National Consumer Commission

Form· Section 106(1) of the Consumer Protection Act, 2008 (Act No. 68 of 2008)

Confidentiality Claim

TO:The National Consumer Commission, the National Consumer Tribunal, an Inspector or investigator appointed in terms of the Consumer Protection Act.

Name of person claiming confidentiality

Address

Reference number

Date

On a separate sheet of paper, list the following information, and explain why the information is confidential.

Column 1 - name of the document that contains the confidential information

Column 2 - the page and line number at which the confidential information begins and ends

Column 3 - the name of the person that owns the particular information

Column 4 - the nature of the economic value, if any, of the information

Column 5 - the existing restrictions, if any, on access to the information

Statement of Confidentiality:

I, ............................................................. compiled, or supervised the persons who compiled, the attached list. I believe that the information identified in that list is confidential information.

Name and Title of Person authorised to sign:

.....................................................................................................................................................

Authorised signature

…………………………………….

Date:

…………………………………….