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GOVERNMENT OF ANGUILLA
1. NAME OF APPLICANT____________________________________________ 2. TYPE OF TRADE, BUSINESS, OCCUPATION OR PROFESSION ____________________________________________________________ 3. AVERAGE VALUE OF STOCK (IF MERCHANT) ______________ 4. ADDRESS OF BUSINESS _________________________________________________________ 5. PERIOD FOR WHICH LICENSE IS REQUIRED_________________ 6. LICENCE FEE PAID AND RECEIPT #_________________________
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