Category *

Name of Organization *

Postal Address *

Principal Contact Person

Name *

Position *

Contact

Telephone *

Email *

Physical Location of Business Premises

Town *

Street *

Building Name *

Floor *

Nature of Organization (e.g. Sole proprietorship, Public Limited Company, Partnership)

Pick One *

Limited Liability CompanyPartnershipSole Proprietorship

Names of the Proprietors Directors or Partners

1

2

3

Geographical area of Operations

Business Operations

Year Established *

Duration of Business Operation *

Company Registration No: (Attach copy) Tick one

Number *

Attach copy *

VAT Registration No: (Attach Copy)

VAT Registration Number *

Attach Copy *

PIN *

Attach Copy *

Valid Tax Compliance Certificate (Attach copy)

Valid Tax Compliance Certificate (Attach Copy) *

Registration with statutory bodies (NCA, NCCK, MSK)

Registration with Professional bodies/Authorities

Manufacturer/Dealers authorization letter for Computers/Equipment

Special Groups

Certificate of registration from National Treasury *

Personal Details

1.

Title of position

Experience of the candidate(Years)

Academic Qualification

2.

Title of position

Experience of the candidate(Years)

Academic Qualification

3.

Title of position

Experience of the candidate(Years)

Academic Qualification

4

Title of position

Experience of the candidate(Years)

Academic Qualification

 

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