FORM 9B

PRO-FORMA SPONSORSHIP LOG

This Form should be submitted in accordance with the Standard Terms and Conditions published in terms of section 8(1) of the Act and Specific terms and conditions contained in the licence issued to a Broadcasting Service Licensee.

This Form should be submitted quarterly in accordance with the Licensee's Financial Year.

Broadcaster: _______________________________

Month: ____________________________________                    Year: ____________________

* Activity includes: programmes, news, game shows, welfare activities or similar programming (together with details of payment, financial or otherwise received for such sponsorship)