1. This form is to be filled by operators of Sole Proprietorship only.
  2. Attach photocopies of Certificate of Registration and National ID Card/Passport/Driver’s License for Sierra Leoneans and in the case of Non-Sierra Leoneans photocopies of Certificate of Registration, Passport and Residence Permit.
  3. Please ensure that originals of photocopy attachments are presented for inspection as a basis for authentication of the photocopies at the OARG, NRA and FCC Offices when you are submitting the application..


1. Proprietor

2. Mother's Maiden Name

3. Occupation

4. Birth Information

5. Country of Residence

6. Nationality

10. Postal Address

11. Residence Address

12. Telephone Number and E-mail Address of Business


13. Business Name

14. Business Location

15. Telephone Number and E-mail Address of Business

16. Describe your Business Activity/Nature of Business
17. Estimate of Annual Turnover

18. Date of Commencement of business.

19. Full particulars of any branch(es) or other places of business in Sierra Leone.
20. Note:Proprietor.

hereby certify and declare that the foregoing particulars are to my knowledge and belief correct, and I undertake to notify the Registrar of Companies/business, National Revenue Authority and the Freetown City Council whenever there is a change of circumstance affecting or relating to the particulars of the company/business as stated above.