Electronic Communications Act, 2005 (Act No. 36 of 2005)RegulationsRadio Frequency Spectrum Amendment Regulations, 2021Part IX - AnnexuresAnnexure AForm B |
FORM B
APPLICATION TO TRANSFER OR TRANSFER OF CONTROL OF A RADIO FREQUENCY SPECTRUM LICENCE |
Note: |
(a) | Applicants must refer to the Electronic Communications Act, 2005 (Act No. 36 of 2005) ("the Act") and any regulations published under that Act with regard to the requirements to be fulfilled by applicants. |
(b) | Information required in terms of this Form which does not fit into the space provided may be included in an appendix attached to the Form. Each appendix must be numbered with reference to the part of the Form. |
(c) | Where any information in this Form does not apply to the applicant, the applicant must indicate that the relevant information is not applicable. |
(d) | Annexure E MUST be completed and submitted with this Form B, for spectrum license issued through an Extended Application Procedure. |
Type of application:
¨ Transfer |
¨ Transfer Control |
|
|||
|
|
||
|
|
||
|
|
|||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
|
|||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
||
|
|
4. LEGAL FORM OF TRANSFEREE |
||
4.1 Indicate if the transferee is: |
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
||
|
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
||||||
|
|
||
|
||
|
||
|
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
Provide reasons for the transfer of the Radio Frequency Spectrum Licence: |
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
Specify any undertakings which the transferee is prepared to make in order to promote the objectives of the Act, if the Licence is transferred. |
||||||||||||||||
|
||||||||||||||||
|
||||||||||||||||
The persons signing the application on behalf of the applicant and the transferee must acknowledge as follows:
I, the applicant, acknowledge that the Authority reserves the right to have any Licence amended pursuant to this application being set aside, should any material statement made herein, at any time, be found to be false. |
||||||||||||||||
I certify that this declaration was signed and sworn to before me at ................................ on the ......... day of ................................................ 20.... by the deponent who acknowledged that he/she:
......................................... COMMISSIONER OF OATHS Name: Capacity: Address: |
[Annexure A, Form B, substituted by regulation 15 of Notice 781 of 2016, GG 40436, dated 22 November 2016]