Statistics Act, 1999
R 385
Gas Act, 2001 (Act No. 48 of 2001)Rules in terms of the Gas Act, 2001AnnexuresAnnexure H : Form: Complaint (Optional)Section D: Solemn Declaration by the Complainant/Mandated Representative |
I (full names) ..........................................................................................Identity Number ...................................................hereby declare that:
| (a) | I am authorised by ............................................................................................................................to make this declaration (attach the authorisation) if applicable; and |
| (b) | All information provided herein is within my personal knowledge and is both true and correct. |
........................................................................................
Signature
I certify that the deponent:
| (a) | has acknowledged that she/he knows and understands the contents of this application form and its annexures, that she/he has no objection to taking the prescribed oath and that she/he considers the oath binding on her/his conscience; and |
| (b) | has in the prescribed manner sworn that the contents of this application form and its annexures are true and signed same before me at ..............................................................(place) on this.....................day of...................................(month) ...............................(year). |
____________________________________________________
COMMISSIONER OF OATHS
Name ______________________________________________________________________
Address ______________________________________________________________________
Capacity ______________________________________________________________________
