Форма бланка заявления на получение кода агентства выдачи (IAC)
This application is submitted in accordance with ISO/IEC 15459
A. TO BE COMPLETED BY APPLICANT (Issuing Agency)
Name of organization (maximum 40 characters). Abbreviate where necessary. | |||
Address (maximum 60 characters), starting street, city. Abbreviate where necessary. | |||
Principal contact in organization | Position | ||
E-mail | Telephone number | Fax number | |
Legal status of organization | Anticipated date of first use of IAC | ||
Expected number of license plate issuers | |||
Expected number of license plates issued annually | |||
List the countries in which you are represented (attach separate sheet) | |||
Confirmation of not for profit status (if requesting a single character IAC) | |||
Address for correspondence/billing | |||
(On separate sheet) Details of provisions made by the application to safeguard conformance with this part of ISO/IEC 15459 (required to ensure compliance with the IA responsibilities (subclause 4.1)) | |||
(On separate sheet) Details of fees and conditions imposed upon users of the IAC (required to ensure compliance with the IA responsibilities (subclause 4.1)) | |||
We hereby apply for the assignment of an IAC, and state that the use of the IAC will be in accordance with this part of ISO/IEC 15459 | |||
Signature/date | |||
VAT NUMBER OF THE APPLICANT if applicable |
Please return application to: | The (ASSUMED TO BE) Registration Authority |
B. TO BE COMPLETED BY THE REGISTRATION AUTHORITY
Form received on | IAC | IAC issued on |
Signature/date |