Postal Services Act, 1998 (Act No. 124 of 1998)

Regulations

Unreserved Postal Services Regulations, 2020

Forms

Form A : Application for Registration to Operate Unreserved Postal Service in terms of section 21 of the Act

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FORM A

APPLICATION FOR REGISTRATION TO OPERATE UNRESERVED POSTAL SERVICE IN TERMS OF SECTION 21 OF THE POSTAL SERVICES ACT 124 OF 1998

(a)	Applicants must refer to the Act and any Regulations published under the Act regarding the requirements to be fulfilled by applicants.

(b)	Information required in terms of this Form which does not fit into the space provided may be contained in an appendix attached to the Form. Each appendix must be numbered with reference to the relevant part of the Form.

(c)	Where any information in this Form does not apply to the applicant, the applicant must indicate that the relevant information in the Form is not applicable.

1.	PARTICULARS OF THE APPLICANT

1.1.	Company Name: .......................................................................

1.2.	Company registration number: .....................................................

1.3.	Company name as it is to appear on the certificate: .......................

1.4.	Provide details of each member of the applicant board of Directors as per below (additional pages may be affixed if required):

1.4.1.

Name: ...........................................................................

1.4.2.

Nationality: ....................................................................

1.4.3.

Identification or passport number: ...................................

1.4.4.

Position: .......................................................................

2.	COMPANY DETAILS

2.1.	Company physical address (Head Office):

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

2.2.	Company postal address:

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

2.3.	Contact person details:

2.3.1.

Name: ...........................................................................

2.3.2.

Telephone number: ........................................................

2.3.3.

Fax number: .................................................................

2.3.4.

Mobile number: .............................................................

2.3.5.

e-mail address: ..............................................................

3.	DESCRIPTION OF THE SERVICE: (additional pages may be affixed if required).

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

Standard Operating Procedure:	Documents in relation to regulation 5 attached Yes / No	Initials
Track and trace system
Standard delivery times
Delivery Rates
Customer complaints procedure

3.1	Does the applicant intend to have a franchise or agents in the postal services sector (Y/N)?

3.1.1.

If yes to the above, provide information as set out below:

3.1.1.1.

Number of Franchisees and/or Agents per province.

Province	Number of franchises	Number of Agents







TOTAL

3.1.1.2.

Provide business name and address of all Franchisees and Agents (list of franchise and agents must be attached).

4.	ANY OTHER INFORMATION THE APPLICANT DEEMS RELEVANT TO THE APPLICATION (attach additional pages if necessary)

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

5.	DOCUMENTS CHECKLIST

Documents attached

Yes / No

Initials

Proof of payment of the application fee (see regulation 9 of the Regulations)

Certified copies of the applicant's tax clearance certificate

Certified copies of the applicant's company registration documents;

Business profile including but not limited to the following:

•	Overview of the company;

•	General historical background;

•	Postal sector background;

•	Primary business activity;

•	Number and breakdown of employees and management;

•	Ownership structure: Indicate if the applicant is part of a larger holding company or a group of companies and the identity thereof; and

•	An approximate annual turnover.

I acknowledge that the Authority reserves the right to have any registration certificate issued pursuant to this application set aside should any material statement made herein, at any time, be found to be false.

Signed: ..................................................................

Applicant: ..............................................................

I certify that this declaration was signed and sworn to before me at.......................... on the ................... day of ..................... 20...., by the deponent who acknowledges that he/she:

1.	Knows and understands the contents hereof;

2.	Has no objection to taking the prescribed oath or affirmation; and

3.	Consider this oath or affirmation to be truthful and binding on his/her conscience.

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

COMMISSIONER OF OATHS

Name: ..................................................................

Address: ................................................................

Capacity: ...............................................................

Postal Services Act, 1998 (Act No. 124 of 1998)

Regulations

Unreserved Postal Services Regulations, 2020

Forms

Form A : Application for Registration to Operate Unreserved Postal Service in terms of section 21 of the Act

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