Social Housing Act, 2008 (Act No. 16 of 2008)RulesRules in respect of the Transfer of Social Housing Stock or Rights and the Disposal of Social Housing Stock, 2014FormsForm C : Application for extension of approval in respect of transfers and disposals in terms of Rule 5 |
FORM C
APPLICATION FOR THE EXTENSION OF AN APPROVAL IN RESPECT OF A TRANSFER OR DISPOSAL CONTEMPLATED IN RULE 5
Please send the completed application form to the Social Housing Regulatory Authority ("the Regulatory Authority") by email to [email protected], or by facsimile to 086 720 2484, or by post to Social Housing Regulatory Authority, Postnet Suite 240, Private Bag X30500, Houghton, 2041, or deliver by hand to Sunnyside Ridge Office Complex, Building B, Ground Floor, 32 Princess of Wales Terrace, Parktown, Johannesburg, South Africa.
Application for the extension of an approval in respect of a transfer contemplated in rule 5 of the Rules in respect of the Transfer of Social Housing Stock or Rights and the Disposal of Social Housing Stock, 2013 ("the Rules"). |
***This application form is to be completed by the Applicant/Transferor***
SECTION A: APPLICANT/TRANSFEROR INFORMATION
Name of Institution:
ACCREDITATION STATUS
(Please tick the appropriate box below)
Full Accreditation | £ |
Conditional Accreditation | £ |
TYPE OF ENTITY
(Please tick the appropriate box below)
Not for Profit Company (NPC) | £ |
Municipal Entity | £ |
Private Company | £ |
Housing Co-operative | £ |
Other (please specify) | £ |
Institution's Registration number |
Year of Establishment |
If registered as a NPC, please supply PBO reference number, if any:
Financial Year End |
Registered Address |
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City |
Code |
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Province |
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Physical Address |
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City |
Code |
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Postal Address |
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City |
Code |
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Business Telephone Number |
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Business Fax Number |
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E-mail Address |
SECTION B: CONTACTS AT TRANSFEROR
Head of Transferor's (e.g. CEO) Contact Details
Title |
First Name |
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Surname |
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Cell Phone Number |
Alternative Number |
Contact Person 2
Title |
First Name |
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Surname |
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Head of Transferor's (e.g. CEO) Contact Number |
Alternative Number |
SECTION C: TRANSFEREE INFORMATION
Name of Institution:
ACCREDITATION STATUS
(Please tick the appropriate box below.)
Full Accreditation | £ |
Conditional Accreditation | £ |
TYPE OF ENTITY
(Please tick the appropriate box below)
Not for Profit Company (NPC) | £ |
Municipal Entity | £ |
Private Company | £ |
Housing Co-operative | £ |
Other (please specify) | £ |
Institution's Registration number |
Year of Establishment |
If registered as a NPC, please supply PBO reference number, if any:
Financial Year End |
Registered Address |
||||||||||||||||||||||||
City |
Code |
|||||||||||||||||||||||
Province |
||||||||||||||||||||||||
Physical Address |
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City |
Code |
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Postal Address |
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City |
Code |
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Business Telephone Number |
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Business Fax Number |
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SECTION D: CONTACTS AT TRANSFEREE
CEO's Contact Details
Title |
First Name |
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Surname |
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Cell Phone Number |
Alternative Number |
Contact Person 2
Title |
First Name |
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Surname |
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Contact Number |
Alternative Number |
SECTION E: DETAILS OF DECISION
E.1. | Please attach a copy of the communication from the Regulatory Authority approving the proposed transfer or disposal of the social housing stock to the Transferee or confirming that the Regulatory Authority has issued such approval. |
SECTION F: DATE OF LAPSING OF APPROVAL
F.1 | Please indicate the date on which the approval in respect of the proposed transfer or disposal will lapse: |
SECTION G: EXTENSION
G.1 | Please set out in detail the reasons why you require an extension, including the reason/s why it was not possible for the transfer or disposal to be effected within the period of 6 (six) months contemplated in rule 5. Should the space provided below for your response be insufficient, then please attach your written response to the application form and number it accordingly. |
G.2 | Please indicate for which period you require the extension. In this regard, please provide the relevant dates. |
SECTION H: NOTICE OF DECISION
H.1. | How would you prefer to be informed of the Regulatory Authority's decision? Please tick the applicable box. |
£ |
Facsimile | £ |
By post | £ |
DECLARATION
I, the undersigned, being the duly authorised signatory of the above Applicant hereby acknowledge and warrant that:
(1) | All information given is true, accurate and correct. I have reviewed the information and confirm the correctness thereof. |
(2) | I have provided all information which is directly relevant and material to my application. |
(3) | I consent to the Regulatory Authority undertaking any checks it may deem necessary to verify any information. |
The above information is correct at the time of completion. Signed on behalf of the Applicant/Transferor.
NAME |
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SIGNATURE |
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DESIGNATION |
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DATE: |
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**Please attach proof of authorisation (e.g. Resolution from Board) and number it accordingly.