Form 1

Nomination of Person who is Not a Judicial Officer to Serve on a Tribunal

Part 1: Nomination of Person

I,..................................................................................... (Full names), identity number .......................................,  in my capacity as .........................................................., whose further particulars are provided below, hereby nominate ............................................. (full names) as a suitable person to serve on a Tribunal established in terms of section 21 of the Judicial Service Commission Act, 1994 (Act No. 9 of 1994).

I would like to provide the following motivation in support of my nomination: (Attach written motivation as an Annexure to this form and sign each page)

....................................................................................................

....................................................................................................

Signed at .................................. this ............... day of ................................... 20...........

........................................................

Signature of person nominating

Part 2: Acceptance of Nomination

I, .......................................................................................... (full names), identity number ........................................... whose further particulars are provided below, hereby accept the above nomination.

....................................................................................................

....................................................................................................

Signed at ................................... this ............... day of ................................... 20...........

........................................................

Signature of person nominated