1) Information for the applicant (individual)

Title *

 Mr.   Mrs.   Ms.

Full name *

National ID number *

Phone number *

Current address *

1) Information for the applicant (legal entity)

Legal entity name *

Company registration number *

Name of the person authorized to sign *

Position *

Phone number *

Office address (legal entity) *

Please provide me with the certificate of completion for *

 Food vendors   Food storage premises

Business name/Shop name *

Type of food/Business type *

Usable area (square meters) *

Location of the venue *

The purpose of the request *

-- Select --Documents/Agencies required for submissionUse as legal evidence.Other