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Films and Publications Act, 1996 (Act No. 65 of 1996)

Regulations

Films and Publications Regulations, 2014

Annexures

Annexure : Board/CN

 

BOARD/CN

FILM AND PUBLICATION BOARD

420 WITCH HAZEL, ECO GLADE 2, ECO PARK

CENTURION 0169

PRIVATE BAG X 31, HIGHVELD 0169

E-MAIL: [email protected]

Website: www.fpb.org.za

 

Application for authorization to screen trailers with restricted films

[Regulation 28]

 

Board may refuse to process your submission if this form is not completed in all details

TYPE OF EXHIBITOR LICENSE: permanent/temporary/

APPLICANT/OWNER ..................................................................................................................

LICENSE NUMBER ......................................................................................................................

FAX...............................................e-mail..................................................................

CELL..............................................

CONTACT PERSON .....................................................................................................................

ADDRESS (Address where the screening will take place) ............................................................

……………………………......................................................................................................................

 

MOTIVATION

……………………………......................................................................................................................

……………………………......................................................................................................................

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

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

APPLICANT'S SIGNATURE............................................................................................................

CAPACITY....................................................................................................................................

DATE..........................................................................................................................................

COMMENTS (Office use) .............................................................................................................

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

Date........................................