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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