Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
PRECIOUS MINERALS MARKETING COMPANY LIMITED
APPLICATION FORM FOR APPOINTMENT AS LICENSED BUYING COMPANY(ROUGH DIAMONDS)
DIAMOND HOUSE, KINBU ROAD, P. O. BOX M108, ACCRA, GHANA.TEL; 664931-4, FAX: 662586, E-mail: [email protected]
1. NAME OF APPLICANT:........................................................................................................................................
2. NAME OF COMPANY:.........................................................................................................................................
...........................................................................................................................................................................................
3. IS COMPANY INCORPORATED IN GHANA? YES NO
44. ADDRESS IN GHANA (IF ANY).........................................................................................................................
............................................................................................................................................................................................
5. FULL ADDRESS OF COMPANY OVERSEAS:..................................................................................................
............................................................................................................................................................................................
FAX NO:.................................................................................................................................
TEL NO:..................................................................................................................................
E-MAIL:....................................................................................................................................
6. DIRECTORS OF COMPANY AND ADDRESS
7. SHAREHOLDERS AND ADDRESS
NAME ADDRESS OTHER OCCUPATION
NAME ADDRESS OTHER OCCUPATION
8. BANKERS ADDRESS (OVERSEAS).....................................................................................................................
............................................................................................................................................................................................
FAX N0(S):.............................................................................................................................
TEL. N0(S)................................................................................................................................ E-MAIL:................................................................................................................................... E-MAIL:....................................................................................................................................
9. BANKERS ADDRESS (LOCAL)......................................................................................................
FAX N0(S):.............................................................................................................................
TEL. N0(S)................................................................................................................................ E-MAIL:................................................................................................................................... E-MAIL:....................................................................................................................................
10. PROPOSED CAPITAL INVESTMENT IN GHANA (SPECIFY):
11. PROPOSED LOCAL REPRESENTATIVES:
(i) NAME:..................................................................PASSPORT N0..................................
(ii) NAME:..................................................................PASSPORT N0:.................................
12. IS IMMIGRATION QUOTA REQUIRED FOR LOCAL REPRESENTATIVES AT BUYINGOFFICES?
YES NO