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Postal Services Act, 1998 (Act No. 124 of 1998)

Regulations

Unreserved Postal Services Regulations, 2020

Forms

Form B : Application for Renewal

 

FORM B

 

APPLICATION FOR RENEWAL

 

(a) Applicants must refer to the Act and any Regulations published under the Act regarding the requirements to be fulfilled by applicants.
(b) Information required in terms of this Form which does not fit into the space provided may be contained in an appendix attached to the Form. Each appendix must be numbered with reference to the relevant part of the Form.
(c) Where any information in this Form does not apply to the applicant, the applicant must indicate that the relevant information in the Form is not applicable.

 

1. PARTICULARS OF THE APPLICANT

 

 
1.1 Company Name

 
1.2 Registration Certificate Number

 
1.3 Nature of services authorised to be provided in terms of the registration certificate

 
1.4 Expiry date of the certificate

 
1.5 Attach a copy of the registration certificate that is the subject of this application marked clearly as appendix 1 of form B

 

2. CONTACT PERSON DETAILS:

 

2.1. Name: ...........................................................................

 

2.2. Telephone number: .......................................................

 

2.3. Fax number:   .................................................................

 

2.4. Mobile number:  ............................................................

 

2.5. e-mail address:  .............................................................

 

3. BUSINESS PRESENCE

 

3.1. Number of business outlets/branches: ...........................................................

 

3.2. Number of business outlets/branches per province.

 

Province

Number of outlets/branches

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

3.3. Number of Franchises/Agents    .....................................

 

3.4. Number of franchises/agents per province.

 

Province

Number of franchises

Number of Agents

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

4. Has the applicant been found guilty of contravening the Act or any related Legislation Y/N?

 

If yes, provide details below

 

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

 

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

 

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

 

5. Any other information the applicant deems relevant to the application

 

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

 

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

 

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

 

6. DOCUMENTS CHECKLIST

 

Documents attached

Yes / No

Initials
• Certified copies of the applicant's company registration documents;

 

 

 
• Business profile;

 

 

 
• Certified copies of the applicant's tax clearance certificate; and

 

 

 
• Proof of payment of the renewal fee (see regulation 9 of the Regulations).

 

 

 

 

I acknowledge that the Authority reserves the right to have any registration certificate issued pursuant to this application set aside should any material statement made herein, at any time, be found to be false.

 

Signed: ..................................................................

 

Applicant: ..............................................................

 

I certify that this declaration was signed and sworn to before me at.......................... on the ................... day of ..................... 20...., by the deponent who acknowledges that he/she:

 

1. Knows and understands the contents hereof;
2. Has no objection to taking the prescribed oath or affirmation; and
3. Consider this oath or affirmation to be truthful and binding on his/her conscience.

 

 

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

COMMISSIONER OF OATHS

 

Name:  ..................................................................

 

Address: ................................................................

 

Capacity: ...............................................................