NCA FORM AP25R -- 4
Signed: Date:
Please attach 3 Certied copies of Passport Photographs of authorised representative with Company Seal.
Notes / Guidelines to Application Form
1. The Application Form must be completed and signed by the authorized representative of the
Applicant(s).
2. Application Form and supporting Documents to be submitted in triplicates in addition to soft
copies on CD – Rom or Pen Drive.
3. National IDs should be valid at the time of submission of the Application Form. Acceptable IDs to
be used are:
a. Driving Licence
b. Passport
c. Voter’s ID Card
d. NationalIdenticationCard
4. Payment of the requisite application fee is to be made by Bankers’ draft to the National
Communications Authority. Note that payment is non-refundable.
5. TheApplicationFormistobeaccompaniedwithCertiedTrueCopiesoftheBusinessIncorporation
Documents.
6. The Business Plan should include the:
a. Organizational Structure of entity (include educational and technical background as well
asexperienceofkeypersonnelsuchasCEO/ManagingDirector,ChiefTechnologyOcer,
ChiefInformationOcer,ChiefFinancialOcer,ChiefMarketingOcer,etcasmaybe
applicable).
b. Audited Financial Statements for the past Five (5) years of operation, to include:
i. Income Statement
ii. Balance Sheet
iii. Cash Flow Statement
7. Applicant is required to provide location of the Landing Station in Ghana
8. Applicant is required to provide the capacity of the Submarine Cable
9. Applicant is required to provide the countries in which the Submarine Cable will be landing.
10. Applicant is required to provide list of members if ownership of the Submarine Cable is through a
consortium.