Statistics Act, 1999
R 385
Independent Communications Authority of South Africa Act, 2000 (Act No. 13 of 2000)RegulationsICASA Compliance Procedure Manual Regulations, 2011FormsForm 2 : Basic Financial Reporting Form Payment of Licence and USAF Fees |
Form 2
Basic Financial Reporting Form Payment of Licence and USAF Fees
(I-ENCS, C-ECNS, I-ECS, C-ECS, I-BS, C-BS, and RPS)
This Form should be submitted in accordance with the Licence Fees, Standard Terms and Conditions, USAF Regulations and specific terms and conditions where applicable
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Licensee Name:
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Licensee Number(s):
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Financial Year-end:
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Period Under Review:
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2. Have the financial statements been audited? Yes/No
3. Name of Accounting Officer / Auditor
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4. Auditor / Officer Contact Details
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5. Format:
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CALCULATION OF LICENCE FEES
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REGULATED REVENUE
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1. Revenue from Licensed Services* as disclosed in Audited Annual Financial Statements
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R0.00 |
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2. Breakdown of Revenue from Other Services
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R0.00 |
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Total Revenue as per AFS
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REGULATED COSTS
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1. Breakdown of Costs from Licensed Services as disclosed in Audited Annual Financial Statements
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R0.00 |
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2. Other Operating Costs
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R0.00 |
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Total Costs as per Audited Annual Financial Statements
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R0.00 |
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Revenue from Licensed Services
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R0.00 |
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Costs from Licensed Services
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Gross Profit
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R0.00 |
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Payable Licence fees @ 1.5%
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R0.00 |
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CALCULATION OF USAF CONTRIBUTION
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Annual Turnover
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R0.00 |
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Less allowable deductions
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R0.00 |
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USAF Fee at 0.2% of Annual Turnover
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R0.00 |
* A licensed service is any revenue that a Licensee generates as a result of the licence issued by the Authority
| 6. | The Authority may, in the course of carrying out its obligations, request any other relevant information that may be required |
| 7. | I, .................................................................., in my capacity as ................................... hereby verify that the information provided is true and correct and have been reviewed by an Auditor/Accounting Officer. |
| 8. | Signature |
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Signature
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Designation
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Date
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