ApplicationforICTLicence(s)

(TypeA, B, or C Networks, and/orType 1 to 5 Services)

•Print clearly – illegible, unclear or incompleteapplicationformsmaydelayprocessing.

•LicenceTypesaredefinedinaSection23(2)NoticepublishedfromtimetotimeintheGazette by theUtilityRegulationCompetitionOffice('OfReg'orthe'Office').Acopyof the current notice isattachedtothisapplicationform.

•Youshouldusethisform(ICTForm1)ifyou

requirealicenceforTypeA,B,orCNetworksand/orType1to5Services.

•YoushoulduseICTForm2ifyourequireonlyaTypeDtoTypeFnetworklicence.

•Youmay use this form to apply for TypeD,EorSnetworklicencesONLYifyoualsoare applying for aTypeA, B, or C Network licence or a Type1 to 5ServiceLicence.

•Queriesconcerningthecompletionofthisform shouldbe directedtotheOfficeat1-(345)-946-4282,

fax1-(345)-945-8284,.

TheOfficewillpublishacopyofyourcompletedapplicationandanyattachmentsonitswebsiteunlessitisaccompaniedbyaclaimforconfidentialityinaccordancewiththeICTConfidentialityRegulations.Ifaclaimofconfidentialityismade,theapplicationmustbeaccompaniedbyaredactedversionforthepublicrecord.

1.Clientnumber(IFKNOWN)7.Postaladdress

2.Organisationname8.Physicaladdress

3.TradingName(IFAPPLICABLE)9.ContactName SURNAME

4.C.I.CompanyRegistrationNumberGIVENNAMES

5.DoesCompanyhaveacurrentTradeBusinessLicence?

(IFYES,PLEASEATTACHCOPY)

YesNo

DESIGNATION

6a.GeneralInquiryEmailaddress(IFANY)

10.Telephone

WORKHOME

6b.WebAddress(IFANY)MOBILEFAX

EMAIL

AtleastoneofthefollowingtypesofICTNetworksorICTServicesMUSTbeselected

Networks:

TypeA–FixedwirelineTypeB–FixedwirelessTypeC–Mobile(celluar)

Services:

Type1–FixedTelephony

Type2*–Fall-backInternationalVoiceDataComms.

Type3–MobileTelephonyType4–ResaleofTelephonyType5–InternetTelephony

*AvailableonlytoaTypeE2Licenseeorapplicant.

ThefollowinglicencetypesmaybeincludedinthisapplicationPROVIDEDatleastoneoftheabovehasbeenselected.

Networks:

TypeD1–FibreOpticCable-DomesticTypeD2–FibreOpticCable-InternationalTypeE1–Satellite(inclVSAT)-Domestic

TypeE2–Satellite(inclVSAT)-International

TypeS–Spectrum

Checkthisboxifyouplantomakeuseofanyspectrum,andprovidefulldetailsinanswertoquestion28below.There is an annual fixed fee for each transmissionfrequencyorchanneltobeused.SeethedescriptionintheSection23(2)Notice.Thereisnoapplicationfee.

CheckforApplicationFeeRequiredtobe

Enclosedandmadeoutto'OfReg'.

Services:

Type9–InternetServiceProvider(ISP)Type11–ProvisionofICTInfrastructuretoaLicensee,otherthandarkfibre

Type11a-Provisionofdarkfibretoa

Licensee

Type12**–RetailsaleofICTequipment

Type13–PublicationofdirectoriesType14–ApplicationsServiceProvider(ASP)

**AvailableonlytoType1orType3licensees.AllothersmustobtainalicenceundertheTradeandBusinessLicensingLaw(currentRevision).

(SeeseparateScheduleofICTApplicationFees)CI$

Whereappropriate,thefollowinginformationshouldbeprovidedasanattachmenttothisapplication:

13.AttachdetailsofalldirectorsandofficersoftheCompany.

a.Fullname

b.Appointment

c.Dateappointed

d.PrivateAddress

e.Age

f.Nationality

g.Occupation

h.Otherdirectorshipsheldduringthepast5years

i.Otherbusinessinterests

j.WhetherornotresidentintheCaymanIslands

k.Acurriculumvitaeincludingasummaryofbackground,andany experience relevant torunning the networks andservicesappliedfor

14.Haveanydirectorsor officers ofthe Companyever declaredpersonalbankruptcy or been adirector or officerofacompanywhich has goneintoliquidation,official receivership,administration,or become insolvent (eitherwhilehewasadirectororofficerorwithin3yearsofhis ceasingtobe adirectoror officer)?

No

Yes. Please attach details.

