Fintech Application | InvestOMAN

1

Initial Applicant Registration

Applicant Name *

Designation *

Phone Number *

Email Address *

Commercial Registration Number (CR) *

Proposed Entity Name *

Application Date *

Financial Institution Type *

License Category or Activities *

Additional Description * (Max 100 words)

2

PSP Application Form

Name of the Applicant (Name of the proposed entity) *

Declaration: I hereby confirm that I am able to provide the required Capital Amount as mandated by the Central Bank of Oman.
Note: Capital amount requirements differ according to business type and license category.

Legal Form *

Ownership Structure *

Ownership	Number of Persons	Percentage (%)
Omani
Foreign

Type of Applicant *

Individual Juristic Person

Individual Applicant Details

Note: Applicant must be 25 years and above as on the date of application. Multiple applicants can be added.

Full Name

Date of Birth

Nationality

Country of Residence

National ID / Passport Number

Passport Details

Supporting Documents (ID / Passport copy)

PDF, JPG, PNG accepted

3

Litigation and Compliance Questions

Has the applicant or member(s) of its group been the subject of any litigation or convicted in a Court of Law (or known circumstances which might give rise to such)? *

Yes No

Has the applicant or member(s) of its group been convicted of a criminal offence, and/or been subject to disciplinary proceedings of an institution or professional body? *

Yes No

Are there any restrictions imposed on the operations of the applicant or member(s) of its group by any regulatory authorities in the Sultanate of Oman or abroad? *

Yes No

Has the applicant had any of its previous applications in other countries rejected? *

Yes No

4

Shareholders / Partners / Owners

Note: All shareholder details must be provided. Shareholders with 1% and above shareholding require additional details. All individual shareholders (directly or indirectly) must upload the Fit and Proper Form of CBO.

Name	Date of Birth / Incorporation	Nationality / Place of Incorporation	Shareholding %	Type	Action

Major Shareholders (1% and above) – Additional Details

Name of Company / Entity	% of Shareholding Proposed	Commercial License

Undertaking from Proposed Shareholder(s): The undertaking to not dilute their holdings for a minimum period of three years from the date of commencement of business. *

Upload Undertaking Document

Curriculum Vitae (CV) *

CV of the applicants including address, contact details and copy of identity documents; details of applicant's relevant experience.

Accepted: PDF, DOC, DOCX (Max 10MB)

Fit and Proper Form *

All Individual Shareholders – Directly or Indirectly – must upload the Fit and Proper Form of CBO.

Accepted: PDF, DOC, DOCX (Max 10MB)

5

Required Documents

Please upload all required documents as part of your full business plan submission. All documents must be in PDF, DOC, or DOCX format.

Formal Application Letter *

A formal application letter signed by the applicants specifying the business they intend to establish in Oman.

Full Business Plan *

Business plan with Vision, Strategy and administrative structure.

Business Case *

Explain the business case and value the new entity will add to the financial industry in the Sultanate of Oman.

Proposed Services (First 5 Years) *

Proposed number of services during the first five years with their locations.

Financial Projections (5 Years) *

Projected Financial Statements (Balance Sheet, Profit & Loss, Cash Flow) for first 5 years.

SWOT Analysis *

Strength, Weakness, Opportunities and Threats analysis.

Risk Assessment Report *

Risk and mitigations report.

Brief on the Proposed IT System *

Infrastructure and all IT system details.

AML (Anti-Money Laundering) Policies *

Customer Protection Policies *

Human Resources Policies *

Details of Licenses Obtained Outside Oman (if applicable)

6

Declaration & Confirmation

I/We hereby confirm that the information contained in my/our application are accurate, correct and complete and that the documents submitted along with this application are genuine. I/We understand that in the event of any information being found false or incorrect, the application shall be rejected without notice.

Full Name *

Email Address (confirmation) *

Date of Declaration *

Digital Signature

PNG, JPG accepted

I confirm that I have read and agree to the terms and conditions, and that all information provided in this application is accurate and complete. I understand that submitting false or misleading information may result in the rejection or revocation of any license granted. *

Payment Services Provider (PSP) License Application

Application to be Licensed as a Payment Services Provider (PSP)

Initial Applicant Registration

PSP Application Form

Individual Applicant Details

Juristic Person Applicant Details

Litigation and Compliance Questions

Shareholders / Partners / Owners

Major Shareholders (1% and above) – Additional Details

Required Documents

Declaration & Confirmation

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