Gas Act, 2001 (Act No. 48 of 2001)Rules in terms of the Gas Act, 2001AnnexuresAnnexure F : Form: Application for the revocation of a licenceSection 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 ......................................................................................... |