND (UIA FORM 2)

* Please Note: The form will not proceed to the next page until all mandatory questions are answered **

1.0 DETAILS OF THE APPLICANT

1.1 Company or Business Name *

Physical Address of Business *

1.2 Contact Person

Name *

Email *

Mobile *

Telephone *

Physical Address *

1.3 Legal form of business entity *

Ltd Liability Company

Partnership

Sole Proprietorship

Cooperative Society

Other

Other Legal Form of Business entity

1.4 Proposed Business Activity *

1.5 Company Shareholders

Select Number of Share Holders *

One Two Three Four Five Six Seven

Name of Share Holder 1 *

Nationality *

% shareholding *

Address *

1.6 Indicate the anticipated period within which the project will be implemented *

1.7 Indicate the amount, location (in Acreage) and nature of land required for the project *

1.8 Indicate the infrastructure facilities required for implementation of the project

1.9 Indicate whether an Environmental Impact Assessment shall be required for the project

1.10 Indicate other investment projects (if any) implemented by the Company

2.0 Projected Fixed Capital Investment Costs (US$)in project requiring this land:

ITEM

YEAR 1

YEAR 2

YEAR 3

TOTAL (US$)

Land

land cost in Year 1

Land Cost in year 2

Land Cost in year 3

Total Land Costs

Building & Civil Works

Building cost in year 1

building Cost in year 2

Building Cost in year 3

Total building cost

Plant, Machinery and Equipment

Machinery Cost in year 1

Machinery cost in year 2

Machinery cost in year 3

Total Machinery cost

Transport (vehicle)

Transport cost in Year 1

Transport cost in Year 2

Transport cost in Year 3

Total Transport Costs

Office Equipment

Office costs in Year 1

Office costs in Year 2

Office costs in Year 3

Total Office Equipment costs

Furniture

Furniture costs in Year 1

Furniture costs in Year 2

Furniture Costs in Year 3

Total Furniture cost

Installation Costs

Installation costs in Year 1

Installation costs in Year 2

Installation Costs in Year 3

Total Installation costs

Pre-operating Costs

pre-op costs in Year 1

Pre-op costs in Year 2

Pre-op costs in Year 3

Total Pre-op Costs

Total Investment Costs

total Investment costs in Year 1

total investment costs in Year 2

Total investment costs in year 3

Grand Total Investment costs

2.1 Source of Funding (US$)

a) Indicate how the lease premium and ground rent will be paid

b) State how the company will raise funds required for the project.

ITEM

FOREIGN

LOCAL

TOTAL (US$)

Share Capital (equity)

foreign share capital

Local Share Capital

Total Share Capital

Loan Capital

Foreign Loan capital

Local loan Capital

Total loan Capital

Other Sources (Specify)

Other foreign sources

Other local sources

Total other Capital sources

Total (US$)

Foreign Funding total

Total local funding

Grand total

3.0 EMPLOYMENT DETAILS

Specify the number of jobs to be created when the project is implemented in the following categories:

FIRST YEAR

SECOND YEAR

FULLY OPERATIONAL

CATEGORY OF EMPLOYEES

Foreign

Local

Total

foreign

Local

Total

Foreign

Local

Total

Managerial/Supervisory

year 1 Foreign Managers

year 1 Local Managers

year 1 Total Managers

year 2 Foreign Managers

year 2 Local Managers

year 2 Total Managers

Foreign Managers Fully Operational

Local Managers Fully Operational

Total Fully Operational Managers

Technical

year 1 Foreign Technical

year 1 Technical Local

year 1 Tecnhical total

Foreign Technical Year 2

local Technical Year 2

Total Technical Year 2

Foreign Technical Fully Operational

Local Technical Fully Operational

Total Fully Operational Technical

Administration/Accounts

year 1 Foreign Admin

year 1 Local Admin

year 1 Total Admin

Foreign Admin Year 2

Local Admin Year 2

Total Admin Year 2

Foreign Admin Fully Operational

Local Admin Fully Operational

Total Fully Operational Admin

Semi-skilled

Year 1 Foreign Semi-Skilled

year 1 Local Semi skilled

year 1 Total semi skilled

Foreign Semi skilled Year 2

Local Semi Skilled Year 2

Total Semi skilled Year 2

Foreign Semi Skilled Fully Operational

Local Semi skilled Fully Operational

Total Fully Operational Semi Skilled

Unskilled

year 1 Foreign Unskilled

year 1 Local Unskilled

year 1 Total Unskilled

Foreign Unskilled Year 2

Local Unskilled Year 2

Total Unskilled Year 2

Foreign Unskilled Fully Operational

Unskilled local Fully Operational

Total Fully Operational un-skilled

TOTAL

Foreign first year total

Local first Year total

first year total staff

Year 2 total Foreign Staff

Local second year total

Second year total staff

Foreign total fully Operational staff

total Local fully Operational staff

Fully Operational total staff

a) State the Specific positions that will be filled by expatriate staff

i) Short term (1st & 2nd Year)

ii) Long term (After 3rd year & Beyond)

b) State how long it will take to replace the expatriate staff?

3.1 State any other benefits that the project will bring to the economy or community

4.0 MARKET (Domestic & Export)

Indicate which market will absorb the anticipated product/output of your company

% of total Annual Output

Domestic Market

Export Market

5.0 Source of Inputs

State the percentage of inputs which will be sourced

Locally (in %)

Imported (in %)

In case of imported inputs name the country where they have been sourced e.g. Germany, USA, China, India, etc

6.0 Declaration

I hear by certify that the foregoing particulars are correct to the best of my knowledge

Name *

Copies of the following documents should be attached to the Application:

*** Permitted file types include pdf,jpg,png,gif,jpeg **
** Each File attachment should be less than 1 MB ***

1. Legal Status (Copy of Certificate of incorporation and Articles & Memorandum of Association from URSB) *

2.The Company's Investment Licence (issued by UIA)

2. A Detailed Business Plan of the project *

3.Evidence of availability of funds or ability to raise funds to implement the Project (which could be a Bank statement for the Company/Directors or a commitment letter from the Bank *

4. Evidence of Investor's track record in terms of experience in implementing similar or related investment projects in the past

5.Preliminary architectural layout of the proposed facilities (giving details of proposed land utilization)

5. Passport Photocopy of foreign Directors

*** Please note: This form will only submit successfully if the correct file types have been selected***

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Application for Investment Land

UGANDA INVESTMENT AUTHORITY

APPLICATION FOR AN ALLOCATION OF INVESTMENT LAND (UIA FORM 2)

*** Please Note: The form will not proceed to the next page until all mandatory questions are answered ****

1.0 DETAILS OF THE APPLICANT

1.2 Contact Person

1.5 Company Shareholders

* Please Note: The form will not proceed to the next page until all mandatory questions are answered **