STA/1

Kenya Bureau of
Standards
Standards for quality life

THE STANDARDS ACT (Cap 496)

APPLICATION FORM FOR GRANT/RENEWAL OF A PERMIT TO USE A STANDARDIZATION

MARK
To:
The secretary to the Permits Approval Committee, KEBS
Product Certification Body
P.O. Box 54974,
NAIROBI.

I/We the undersigned hereby apply for the grant/renewal of a permit/ the permit No…...........................to use the
standardization mark on the commodity specified here under:
(1) (2) (3)
Standardization Description of the commodity Trade mark or brand which is in
Mark upon and in respect of which the use in respect of the commodity
standardization mark is to be used
Bottle beauty products Vonne

In connection with this application, I/We the undersigned hereby declare that the commodity referred to in
column 2 above and the process and practice which is or will be carried out by me/us in the production of
the commodity shall at all times comply with the standard specification bearing the number
KS…………and the title……………………………………………………………………………………………
Date………………………… ……………………………….......................
Signature of applicant

Applicant Name ……Paul Gathungu Maina…………………………………………………………

Designation …………Director………………………………………………………………..
Name of firm ………Vonne Glow………………………………………………………………
Postal address………P.O. 3282 – 00100 – GPO NAIROBI………………………………………….
Telephone No ………0741044380…… ……………………………………………………………….
Fax No …………………………… ……………………………………………………………………….
Email address….……paulgathungumaina@gmail.com…………………………………………….
Physical address……Nairobi, Kasarani…………………………………………….
Plot No ………………2009…………………………………………………………….

Note:
1. Every applicant for the issue of permit shall pay, at the time of filing the application a fee for each application
2. To be submitted in duplicate (two identical forms)