………………………………………………………………………………………… iv) Has any previous licence granted to you under the Act been cancelled, suspended or modified? (If so, give details) ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… 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 ……………………………………………………………………………………………………… 77