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): ………………………….

Select target paragraph3