Securities Services Act, 2004 (Act No. 36 of 2004)Form SS 1 : Application under section 8(3), 30(2) and 64(2) of the Act for an exhange, central securities depository or clearing house licence, respectively |
The Registrar of Securities Services
1. | I ......................................................., the chief executive officer of the ....................................................... hereunder referred to as the applicant), being specifically authorised thereto by the controlling body of the applicant, apply on behalf of the applicant for the issue of a/an (tick appropriate block)— |
exchange licence under section 8(1) of the Act;
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central securities depository licence under section 30(1) of the Act; or |
clearing house licence under section 64(1) of the Act
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for the period ending 31 December 20 .....
2. | The prescribed application fee of ......................... is enclosed. |
3. | The place at which the business of the applicant will be carried on is ............................................... |
Signed at .......................................... on this ......... day of ........................
20.. .....
.........................................
Chief Executive Officer
Witnesses:
1 ..........................................
2 ..........................................