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Form BN/2 - BN-ASCYRMV9
(A)
THE REGISTRATION OF BUSINESS NAMES ACT, CAP. 499
STATEMENT OF PARTICULARS
(Please read carefully the notes overteat)
1. Business name: BN-LSCYRMV9_
2. Nature of business: Electricals work
3. Address of the principal place of business: Building/Plot No/House Number:Kiamunyl, Street: Nakuru Eldama ravine
Phone Number: +254723149359
4, Postal address: P.O. BOX 12688 - 20100 - NAKURU .
. Address of any other place of business:(Branch Office under the above name)
6. Particulars of proprietor or partners -
Date
Nationality and of Usual Place Other Business
FullName Citizenship Birth Gender of Residence Or Occupation Signature
=
MR. | ane Be tama cen OM
eal
STATUTORY DECLARATION
(Under section 7)
(to be made only in cases where all partners do not sign above staternent) a
of. " .do solemnly and
sincerely declare that the particulars set out herein are true and correct and | make this declaration conscientiously
believing the same to be true and according to the Oaths and Statutory Declarations Act, Declared atin... This... day
Ofernnn2Oone
BEFORE ME
Signature
‘Magistrate or commissioner for Oaths
