SCHEDULES SCHEDULE 1 Form 1 Regulations 5(2),6(2) THE REPUBLIC OF UGANDA THE ELECTRONIC SIGNATURES REGULATIONS, 2012 Application for a licence to provide certification service* repository* or date and time stamp service* To: The Controller, 1. Particulars of applicant: (a) Name: …………………………………………………………… (b) Physical address:……………………………………………………………. ……………………………………………………………………. (c) Postal address: …………………………………………………… ……………………………………………………………………. (d) Telephone (fixed line): …………………………………………… (e) Mobile phone:…………………………………………………… (f) Fax: ……………………………………………………………… (g) E-mail address:………………………………………………….. (h) Identification number (in case of an individual):…………………………….. (i) Name of contact person(where different from applicant): ………………………….