Gas Act, 2001 (Act No. 48 of 2001)Rules in terms of the Gas Act, 2001AnnexuresAnnexure E : Form: Application for an amendment of a licenceSection B: Details of the Applicant |
2. | Full registered name of the applicant |
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3. | Trading name of the applicant (if different from the registered name) |
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4. | Registration number of company (if applicable) |
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5. | Name of mandated representative (if applicable). Attach documentary proof of mandate given to representative. |
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6. | Physical address |
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7. | Postal address |
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8. | Telephone number .................................................................................................. |
9. | Fax number ............................................................................................................. |
10. | E-mail address .......................................................................................................... |
11. | Details of mandated representative, including: |
(a) | designation ............................................................................................. |
(b) | family name ............................................................................................. |
(c) | first name ............................................................................................. |
(d) | telephone number ................................................................................. |
(e) | fax number ............................................................................................. |
(f) | email address ............................................................................................. |