Electronic Communications Act, 2005 (Act No. 36 of 2005)

Regulations

Compliance Procedure Manual Regulations, 2011

Forms

Form 11 : Judgement For
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FORM 11

 

JUDGEMENT FOR

 

I-BS and C-BS)

 

This Form must be submitted in accordance with Regulations Regarding Standard Terms and Conditions.

 

1.Licence information

 

Name of Licensee

 

Licence/s held

 

Registration or ID number

 

Date submitted

 

Period under review

 

 

2.Judgement against:

 

a.Licensee?   Yes/No
b.Director? Yes/No

Name

ID Number
 
c.        Senior management? Yes/No

 

Name

 

 

ID Number

 

 

 

3.Conviction (Description):

 


 

4.Date of Conviction:

 

5.Case Number & Court:

 

 

6.Sentence:

 

7.I, ......................................................................., in my capacity as ...............................................................hereby verify that the information provided is true and correct.

 

8.Signature

 

Signature

 

 

 

 

Designation

 

 

Date