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Section A: Company Information
This section must be completed when applying on behalf of a registered business
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* Indicates required question
Company Name
*
Your answer
Company Registration Number
*
Your answer
Company Physical Address
*
Your answer
Installation Address
*
Your answer
Office Number
*
Your answer
Company Contact: Full Name and Surname
*
Your answer
Company Contact: Designation
*
Your answer
Company Contact: Phone Number
*
Your answer
Company Contact: Email Address
*
Your answer
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