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Films and Publications Act, 1996 (Act No. 65 of 1996)

Regulations

Films and Publications Regulations, 2014

Annexures

Annexure A : Board/E

 

Annexure A

BOARD/E

FILM AND PUBLICATION BOARD

420 WITCH HAZEL, ECO GLADE 2, ECO PARK

CENTURION 0169

PRIVATE BAG X 31, HIGHVELD 0169

E-MAIL: [email protected]

Website: www.fpb.org.za

 


Application for an FPB license

The Board may refuse to process your submission if this form is not completed in all details

Section 18(1)(a) and/ Section 27A(1) of the Films and Publications Act 65 of 1996, as amended

 

TYPE OF LICENSE: (Please tick applicable)

 

New Applicant (mainstream)






New Applicant (Adult)


NB: Must have a 2H license issued by the municipality




Renewal


Please provide registration number FPB8/...........




Internet Service Provider






Online content distributor



 

Applicant/Owner ...............................................................................................................

 

Identity Number ................................................................................................................

 

CONTACT DETAILS

 

Postal Address (Where license will be posted) ..................................................................

..................................................................................Postal Code (Compulsory) ...............

Tel...............................................Fax....................................e-mail ..................................

Cell.........................................

Contact Person ...................................................................................................................

BUSINESS INFORMATION

Business Name (if different to applicant name) ..................................................................

Address (Physical Address where business is carried out) ...................................................

....................................................................................Province..........................................

Tax Ref. No........................................................

Nature of Business (tick appropriate)

Exhibitor of films

 

 

 

 

 

 

 

Distributor of films

 

 

 

 

 

 

 

Internet Service

 

 

 

 

 

 

 

Distributor of Games

 

 

 

 

 

 

 

Online Content Distributor

 

 

 

 

 

 

Documents Required:            Certified copy of valid tax clearance certificate

NB: Validity of certificate will be confirmed with SARS

CIPRO Certificate

Proof of payment of applicable fee

2(H) License (Only for distributors of Adult Material)

 

Applicants Signature .......................................................................................................

Capacity..........................................................................................................................

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

NB: No license will be issued without all the required documents.

 

 

Comments  (Office use)....................................................................................................

 

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

 

 

 

 


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