15.HaveanydirectorsoftheCompanybeenadirectorofacompanywhoseICTlicence(orequivalent)hasbeenrevokedbyanycountry’sregulatoryauthorityforbreachoflicencecondition(s)(eitherwhilehe wasadirectororwithin3yearsofhisceasingtobeadirector)?

No

Yes. Please attach details.

16.Attach names and addresses ofallshareholdersoftheCompany(unlessa publiclytraded company). Include nationalityandplaceof residence.

List of shareholders attached.

We are a publicly traded company. Ourcompany registrars are:

17.HasanydirectoroftheCompanyor anymemberoftheCompany’smanagerialstaffever been, or arethey now, the defendant or respondent in anyproceedingsinanycourtinanyjurisdictioninvolvingnon payment of debt, dishonesty, fraud, theft,restitutionorviolence?

18.Provide a diagrammatic representation oftheapplicant’s majorshareholders, includingthepercentageofsharesheld.

No

Yes. Please attach details

19.ProvideadiagrammaticrepresentationandnarrativedescriptionoftheCompany’smanagementstructure.Includebriefresumesofkeymanagerialstaffindicatingrelevantpriorexperience,qualifications,andnationality.DetailanyothersourcesofexpertiseavailabletotheCompany.

20.Listanyactivitieswhichwillbecontractedouttoagencies,consultants,etc.,includingnumbersofpersonneluponwhomtheapplicantwillbeableto draw,ifknown.

21.Attachnames,addressesandcontactdetailsforthe / a. / Attorney / c. Auditors
followingprofessionaladvisorstotheCompany. / b. / Accountant / d. Banker

22.DoestheCompanyoranyaffiliatecurrentlyhold,orhasiteverheld,atelecommunications,broadcastingor

ICTlicenceintheCaymanIslandsoranothercountry?No

Yes.Pleaseattachdetails.

23.HastheCompanyoranyaffiliateeverhadanapplicationforatelecommunications,broadcastingorICTlicenceintheCaymanIslandsoranothercountryrefused?

No

Yes. Please attach details.

24.HastheCompanyoranyaffiliateeverhadatelecommunications,broadcastingorICTlicenceinthe

CaymanIslandsoranothercountryrevoked?No

Yes. Please attach details.

25.Generaldescriptionofthenetworkorservice,including:

a.LicenceType

b.Narrativedescription

c.Geographicalcoverage

d.Numberandcategoriesofcustomersanticipatedtobeserved

e.Arrangementsforinterconnectionandinfrastructuresharing,whereappropriate

f.Anticipatedlaunchdate–GrandCayman

g.Anticipatedlaunchdate–CaymanBrac

h.Anticipatedlaunchdate–LittleCayman

i.Anticipateddevelopmentsoverthenext3years

j.Ifwholesaleserviceswillbeofferedtootherlicensees

26.Explainfullythetechnicalandoperationalconfiguration,including:

a.Descriptionoftheequipmenttobeused

b.Technicalspecification

c.Conformancewithstandards

d.Sourceandavailability

e.Networksecurityandresilience

f.Environmentalimpact

27.Provideacleardiagramshowing:a. Theconveyanceofmessagesfromthebeginning(i.e.waysofaccessingtheapplicant’ssystem)totheend(i.e.terminationofthemessage).

b.Directionalarrows

c.Labelsshowingwhichcompanyownsandoperateseachpartofthenetwork.(Thoughtheapplicant’ssystemmightrepresentasmallpartoftheoverallnetwork,itisimportantfortheAuthoritytoknowwheretheapplicant’ssystemfitsintothechainofconveyanceofamessageandwhattheapplicant’ssystemdoeswiththatmessage.)

28.Foreachelementofthenetworkthatinvolvesradiotransmission(ifany),pleaseprovideanengineer’stechnicalreportthatincludesthefollowinginformation(includenetworklinks,localloopandcellularasappropriate):

a.Technicalnarrative

b.Equipmenttabulationandtechnicalspecifications

c.Transmittersitemap

d.Antennaelementsketch

e.Frequencyallocationstudy

f.Frequencycoveragemap

g.Verticalplaneelevationpattern

h.Frequencieschannelsorband(s)required

i.AntennaMode

j.Effectiveradiatedpower(averagehorizontal)

k.Effectiveantennaheight

l.Transmittingsitecoordinates

29.Doyouwishtoapplyforanallocationofnumbers?Ifso,pleasechecktheappropriatebox(es):

Providedetailsofyourrequirements.

