Type Approval TT100 Part A – Type Approvals | NICTA PNG

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Guidelines
Forms
- Client registration
Contact
- Speak to us
- Frequently Asked Questions
Log in
- Registration
- Profile

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Client Registration & Subscription Form
(TT100 Part A)

Form A. Client Registration & Subscription Form (TT100 Part A)

User/Membership Registration

Step 1 of 2

50%

Submission Type

New Client Registration & Subscription

Existing Client Update

Client Details

Type of Client

Client Full Name

Title First Name Middle Name Last Name

Occupation and Position

Contact/Telephone Number(s)

Client/User Phone Number

Email

Client Personal/Work Email

Business Details

Business Location Category

Select the category of your business whether it is based locally (registered business, agents, clients and individuals in PNG) or overseas (clients based in other countries or has business registered overseas).

Type of Business

Homologation Business/Manufacturer Agent

Manufacturer

Overseas Distributor/Supplier

Test House/Lab

Overseas Registered Business

Local Agent

Local Business (Without NICTA License)

Local Organization (Non-profit)

Government Agency

Individual

NICTA Licensee

Type of License

For NICTA existing Licensee, please select the type of your license from the drop down menu

License Expiry Date

DD slash MM slash YYYY

License Number

For NICTA Licensee, write the license number as it appears on your license

Business/Organization Name

IPA Certificate Number

IRC TIN

Website

Please provide the website of your company, business or yourself.

Address / Location

Building & Street Address Post Office Box City State / Province / Region ZIP / Postal Code Country

Others

Summary or Brief Description of You as a Client, Business or Organization

Please provide brief description of yourself and your business

Purpose of Subscription / Registration

Briefly explain why register or subscribe as a NICTA Client?

Attachments

Business/Organization Documents

Max. file size: 25 MB.

Attach your Business Document here (Registration, Business Certificate, etc.).

ID Documents

Max. file size: 25 MB.

Client Representative to attach NID, Driver License, Passport or work ID here.

Other Supporting Documents

Max. file size: 25 MB.

Any other supporting documents.

Account Information

Username

Password

Enter Password Confirm Password

Date of Birth

MM slash DD slash YYYY

Payment Details

Registration Fee

Price:

Registration Fee

Declaration

I agree to the privacy policy, terms and conditions and all the information submitted are true and correct!

By ticking the above, you hereby declare that all the information and particulars provided by you in this form and in the documents
submitted are to the best of your knowledge true, correct and complete. You understand that any untrue,
incorrect and/or incomplete information in this form and the documents submitted may lead to rejection of the
submission!

Credit Card

Phone

This field is for validation purposes and should be left unchanged.

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