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Petroleum Pipelines Act, 2003 (Act No. 60 of 2003)

Notices

Petroleum Pipelines Act: Rules, 2014

Forms

Form F : Application for the revocation of a licence in terms of section 24 of the Petroleum Pipelines Act, 2003 (Act No. 60 of 2003)

Section A : Particulars of licensee

 

 

1.

Name of licensee ......................................................................................................

2.

License number ........................................................................................................

3.

Type of licence .........................................................................................................

4.

Date on which the Energy Regulator issued the licence .............................................

5.

Details of the licensed facility/area ..........................................................................


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


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

6.

Details of mandated representative, including:


(a)

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


(b)

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


(c)

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


(d)

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


(e)

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


(f)

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