Judicial Service Commission Act, 1994 (Act No. 9 of 1994)

Regulations

Purchase

Form 2

Regulations Relating to the Judicial Service Commission Act, 1994

Application for Consent in Terms of Section 11(1) And (2) of the Judicial Service Commission Act, 1994

[Regulation 4(1)]

File number :.......................

Please note:

1.	This form must be—

(a)	completed in block letters; and

(b)	submitted in duplicate to the Chief Justice.

2.	Certified copies of supporting documentation must be attached to application.

3.	If space provided is not enough, please continue on a separate page.

4.	Part I of the form must be completed by a judge performing active service.

5.	Part II of the form must be completed by a judge who has been discharged from active service.

PART I
Surname:
Full names:
Identity number
Business address:
Telephone (h):	( )	Telephone (b):		( )
Cellular phone nr:
Facsimile nr:	( )
E-mail address:
Consent requested: Royalties for:	Legal books written		Legal books edited

Give full description of royalties:

SIGNED:

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__________________ __________________ __________________

Name of Judge Place Date

PART II

APPLICATION FOR CONSENT IN TERMS OF SECTION 11(2) OF THE JUDICIAL SERVICE COMMISSION ACT, 2008

(To be completed by a judge who has been discharged from active service)

Consent requested for:	Holding/performing other office of profit		Fees/emoluments/other remuneration/allowance apart from salary

Give full description of office/fees/emoluments/other, remuneration/allowance/other amount:

From whom would office/fees/emoluments/ other remuneration/ allowance/other amount be received

SIGNED:

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__________________ __________________ __________________

Name of Judge Place Date