1984 Ed.]

A: Personal Details

Pawnbrokers Regulations

(CAP. 166)

A 3

[Subsidiary]

1.

Name of applicant:

2.

Identity Card No.:

3.

Commercial Code No.:

4.

Telephone No.:

5.

Residential address:

6.

Date of birth:

Place of birth:

8.

Nationality:

B:

Business Details

Name of business establishment:

10. Address of business premises including number, street and floor:

11. Indicate by deleting as necessary whether you are

I am—

(a) the owner of the premises; or

(b) the principal tenant; or

(c) a sub-tenant.

12. Indicate by deleting as necessary whether the business is

The business is—

(a) an individual concern; or

(b) a partnership (not a body corporate); or

(c) a body corporate.

13. If the business is a partnership state the following particulars----

(a) Date partnership formed:

(b) Details of Partners:

Name I.D. Card No. Address Date of Birth 1. 2. 3. 4.

14. If the business is a body corporate state the following particulars-

(a) Company name:

(b) Place of incorporation:

(c) Date of incorporation:

(d) Registered office:

(e) Details of Directors:

Name I.D. Card No. Address Date of Birth Period of service as director 1. 2. 3. 4.
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