FIRST SCHEDULE – PRESCRIBED FORMS
Form No1

Regulations 12, and 69, 77.

COMMUNICATIONS COMMISSION OF KENYA
APPLICATION FOR LICENCES
1. NAME OF COMPANY/PERSON TO BE LICENCED

(The Company or
parson’s name should
be stated in full)
2. ADDRESS AND TELEPHONE NUMBER OF THE COMPANY/PERSON TO
BE LICENSED

(The physical address, postal
address, telephone and
fax numbers should be started)
Physical address:

Town …………Street/Road …………

LR

Name of Building …………………

Floor………Room

No…………………
…………….
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 LICENCED

(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

74

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