Co-operative Banks Act, 2007 (Act No. 40 of 2007)

Regulations

Purchase

Annexure A

Notice of Appeal

[Section 75(1) of the Co-operative Banks Act, 2007 (Act No. 40 of 2007))

[Regulation 10]

To:	The National Treasury

Decision against which the appeal is lodged

Please attach a copy of the decision appealed against to this form.

With reference to decision by supervisor/agency, Reference Number ............................................ (as attached).

Grounds for appeal

If the provided space is inadequate, please continue on a separate folio and attach it to this form. All the additional folios must be signed.

State the grounds on which the appeal is based:

State any other information that may be relevant in considering the appeal:

Payment

Payment must be made to:

Account holder :

: National Treasury

Bank

: ABSA

Branch

: Van der Walt Street

Branch code

: 632005

Account number

: 4052368632

Reference

: 08033281

Kindly fax proof of payment to (012) 3155958

Declaration by appellant

The appellant confirms that the information contained in this notice is accurate and complete.

Signature .................................................

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

For office use

Signature of representative authorised to receive appeal: .....................................................

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

Date: .........................................................