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    AP05 APPLICATION FOR VALUE ADDED SERVICES New

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    Mac Abduz
    This document is an application form from the National Communications Authority (NCA) of Ghana for a value added services license. It requests information about the applicant such as corporate details, ownership structure, directors, number of employees, and service definition. The applicant must submit the completed form, cover letter, business plan, application fee receipt, company registration documents, and any other supporting documents to apply for the license.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    AP05 APPLICATION FOR VALUE ADDED SERVICES New

    Uploaded by

    Mac Abduz
    5 views4 pages
    This document is an application form from the National Communications Authority (NCA) of Ghana for a value added services license. It requests information about the applicant such as corporate details, ownership structure, directors, number of employees, and service definition. The applicant must submit the completed form, cover letter, business plan, application fee receipt, company registration documents, and any other supporting documents to apply for the license.

    Original Description:

    Vas application

    Original Title

    AP05-APPLICATION-FOR-VALUE-ADDED-SERVICES-new (1)

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    © © All Rights Reserved

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    This document is an application form from the National Communications Authority (NCA) of Ghana for a value added services license. It requests information about the applicant such as corporate details, ownership structure, directors, number of employees, and service definition. The applicant must submit the completed form, cover letter, business plan, application fee receipt, company registration documents, and any other supporting documents to apply for the license.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views4 pages

    AP05 APPLICATION FOR VALUE ADDED SERVICES New

    Uploaded by

    Mac Abduz
    This document is an application form from the National Communications Authority (NCA) of Ghana for a value added services license. It requests information about the applicant such as corporate details, ownership structure, directors, number of employees, and service definition. The applicant must submit the completed form, cover letter, business plan, application fee receipt, company registration documents, and any other supporting documents to apply for the license.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 4

    NATIONAL COMMUNICATIONS AUTHORITY

    (NCA), GHANA

    APPLICATION FOR VALUE


    ADDED SERVICES
    NCA FORM AP05

    Application Fee
    Receipt No:
    (Please attach Receipt)

    Date:
    (Submission Date)

    Application Checklist. Tick (x) in box


    • A Completed Application Form
    • Cover Letter
    • Business Plan
    • A Non-Refundable Application Fee
    • Company Registration Documents
    • Any other Supporting Documents – Please list

    NCA FORM AP05 -- 1


    Application for Value Added Services
    Before completing this form, please ensure that you have read and understood the guidelines. Comply with all the requirements
    listed for the application of this service. A copy of the guidelines may be found on our website: www.nca.org.gh

    1. Corporate Profile

    1.1 Registered Name of Company:

    1.2 Registered Trade Name (if any):

    1.3 Company Registration Number:

    1.4 Taxpayer Identification Number (TIN):

    1.5 Date of Incorporation:

    1.6 Date of Commencement:

    1.7 Physical Location/Registered Office:

    1.8 District:

    1.9 Town/City:

    1.10 Region:

    1.11 Postal Address:

    1.12 Digital Address (GhanaPost GPS):

    1.13 Telephone:

    Mobile Number:

    1.14 Website:

    1.15 E-mail address:

    1.16 Fax (where applicable):

    2. Contact Information:

    2.1 Name of Authorised Representative:

    2.2 Telephone:

    3.3 E-mail address:

    NCA FORM AP05 -- 2


    3. Ownership Structure:

    3.1 Shareholders (holding 5% or more shares):

    SHARE ADDRESS TAX


    NAME OF SHARE-
    NO. HOLDING NATIONALITY (house number, telephone IDENTIFICATION
    HOLDER
    (%) number & email) NUMBER (TIN)

    4. Directors:

    ADDRESS TAX
    NO. NAME OF DIRECTOR NATIONALITY (house number, telephone number IDENTIFICATION
    & email) NUMBER (TIN)

    5. Number of Employees:

    5.1 Number of Employees (Actual):

    5.2 Number of Employees (Proposed):

    6. Undertaking:

    I/We ……………………………………………………………………………..………… hereby certify that the informa-


    tion supplied in this application form is true in all respects and I/We hereby give undertaking that upon grant of the
    Licence/Authorisation, I/We shall abide by the terms and conditions upon which the Licence/Authorisation is grant-
    ed. I/We accept that my/our Licence/Authorisation may be revoked and the appropriate penalty/penalties applied if
    it is established that I/We have been granted Licence/Authorisation based on incorrect information.
    I/We further undertake to abide by all existing ITU Regulations and Communications laws of the country as well as
    other rules and regulations that may be issued.

    NCA FORM AP05 -- 3


    Signed:

    Date:

    Please attach 3 Certified copies of Passport Photographs of authorised


    representative with Company Seal.

    SERVICE DEFINITION

    VALUE ADDED SERVICES are auxiliary application services implemented on Telecom Networks to give subscribers
    innovative service offerings including, teletext, tele-alarm, voice messaging, teleprocessing and data processing,
    videotext, electronic mail service, text messaging, data storage retransmission and any other service that may be
    classified as VAS by the NCA. These services may not require the issuance of frequencies (but may require numbers).

    NCA FORM AP05 -- 4

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