Form BN/2 - BN-ZMCVMKAR

(r,4)

THE REGISTRATION OF BUSINESS NAMES ACT, CAP. 499

STATEMENT OF PARTICULARS
(Please read carefully the notes overleaf)
1. Business name: BN-ZMCVMKAR
2. Nature of business: ICT services
3. Address of the principal place of business: Building/Plot No/House Number:Mindililwet Center Sigowet , Street:
Roret Sondu road , Phone Number: +254748186086 , Floor: Simba ICT Center Mindililwet
4. Postal address: P.O. BOX 1579 - 20200 - KERICHO .
5. Address of any other place of business:(Branch Office under the above name)
6. Particulars of proprietor or partners -

Date Usual Place

Nationality and of of Other Business
Full Name Citizenship Birth Gender Residence Or Occupation Signature

ALLAN
1999- Mindililwet
KIPTOO Kenyan M ICT SPECIALIST
01-03 Center
NGETICH

STATUTORY DECLARATION
(Under section 7)
(to be made only in cases where all partners do not sign above statement)
I, ...................................................................... of............................................................................... do solemnly and
sincerely declare that the particulars set out herein are true and correct and I make this declaration conscientiously
believing the same to be true and according to the Oaths and Statutory Declarations Act. Declared at.......... This.... day
of........,20...

BEFORE ME
Signature_________________________________________________
Magistrate or commissioner for Oaths