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Gas Act, 2001 (Act No. 48 of 2001)

Rules in terms of the Gas Act, 2001

Annexures

Annexure F : Form: Application for the revocation of a licence

Section A: Particulars of Licensee

 

1. Name of licensee

 

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2. Licence number

 

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3. Type of licence.

 

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4. Date on which the Energy Regulator issued the licence

 

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5. Details of the licensed facility/activity

 

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6. Details of mandated representative, including:

 

(a) designation                   ..........................................................................................

 

(b) family name                  ..........................................................................................

 

(c) first name                       ..........................................................................................

 

(d) telephone number     ..........................................................................................

 

(e) fax number                     .........................................................................................

 

(f) email address                .........................................................................................