ANNEXURE D

[Regulation 2(2)]

Boxing SA Hereby Certifies That

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has today been registered as Promoter/Manager/Matchmaker/Agent Trainer/Second (delete where necessary) and a certificate of registration is hereby granted to him/her to act as such in the Republic of South Africa up to the 31st day of March 20__

Date: _______________________

Receipt No. ________________

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For and on behalf of Boxing SA

NB: This registration certificate shall be valid only during the year of issue and requires to be renewed each year thereafter. The holder thereof shall be subject to and bound by the regulations promulgated under section 34 of the South African Boxing Act, 2001 (Act No. 11 of 2001).