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NTTN Form

This document is an application form for a nationwide telecommunication transmission network license in Bangladesh. It requests information about the applicant's identity, business structure, contact person, and business proposal. The applicant must also submit documents verifying their tax status and that they have not been convicted of certain crimes or declared bankrupt. The document concludes with an affidavit where the applicant certifies that all information provided is true and correct.

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Jeet
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41 views

NTTN Form

This document is an application form for a nationwide telecommunication transmission network license in Bangladesh. It requests information about the applicant's identity, business structure, contact person, and business proposal. The applicant must also submit documents verifying their tax status and that they have not been convicted of certain crimes or declared bankrupt. The document concludes with an affidavit where the applicant certifies that all information provided is true and correct.

Uploaded by

Jeet
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

APPENDIX-4

BANGLADESH TELECOMMUNICATION REGULATORY COMMISSION


APPLICATION FORM FOR
[Section 36(5) of the Act 2001]

NATIONWIDE TELECOMMUNICATION TRANSMISSION NETWORK LICENSE

Information Furnished /
Sl. Information Required
Compliance
Identity of Applicant(s)
Name of Person / Company / Firm / Partnership /
1.
Consortium/Society as the case may be.

Business Address and Registered Office


Address and Telephone Number, Facsimile Number, E-mail
2.
and Website details.

Business or Company’s Structure Details


For Applicant(s) that are corporate entities, include/ submit
copies of certified true copies of Memorandum and Articles of
Association and Certificate of Incorporation/registration or
other equivalent documents.

If Applicant(s) company is in the name of a consortium which


includes one or more corporate members or partnerships,
include/submit documents for each corporate member or
partnership as applicable along with up to date clearance
certificate of Income Tax (if applicable) for each and
individual member of the consortium.
3.
If Applicant(s) company is a partnership, provide copy of
partnership deed or equivalent documents.

If Applicant(s) is a society or other organization, provide rules


of society or equivalent documents.

If the Applicant(s) is a Company/firm, provide documents of


registration from the Registrar of Joint Stock Companies and
Firms, as well as from the concerned Chamber of Commerce
and Industries or equivalent trade bodies and also submit a
clearance certificate of Income Tax paid (if applicable).

Contact Person’s Name and Position


The person should be an appropriate senior level individual i.e.
Chairman, Managing Director, Chief Operating Officer, Chief
4. Executive Officer, Chief Technical Officer, Chief Commercial
Officer, who would be an appropriate point of contact for
general and/or technical enquiries.

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Contact Person’s Passport No. and Country of Issue
With Photocopy of the first six pages of the passport/pages
5.
contain personal information

Contact Number of the Contact Person


6. (Telephone, Fixed & Mobile, Facsimile and E-mail)

Business Proposal and Other Information


7.
Documents and Information
8. (All documents and information as described in Appendix-2
and Appendix-3 )

Page 23 of 25
APPENDIX-5

AFFIDAVIT

The undersigned, _____________________________________, of legal age, and residing


(Name of Official/Individual Applicant(s))

at ______________________________ after having been duly sworn deposed states:


(Address)

1. That he/she is the _________________________________________________________


(Official Capacity)

of ___________________________________________________________________ ,
(Name of company/corporation/partnership/society/individual (the Applicant(s)))

duly organized under the laws of The People’s Republic of Bangladesh

OR

That he/she is the Applicant(s) for the License referred to below (the Applicant(s)), a

citizen of The Peoples Republic of Bangladesh.

2. That personally, and as ______________________________________ for and on behalf


(Official Capacity)

of the Applicant(s) he/she hereby certifies:


a) That all statements made in the Applicant(s)’s application for a License to establish,
maintain and operate NTTN and in the required attachments to that application are
true and correct;
b) That this certification is made for the expressed purpose of an application by
________________________________ for a NTTN License from the Bangladesh
(Name)

Telecommunication Regulatory Commission;

c) The Applicant(s) will make available to the Commission or any other of its authorized
agencies any information they may find necessary to verify any item in the application
or regarding its competence and general reputation;
d) That the Applicant(s) (where the Applicant(s) is an individual) or the owner of the
Applicant(s) or any of its directors or partners (where the Applicant(s) is a company,
corporation, partnership or society);
(i) he is not an insane person,

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(ii) he has not been sentenced by a court under any law, other than the Act, to
imprisonment for a term of 2 (two) years or more, and a period of 5 (five) years
has not elapsed since his release from such imprisonment;
(iii) he has not been sentenced by a court for committing any offence under the Act
and a period of 5 (five) years has not elapsed since his release from such
imprisonment;
(iv) he has not been declared bankrupt by the Court and has not been discharged from
the liability of bankruptcy;
(v) he has not been identified or declared by the Bangladesh Bank, by the court or by
a bank or financial institution as a loan defaulter of that bank or institution;
(vi) any license of his has not been cancelled by the Commission at any time during
the last 5 (five) years.
(vii) No prosecution is going on against the applicant or its owner(s) or any of its
director(s) or partner(s) for any violation of the Act or license conditions or any
other illegal activities.
e) That no shareholder/director or a member of his/her family of the Applicant(s) in the
capacity of an owner, shareholder, director or partner of any other company holds
ANS Operator license from Bangladesh Telecommunication Regulatory
Commission.
That the undersigned is the Applicant(s) or is duly authorized by the Applicant(s) to
make these representations and to sign this affidavit.

____________________________________________________
Director/Secretary/Partner/Duly Authorized Representative/Attorney/Individual

as or on behalf of the Applicant(s)

WITNESSES

1. ___________________________ 2. ________________________________

Subscribed and sworn to before me

this ___________ day of ___________________ 20 ____ at __________________.

__________________________
Notary Public

Page 25 of 25

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