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

Regulations

Films and Publications Regulations, 2014

Annexures

Annexure G : Board/RC

 

Annexure G

BOARD/RC

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 reclassification of in terms of section 18B

[regulation 15]

 

The Film and Publication Board may refuse to process your application if this form is not fully completed

 

Reg Office No.:


 

DATE OF APPLICATION


DATE RECEIVED (Office use)


DATE OF PREVIOUS CLASSIFICATION




PREVIOUS CLASSIFICATION DECISION




 

APPLICANT


 

POSTAL ADDRESS



POSTAL CODE


 

CONTACT PERSON


 

TEL


FAX


E-MAIL


 

TITLE (for distribution/exhibition)


 

PREVIOUS TITLE (if different)


 

ORIGINAL


RE-RELEASE


 

FORMAT

35MM


VIDEO


DVD


VCD


CD- ROM


OTHER


 

RUNNING-TIME IN MINUTES, AS SUBMITTED


 

SUBJECT OR GENRE


 

DIRECTOR


 

CAST INCLUDES




 

LANGUAGE

ORIGINAL


DUBBED


SUB-TITLED


 

PREVIOUS CLASSIFICATION AND CONSUMER ADVICE


CERTIFICATE

NUMBER


FORMAT


 

SIGNED


DATE


CAPACITY


 

 


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