Electronic Communications Act, 2005 (Act No. 36 of 2005)RegulationsLicensing Processes and Procedures Regulations, 2010FormsForm C : Application to amend an Individual licence |
Form C
Application to amend an Individual Licence
(Regulation 9)
Independent Communications Authority of South Africa
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 relevant 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. |
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The person signing the application on behalf of the applicant must acknowledge as follows:
I acknowledge that the Authority reserves the right to have any Licence amended pursuant to this application set aside, should any material statement made herein, at any time, be found to be false.
Signed ..........................................................................
(APPLICANT)
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:
1. | knows and understands the contents hereof; |
2. | has no objection to taking the prescribed oath or affirmation; and |
3. | considers this oath or affirmation to be truthful and binding on his/her conscience. |
COMMISSIONER OF OATHS
Name:
Address:
Capacity:
[Form C substituted by regulation 7 of Notice 154 of 2016, GG 39871, dated 30 March 2016]