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APPLICATION FORM. 2. USE CAPITAL LETTERS AND WHERE APPLICABLE MARK WITH A . 3. INDICATE IF APPLICATION IS FOR AN EXISTING OPERATION (CONVERSION LICENCE) OR A NEW OPERATION APPLICATION (NEW LICENCE) CONVERSION LICENCE NEW LICENCE SECTION 1: APPLICANT S DETAILS REGISTERED NAME IN FULL TRADE NAME IN FULL POSTAL ADDRESS OF REGISTERED OFFICE POSTAL CODE PHYSICAL ADDRESS OF REGISTERED OFFICE POSTAL CODE BUSINESS TEL NO. (INCLUDE CODE) FAX NO. (BUSINESS) MOBILE PHONE NUMBER i OFFICIAL USE.

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