Government of Jamaica Flag of Jamaica

    FORM 1B (Regulation 3)

    Instructions

    Note: Please read the following before completing the below form.

    1. This form shall be completed and submitted along with the application processing fee and any specified or supplemental information to –

      Jamaica Agricultural Commodities Regulatory Authority
      1 Willie Henry Drive, P.O. Box 508
      Kingston 13
      Jamaica, West Indies
      Telephone No. (876) 758-1259/ 758-2925
      Facsimile: (876) 758-3907

    2. The grant of this licence is subject to the execution of a user Licence Agreement with Coffee Marks limited, a wholly owned subsidiary of the Jamaica Agricultural Commodities Regulatory Authority.
    3. In relation to a new application, the completed form shall be accompanied by –
      1. documents of incorporation;
      2. the business concept;
      3. Banker’s reference;
      4. a reference from two business associates;
      5. a list of the names and qualifications of key personnel of the business (including the CEO/Manager and the Marketing Manager); and
      6. such other document(s) that may be required by the Authority.
    4. In relation to the renewal of an application, the completed form shall be accompanied by a list of the names and qualifications of key personnel of the business (including the CEO/Manager and the Marketing Manager).
    5. A response from the Authority shall be sent to each applicant within seven (7) days of receipt of an application. An incomplete application shall not be logged and/or processed.
    6. This application form must be completed in full in order to avoid delays in its processing. Where attached sheets and other technical documents are utilized in lieu of the space provided, indicate appropriate cross-references. Paragraphs that are not applicable to your application should be marked as “N/A”.
    7. If you are in doubt as to any provision of this application form, please consult with a member of the Legal Department of the Authority at telephone Nos. (876)785-1259/758-3903 before completing it.

    Application Type
    NewRenewal
    Basic Information
    Voters IDDriver's LicensePassportOther
    Company Information
    Declarations
    NoYes
    NoYes
    NoYes
    NoYes
    NoYes
    NoYes
    Renewal
    NoYes
    NoYes
    Attach Documents

    Statement by Applicant

    I/We hereby certify that the information contained in this application and any document submitted to the Authority, are true and completed to the best of my/our knowledge and belief.

    I/We understand that any misrepresentation contained in the form shall lead to discontinuation of the processing of the application and the revocation of any licence granted and may also lead to prosecution. I/We further understand that the licence, if granted, may be suspended or revoked for breach of any of the terms or conditions stipulated therein.