…………………………………………………………………………………………
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)
ii)
iii)
iv)
v)

Certified copy of proof of shareholding from the Registrar of Companies
Certified copy of proof of registration or incorporation in Kenya
Certified copy of PIN card
Non-refundable licence application fee of Kshs 10,000/=
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

………………………………………………………………………………………
FOR OFFICIAL USE ONLY

The applicant MEETS/DOES NOT MEET the Commission’s requirements and is hereby
RECOMMENDED/NOT RECOMMENDED for approval of licensing as
a
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77

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