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GT Shield

Electronic Communications Act, 2005 (Act No. 36 of 2005)

Regulations

Compliance Procedure Manual Regulations, 2011

Forms

Form 2 : Basic Financial Reporting Form Payment of Licence and USAF Fees

 

FORM 2

 

BASIC FINANCIAL REPORTING FORM PAYMENT OF LICENCE AND USAF FEES

 

(I-ENCS, C-ECNS, I-ECS, C-ECS, I-BS, C-BS, and RPS)

 

This Form should be submitted in accordance with the Licence Fees, Standard Terms and Conditions, USAF Regulations and specific terms and conditions where applicable

 

1. Licensee details

 

Licensee Name:

Licensee Number(s):

Financial Year-end:

Period Under Review:

 

2. Have the financial statements been audited? Yes/No

 

3. Name of Accounting Officer / Auditor

 

4. Auditor / Officer Contact Details

 

 

 

5. Format:

CALCULATION OF LICENCE FEES

 



REGULATED REVENUE

 






1. Revenue from Licensed Services* as disclosed in Audited Annual Financial Statements

R 0.00



 



 



 

2. Breakdown of Revenue from Other Services

 


R 0.00



 



 



 

Total Revenue as per AFS

 


R 0.00



 

REGULATED COSTS


 



 

1. Breakdown of Costs from Licensed Services as disclosed in Audited Annual Financial Statements

R 0.00



 



 

2. Other Operating Costs

 



 



 



 

Total Costs as per Audited Annual Financial Statements


R 0.00



 

Revenue from Licensed Services


R 0.00

Costs from Licensed Services


R 0.00

Gross Profit


R 0.00

Payable licence fees @ 1.5%


R 0.00



 



 



 



 

CALCULATION OF USAF CONTRIBUTION


 

Annual Turnover


R 0.00

Less allowable deductions


R 0.00



 



 



 

USAF Fee at 0.2% of Annual Turnover


R 0.00

* A licensed service is any revenue that a Licensee generates as a result of the licence issued by the Authority

 

6. The Authority may, in the course of carrying out its obligations, request any other relevant information that may be required

 

7. I, .................................................................................., in my capacity as .......................................................................hereby verify that the information provided is true and correct and have been reviewed by an Auditor / Accounting Officer.

 

8. Signature

 

Signature

 

 

 

 

Designation

 

 

Date