| Tourism Accommodation Service Provider Registration Form |
| Name of Applicant: | |
| Trade Name: | |
| VAT Taxpayer | | NIC No. | |
| Location | |
| Mailing Address: | |
| No. of Rooms: | | |
| | | | | | | | | | | | | | | | | |
| Type of Property | | | | Hotel | | | Villa | | | Rooms for Let |
| | | | | | | | | | | |
| | | | Guest House | | Apartments | | | Other |
| Contact Details: | |
| Position/Title | Name | Position | Email |
| Owner | | | |
| Manager | | | |
| Accountant | | | |
| Primary Contact | | | |
| | | | | | | | | | | | | | | | | |
| Applicable Class and Rate: |
| | ADR US$ 120 and less - Class 1 | | Rate - US$3 per person/night | | | |
| | | | | | | |
| | ADR US$ 121 and more - Class 2 | | Rate - US$6 per person/night | | | |
| | | | | | | |
| | NR US$ 120 and less - Class 3 | | Rate - US$3 per person/night | | | |
| | | | | | | |
| | NR US$ 121 and more - Class 4 | | Rate - US$6 per person/night | | | |
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| The following documents (if applicable) must accompany your application: |
| 1. A Copy of VAT Registration, |
| 2. Certificate of Incorporation, |
| 3. Certificate of Business Name |
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| DECLARATION |
| I, hereby certify that the information given on this application form is true, |
| correct and complete and I further declare that I have the authority to make this disclosure of the information provided. |
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| Signature | Position | | | Day | | Month | | Year |
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| FOR SAINT LUCIA TOURISM AUTHORITY USE ONLY |
| Day | | Month | | Year |
| Application Received | Date | | | | | | | | |
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| Approved | | | | Rejected | | | | Date | | | | | | | | |
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| Effective Date of Registration | Date | | | | | | | | |
| Accommodation Service Provider Registration No. | | | – | | | – | | | | |
| Approved By: | Name: | Position |