Regulations Concerning the Licensing and Operations of Electronic Payment Services in Liberia APPENDIX 4: APPLICATION FOR A PAYMENT SERVICE LICENCE NOTE: This application shall be filled in capital letters 1. NAME OF APPLICANT (as it appears in the registration certificate): 2. TYPE OF LICENSE BEING APPLIED M/S: FOR: Category of payment system services 3. APPLICANT’S CONTACTS Physical Address: Town/City: Building: Mobile No. Email Address: 22