Regulations Concerning the Licensing and Operations of Electronic Payment Services in Liberia 4. PARTICULARS OF SHAREHOLDERS % OF S/N NAME NATIONALITY TELEPHONE NUMBERS OCCUPATION SHAREHOLDING & EMAIL 1. 2. 3. 5. PARTICULARS OF DIRECTORS AND SENIOR MANAGERS IN ORDER OF SENIORITY: S/N NAME NATIONALITY DESIGNATION EDUCATIONAL QUALIFICATION 1. 2. 3. 6. OTHER INFORMATION S/N 1. State whether any of the partners/ directors/ shareholders have a beneficial interest in any other business licensed to provide payment services 2. Has any previous application by you been rejected or cancelled by the CBL? (If so give details) 23

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