LESOTHO COMMUNICATIONS AUTHORITY
Application for transfer of Licence
Rule 61 (1) and (2) of the LTA Rules of Practice and Service Provision

Physical Address : 6th Floor, Moposo House, Kingsway Road, Maseru 

Postal Address : LTA, PO Box 15896, Maseru 100 + 26622310984 e-mail lta@lta.org.ls   

1.PARTICULARS OF THE TRANSFEREE (Person or body whom the licence is being transferred to)

1.1Personal particulars
Full name of an applicant _______________________________________________________

Telephone Number ____________________________________________________________

Fax No ______________________________________________________________________

LICENCE PARTICULARS

Licence number   _______________________________________________________________

Expiry date of licence __________________________________________________________

Type of licence ________________________________________________________________
                                                              
Place of operation ______________________________________________________________

_____________________________________________________________________________

Proposed place of operation ______________________________________________________

_____________________________________________________________________________

Reason(s) for transferring the licence ______________________________________________

____________________________________________________________________________

____________________________________________________________________________

Attach any other relevant information that may assist the Authority in considering your application. (certified copy of transferee’s passport, bank statement)

Fee M100.00

ACKNOWLEDGEMENT

•	The applicant acknowledges the statements in this form and accompanying documents will be relied upon by the Authority, and confirms that to the knowledge and belief of the applicant all such statements are true and correct.

•	The transferee undertakes to adhere to the terms and conditions of the licence as the Authority may prescribe.

Signature of transferor  ______________________________________________
                                
Full names of transferor _____________________________________________

Signature of transferee ______________________________________________
                                                        
Full Names of transferee  ____________________________________________