Registration Application

Application for User Registration

Full name of the legal entity, including its legal form
Position of the head of the legal entity or of the authorized employee

represented by,

Surname, first name, patronymic
Acting on the basis of
Basis of authority

hereby requests that a user be registered on the "Special Application Acceptance Platform of the Republican Stock Exchange 'Toshkent' for Identifying a Potential Buyer":

Brokerage office number at RSE "Toshkent"
Name of the legal entity
Number and date of issue of the license to carry out professional activity on the securities market
Surname, first name, patronymic
Position
Postal code
Country
Region
City
District
Postal address *
Email address
Telephone numbers (landline, mobile)
TIN