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CAP. 411A

[Subsidiary]

Kenya Information and Communications

[Rev. 2011

First Schedule—(Contd)
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iv) Has any previous licence granted to you under the Act been
cancelled, suspended or modified? (If so, give details)
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11. MANDATORY REQUIREMENTS
i) Certified copy of proof of shareholding from the Registrar of
Companies
ii) Certified copy of proof of registration or incorporation in
Kenya
iii) Certified copy of PIN card
iv) Non-refundable licence application fee of Kshs 10,000/=
v) Letter of application with Company seal (where applicable)
(All documents attached to this application should be certified as
true copies of the originals)
12. COMPLETED APPLICATION FORMS SHOULD BE
RETURNED TO:—
Director-General
Communications Commission of Kenya
13. DECLARATION
I/We hereby certify the information we have provided in this application is true
and correct. I/We also understand that it is an offence under the Penal Code to
give false information in support of any application.
Name ………………………………………………………………….......
Designation ………………………………………………………………..
Signature ……………………………………………………………........
Date ……………………………………………………………………...

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