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Gas Act, 2001 (Act No. 48 of 2001)

Rules in terms of the Gas Act, 2001

Annexures

Annexure H : Form: Complaint (Optional)

Section A: Particulars of Complainant

 

1. If you are a natural person, provide:

 

(a) Your name and surname: .................................................................................

 

(b) Your Identification Number: ............................................................................

 

(c) Physical address ..............................................................................................

 

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

 

(d) Postal address ..................................................................................................

 

(e) Telephone number...........................................................................................

 

(f) Fax number......................................................................................................

 

(g) E-mail address..................................................................................................

 

2. If you are not a natural person, provide:

 

(a) the name of your company / organization

 

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

 

(b) the registration number of your company

 

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

 

(c) Physical address

 

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

 

(d) Postal address

 

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

 

(e) Telephone number

 

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

 

(f) Fax number

 

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

 

(g) E-mail address

 

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

 

(h) Details of contact person, including:

 

designation                   ............................................................................

 

family name                  ............................................................................

 

first name                       ............................................................................

 

telephone number     ............................................................................

 

fax number                     ...........................................................................

 

email address               ............................................................................