[MOL 10,115] SCHEDULE (Regulation 2)APPLICATION FOR MONEYLENDER'S LICENCE
| 1. | True name of applicant ......................... (If applicant a company the name of the company should be stated here). | |
| 2. | Private address of applicant, or in the case of a company, the registered address of the company ......................... | |
| 3. | Name under which it is desired to carry on business as a moneylender ......................... | |
| 4. | Address at which it is desired to carry on business......................... | |
| 5. | True names and addresses of partners, if any ......................... | |
| 6. | Name of person or persons (other than owner or partners) responsible or proposed to be responsible for the management of the business. In the case of a company the names of the directors, treasurer and secretary should be given ......................... | |
| 7. | Date of issue of any previous licence under the Moneylenders Act 1938 and name and address authorised by such licence ......................... | |
| 8. | If registered under the Companies Act 2015 date of registration and name and address under which registered......................... | |
| 9. | Particulars of any convictions under the Moneylenders Act 1938 of the applicant, his or her partner, or any person responsible or proposed to be responsible for the management of the business ......................... | |
| 10. | Particulars of any order under section 10 of the Moneylenders Act 1938 suspending or forfeiting any licence of, or disqualifying from obtaining a licence, the applicant or his or her partner or any person responsible or proposed to be responsible for the management of the business ......................... | |
| 11. | Particulars of any refusal of a licence to the applicant, or his or her partner or any person responsible or proposed to be responsible for the management of the business ......................... |
Signed:
Date:
The Laws of Fiji