APPLICATION FORM CLASS LICENCE FOR PAGING SERVICE PROVIDERS

Name of Company:

Nationality:

Telephone

Central Office Code Used

VAT Registration:

Assigned Frequency

Sellers & Dealers Licence No.

Number of Pagers:

Particulars of the services provided

Signature of Applicant

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.