Acts Online
GT Shield

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

Regulations

Numbering Plan Amendment Regulations, 2020

Schedules

Schedule 3: Application form for numbering application

 

SCHEDULE 3: APPLICATION FORM FOR NUMBERING APPLICATION

 

N370 Schedule 3 ICASA logo

 

APPLICATION FORM FOR NUMBERING APPLICATION

 

Office use only

Application ref No.


 

Application for Allocation, Assignment & Reservation of Codes or Blocks of Numbers

Date


 

1.        Application Type:

 

e.g. 080, geographic, 086, Mobile. Do not mix types on this application

 

Application for:

Allocation


Assignment


Reservation


 

 

 

 

 

 

 

2.        Applicant's Information

 

Company Name


Company Reg. No.


License No.


Tel


Web Site


Internal Numbering Representative

Name and Surname


Contact No.


Fax


Email


External Numbering Representative (In case of an applicant's using an external adviser e.g. consultant)

Company Name


Name and Surname


Contact No.


Fax


Email


Business Address

Street Address


Suburb


Postal Code


City


Postal Address

P.O. Box


Suburb


Postal Code


 

 

3.        Technical Information

 

Numbering code, block, individual number requested

 

(Where appropriate second and third preferences should be indicated. N.B. allocation of preferred requested numbering is not guaranteed)

1


2


3


4


5


6


Description of service

 

(For Individual number requests i.e 080 and 086 include the name of the person or entity requesting the number)

 

 

 

 

4.        Previous Allocations (Relevant to this application)

Data date:

(if date differs from the date of application


 

Service Description of Numbers

Quantity (Allocated)

Quantity (Active)

A

Allocated by The Authority



B

Internal Network Services



C

Contract Services



D

Pre-Paid Services



E

Total used for services/network

(B+C+D)



F

Degree of usage ((E/A)*100)



Numbers in Time Window Lock (i.e. numbers in recycling)



Numbers Reserved



 

 

4.1        Report on utilization for the past 6 months

 


Month 1

Month 2

Month 3

Month 4

Month 5

Month 6

Actual numbers

activated







Actual numbers

churned







 

I declare that all the information in this Application Form and any the attachments provided are true and correct. I understand that the approval from ICASA for this Application is based on the information as declared in this Application Form. Should any of the information declared, found to be inaccurate or incorrect after approval has been granted to the Applicant, ICASA reserves the right to suspend or revoke such approval without compensation. I declare that the numbers will be used in accordance with the numbering conventions.

 

Name:

 

 

Date:

 

 

Signature:

 

 

 

Note:

 

Reservations will lapse after six months unless covered by an application for an allocation or a further period of reservation.