prefix*

 Mr.  Mrs.  Miss

First and last name*

Age*

Nationality*

Address*

Telephone number*

Request to submit an application for a business license

 Places for food distribution or food collection

 Businesses that are hazardous to health

 Marketing business

 Business selling products in places/public health

 Collection business Transporting or disposing of waste as a business

Types of food distribution or food storage facilities (For food distribution or food collection locations)*

Size of business area (Square meter unit) (for food distribution or food collection locations)*

Types of activities that are hazardous to health (For businesses that are hazardous to health)*

Number of workers (For businesses that are hazardous to health)*

Size of the machinery used (horsepower unit) (for businesses that are hazardous to health)*

Marketing business that has sales (for marketing business)*

Business selling products in places/public health Selling product types (For businesses selling products in public/public health areas)*

Products are sold in the area. (For businesses selling products in public/public health areas)

How to sell products by method (For businesses selling products in public/public health areas)*

Collection business Transporting or disposing of solid waste as a business type

 collect and transport waste

 Collect, transport and dispose of waste.

 Collect garbage

 Collect, transport and dispose of waste.

with a source of disposal at (for collecting and transporting waste)*

There is a disposal system at (for collecting, transporting and disposing of waste)*

with a source of disposal at (for collecting garbage)*

with a source of disposal at (for collecting, transporting and disposing of solid waste)*

I would like to submit it. (Local official)*