• icon Republic of The Gambia

Dealer, manufacturer, and repairer license application

Business Information
Business Type:
Dealer Type:
Owner Contact Information
First Name:
Last Name:
Address:
City:
Phone:
Alternate Phone:
E-mail:
TIN:
Instruments
Select all that apply:
Additional Information
Particulars:
Image:
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Attachments:
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Declaration

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application.