144
CAP. 411A
[Subsidiary]
[Rev. 2011
Kenya Information and Communications
First Schedule—(Contd)
Name of Building ..………………. Floor …………….. Room ……….
Postal Address
…………….….. P.O. Box ………...…… Town ………
Telephone …………………………….
Fax …………………
3. INCOME TAX PERSONAL IDENTIFICATION NUMBER (PIN)
4. SHORT DESCRIPTION OF THE APPLICATION’S
LICENSABLE SERVICE
(A single sentence description of what aspect of postal
service the applicant is applying to be licensed in)
5. NAME OF COMPANY/PERSON TO BE LICENSED
(Give full details of the proprietors or partners owning
the business or if the applicant is a Company the names of the
directors and shareholders of the Company)
Where the Applicant is not a company
Name of proprietor Nationality
Address
Passport/ID No.
1 . ………….
2 . ………….
3 . ………….
4 . ………….
5 . ………….
6 . ………….
7 . ………….
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Where the Applicant is a Company
i) Name of Shareholder Nationality No. of shares held
1. …………………
2 …………………
3 …………………
4 …………………
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Passport/ID No.
……………….
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ii) Name of Director Nationality Address Passport/ID No.
1 . ………….
2 . ………….
3 . ………….
4 . ………….
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6. SHARE HOLDING
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