Co-operative Banks Act, 2007 (Act No. 40 of 2007)RegulationsRegulations in terms of Section 86Annexure A : Notice of Appeal [Section 75(1)] |
Annexure A
Notice of Appeal
[Section 75(1) of the Co-operative Banks Act, 2007 (Act No. 40 of 2007))
[Regulation 10]
| To: | The National Treasury |
Name of appellant |
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Registration number |
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Address |
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Contact Person |
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Contact Person tel. number |
Work: ( ) |
Cell: ( ) |
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Fax: |
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Email: |
Decision against which the appeal is lodged
Please attach a copy of the decision appealed against to this form. |
With reference to decision by supervisor/agency, Reference Number ............................................ (as attached).
Grounds for appeal
If the provided space is inadequate, please continue on a separate folio and attach it to this form. All the additional folios must be signed. |
State the grounds on which the appeal is based:
State any other information that may be relevant in considering the appeal:
Payment
Payment must be made to:
Kindly fax proof of payment to (012) 3155958 |
Declaration by appellant
The appellant confirms that the information contained in this notice is accurate and complete.
| Signature ................................................. | Date ......................................................... |
For office use
Signature of representative authorised to receive appeal: ..................................................... |
| Name: ..................................................... | Date: ......................................................... |