Microcredit Regulatory Authority Rules, 2010
Schedule Ka
[Clause 3(1)]

Serial No.:

Executive Vice Chairman
Microcredit Regulatory Authority
8, Shahid Sangbadik Selina Pervin Sarak,
Gulfeshan Plaza, (6^th Floor), Baro Moghbazar
Ramna, Dhaka - 1217

Application for License

Dear Sir,
In order to carry out Microcredit operations in Bangladesh as a Microcredit Organization, I / We do hereby apply, as per Clause no. 16 of the Microcredit Regulatory Authority Act, 2006 (Act no. 32 of the year 2006) for obtaining License from your office with necessary supporting documents, being registered under sub-clause 2(21) of the Act.

Sincerely yours,

Signature	:
Name	:
Designation	:
Name of Organization	:
Address	:
Phone No.	:
Mobile No.	:
Fax	:
E-mail	: