ICT Policy Africa

FIRST SCHEDULE	
Form of Application for an Access Permit
Applicants applying as individuals should fill Part I
Applicants applying as corporates (organizations) should fill Part II
All applicants must fill Part III
All applicants must submit ten (10) hard copies and one (1) soft copy of this application to the
Authority

PART I
FOR APPLICANTS WHO ARE INDIVIDUALS
(a)	

Name of applicant ………………………………………………………………

(b)	

Identification Card No./Passport No. ……………………………………………

(c)	

Postal Address …………………………………………………………………

(d)	

PIN No. ………………………………………………………………………

(e)	

Permanent Residential Address

(f)	

Qualifications (Curriculum Vitae to be attached) ….………………………………………

……………………………………
……………………………………..

PART II

FOR APPLICANT WHO ARE CORPORATE (ORGANIZATIONS)

(a)	

Name of Organization ………………………………………………………………..

(b)	

Permanent Address …………………………………………………………………..

(c)	

Registered Address …………………………………………………………………

(d)	

Registration No. (Attach copy of certificate of registration) …………………………

(e)	

Qualification of individuals in the project (Curriculum vitae to be attached)
…………………………………………………………………………………..

(f)	

Details (if any) of:
(i)	

Holding and subsidiary institutions; or

(ii)	

Individuals connected to the project …………………………………………

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