CarrieraccesscodesCarrierselectioncodesEndusernumbersOthernumbers

30. Attachadetailedbusinessplancoveringaperiodofatleast5yearsthatincludes:

NB. Theapplicantmayberequiredtofileamoreprecisebusinessplanfollowingcompletionofitsinterconnectionandinfrastructurearrangements

a.Majorassumptionsused

b.Sourcesoffunding,debtlevels,equityandindependentconfirmationasappropriate

c.Proformafinancialstatementsfor3years,toinclude

balancesheet,cashflowandincomestatements.Inadditiontohardcopies,financialstatementsshouldbeprovidedinspreadsheetformatwithallinputdata,formulasandcalculationsleftintact.

d.Anindicationofwhentheapplicantanticipatesbecomingprofitable

31. Attachamarketingstrategythatincludesforeachofthenetworksorservicestobeprovided:

a.Maintargetmarkets(e.g.wholesaleorretail,residentialorbusiness)

b.Salesplan

32. Providedetailsofyourproposedrates.

33.Providecopiesofyourtermsandconditionsfortheprovisionoftheproposednetworksandservices.

34.Providecopiesofrepresentativesamplesofexistingcontractswithallclassesofcustomer(ifany).

35.HowmanystaffdoyouproposetoemployOUTSIDEtheCaymanIslands?

Initially:After1 yearAfter3 year

36.HowmanystaffdoyouproposetoemployWITHINtheCaymanIslands?

a.Initially

CaymanianExpatriate

b.After 1 year

CaymanianExpatriate

c.After 3 year

CaymanianExpatriate

37.Explainfullyhowthefollowingserviceswillbeprovided:a. Customerserviceandcomplaintresolution

b.Customerbilling

c.Directoryservicestothepublic,andhowdirectoryinformationontheapplicant’sowncustomerswillbemaintainedandmadeavailabletootherslegitimatelyseekingit

d.Accessto911emergencyservices

38. Providedetailsofanyqualityofservicetargetssupportedbytheapplicant.

AnoriginalsignedapplicationandthreepapercopiesmustbefiledwiththeOffice.Allpapercopiesmustbeheldtogetherwithrubberbandsorfasteners.Theapplicantistoprovideanelectroniccopyofitsapplicationviaemailordatastoragedeviceclearlylabelledwiththeapplicant’sname,dateoffiling,andthenamesoftheelectronicfiles.TheOfficeprefersthatelectronicdocumentsbeprovidedintheiroriginalformat(suchaswordprocessingorspreadsheetformat)ratherthanasscannedimagesorpdffiles.TheapplicationfeesmustaccompanytheapplicationinorderfortheOfficetoconsidertheapplication.

1.TheApplicantbysubmittingthisformandanyattachmentstheretorepresents,warrantsandundertakestoandwithOfRegthatallinformation,factsandmatters(togetherthe‘Information’)containedorreferredtointheformandanyattachmentstheretoaretrueandaccurateasatthedateoftheapplicationandcorrectinallrespectsandthatnothing hasbeenomittedwhichrendersanyofsuchInformationincomplete,falseormisleading.

2.SofarassuchInformationrelatesinwholeorinparttopastorpresentmattersoffactuponsubmissionoftheform,theyshallalsobedeemedtoconstitutefundamentalrepresentationsuponthefaithofwhichOfRegmaygranttheLicenceorLicencesappliedfor.

3.PromptlyupontheoccurrenceoforpromptlyupontheApplicantbecomingawareoftheimpendingorthreatenedoccurrence ofanyeventwhichwouldormightreasonablybeexpectedtocauseorconstituteabreachoftherepresentations,warrantiesandundertakingsinsub-clause1above(orwouldhavecausedorconstitutedabreachofthe representations,warrantiesandundertakingsinsub-clause1hadsucheventoccurredorbeenknowntotheApplicantpriortothedateofapplication),theApplicantshallgivewrittennoticeofthesametoOfRegandshalluseitsbestendeavourspromptlytopreventorremedythesame.

4.WheretheInformationconsistsofanyauditedaccountsoftheApplicant,theApplicantbysubmittingthisformandanyattachmentstheretorepresents,warrantsandundertakestoandwithOfRegthatthoseaccountsareaccurateinallmaterialrespectsandshowatrue,completeandfairviewofthestateofaffairs,financialposition,assetsandliabilitiesoftheApplicantandofitsresultsforthefinancialperiodthereinstated.

5.TheApplicantfurthercertifiesthat,tothebestofitsknowledge,anymatterswhichmightinfluenceOfReg’sjudgementastowhethertheApplicant,itsdirectorsandsubstantialshareholdersarefitandproperpersonstoholdanICTlicencehavebeenmadeknowntoOfReg.

SignedonbehalfoftheApplicant:

Fullname(s)ofSignatory(ies):Position:

Date(dd/mm/yyyy)