Email Investment License Application Form Issued under Section 22(5) of the Investment Code Act, 2019.The provision of the Investment Code Act, 2019 and Guidelines and Procedures brought into effect under it shall apply for Business Enterprise: Applicant Information about the company/entity 1. Applying on behalf of * Myself Entity 2. First Name * 3. Middle Name 4. Surname * 5. Nationality e.g. Ugandan * 7. ID Number * 6. ID Type * Ordinary Passport Diplomatic Passport National ID 8. Gender * Female Male 9. Date of Birth * 10. Phone Number 11. Email * 13. Relationship with Entity/Company * Director Employee Consultant/Agent Corporation Secretary 12. Tax ID number (TIN) * Entity Information about the company/entity 14. Entity Type * Company Partnership 15. Entity Legal name * 16. Business Registration Number * 17. Date of Incorporation/Registration * 18. Tax Identification Number (TIN) * 19. Company Phone 20. Company Email * 21. Entity Physical Address e.g. Plot 1 Baskerville, Kololo * Business Activity Details about the nature of the entity business activities 22.Business Activity Sector * A - Agriculture, Forestry & Fishing B- Minning & Quarrying C - Manufacturing D- Electricity, gas, Steam and air conditioning Supply E-Water supply; sewerage, waste management and remediation activities F -Construction G- Wholesale & retail trade; repair of motor-vehicles & motorcycles H - Transport & Storage I - Accommodation and food service activities J- Information & Communication K - Financial and Insurance activities L- Real Estate actives M - Professional, Scientific & Technical Activities N -Administrative & Support Service activities O - Public administration & defence; Compulsory social security P- Education Q- Human Health & Social work activities R - Arts, Entertainment & Recreation S - Other Service Activities T - Activities of households as employers; undifferentiated goods- and services-producing activities of households for own use U - Activities of extraterritorial organizations and bodies 23. Describe business/project activity ? * 24. Location of the project e.g. E.g. Plot 1, Baskerville Avenue, Kololo, Kampala * Share Capitalisation Information about Capitalisation 25. Share capital/Liability amount (USD) 26.Number of shares 27.Value per share (USD) 28. Please select the number of shareholders * OneTwoThreeFourFiveSix Shareholder One 29. Shareholder Type * Individual Entity 30. First Name * 31. Middle Name 32. Surname * 33.Nationality * 34. Gender * Male Female 35.Date of Birth * 36. ID Type * Ordinary Passport Diplomatic Passport National ID 37. ID Number * 38. Tax Identification Number 39. Phone number 40.Email Address * 41. Business Registration Number * 42. Percentage Shareholding * 43. Number of Shares * 44. Shareholder Address * Shareholder Two 45. Shareholder Type Individual Entity 46. First Name 47. Middle Name 48. Surname 49.Nationality 50. Gender Male Female 51. Date of Birth 52. ID Type Ordinary Passport Diplomatic Passport National ID 53. ID Number 54. ID Number 55. Tax Identification Number 56. Phone number 57.Email Address 58. Business Registration Number 59. Percentage Shareholding 60. Number of Shares 61. Shareholder Address Shareholder Three 62. Shareholder Type Individual Entity 63. First Name 64. Middle Name 65. Surname 66.Nationality 67 Gender Male Female 68.Date of Birth 69. ID Type Ordinary Passport Diplomatic Passport National ID 70. ID Number 71. Tax Identification Number 72. Phone number 73.Email Address 74. Business Registration Number 75. Percentage Shareholding 76. Number of Shares 77. Shareholder Address Shareholder Four 78. Shareholder Type Individual Entity 79. First Name 80. Middle Name 81. Surname 82.Nationality 83. Gender Male Female 84.Date of Birth 85. ID Type Ordinary Passport Diplomatic Passport National ID 86. ID Number 87. Tax Identification Number 88. Phone number 89. Email Address 90. Business Registration Number 91. Percentage Shareholding 92. Number of Shares 93. Shareholder Address Shareholder Five 94. Shareholder Type Individual Entity 95. First Name 96. Middle Name 97. Surname 98. Nationality 99. Gender Male Female 100. Date of Birth 101. ID Type Ordinary Passport Diplomatic Passport National ID 102. ID Number 103. Tax Identification Number 104. Phone number 105.Email Address 106. Business Registration Number 107. Percentage Shareholding 108. Number of Shares 109. Shareholder Address Shareholder Six 110. Shareholder Type Individual Entity 111. First Name 112. Middle Name 113. Surname 114.Nationality 115. Gender Male Female 116.Date of Birth 117. ID Type Ordinary Passport Diplomatic Passport National ID 118. ID Number 119 Tax Identification Number 120. Phone number 121.Email Address 122. Business Registration Number 123. Percentage Shareholding 124. Number of Shares 125. Shareholder Address Source of Funding Figures in USD 125. Loan Capital (Foreign) 126. Share Capital / Equity (Foreign) 127. Other Sources (Foreign) 128. Total (Foreign) 129. Loan Capital (Domestic) 130 Share Capital / Equity (Domestic) 131. Other Sources (Domestic) 132. Total (Domestic) Number of Employees 133.Foreign Employees * 134. Domestic Employees * 135.Project Implementation Status * Operational Implementation Market & Inputs Market destination for products/services of raw materials/inputs. 136. Domestic Market (%) 137. Foreign Market (%) 138. Locally sourced inputs (%) 139. Imported Inputs Attachments Please attach the following documents to enable the processing of your application. Size Limit & File Types File size limit: The maximum size per file is 2MB. The total size allowed for all documents is 20MB. Allowed File types: PDF, IMAGES (JPG,PNG), WORD (DOC,DOX), POWERPOINT (PPT). The form will only submit if all mandatory fields are filled. Shopping Basket English Arabic Chinese (Simplified) Dutch English French German Italian Portuguese Russian Spanish
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