Regulations > Compliance Procedure Manual Regulations, 2011 > Forms > Form 3 : Universal Service and Access Obligations

FORM 3

UNIVERSAL SERVICE AND ACCESS OBLIGATIONS

(ECNS, BS and Postal Service Licensees where applicable)

This Form must be submitted in accordance with Specific Terms and Conditions of the licences issued to each Licensee.

SECTION A: To be completed by ECNS, ECS and BS

This Form should be submitted bi-annually in accordance with the Authority's Financial Year.

1.	Licence information

2.	Obligations - complete the form below and provide a supplementary report using the same headings to provide further detail, if required.

Licence / Regulation / other where obligation is set out
Reporting Period
Description of Licence Obligation
Measure	Requirement/ Obligation	Achievement	Comments
Quantum, if any
Distribution
Type of Rollout
Service Provided
Tariffs
Discounts
Monitoring & Evaluations

SECTION B: To be completed by Reserved Postal Services.

This Form should be submitted Quarterly in accordance with the Authority's Financial Year end within 21 days of the end of each relevant period

3. Postal Addresses (RPS)

Address Roll-Out	Target	Achieved
Street addresses
Post Boxes
Total Addresses
Total Addresses (Underserviced Areas)

4.	Retail Outlet Rolf-Out (RPS)

Targets are applicable as per approved licence conditions.

Province	Number of existing outlets	Number of outlets to be rolled out (Target)		Outlets Relocated		Outlets Refurbished / Upgraded
Eastern Cape		Target	Actual	Target	Actual	Target	Actual
Free State
Gauteng
Kwa-Zulu Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Northern Cape
North West
Western Cape

5. Delivery Standards (RPS)

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

7. Signature

Signature

Designation

Date

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