Films and Publications Act, 1996 (Act No. 65 of 1996)RegulationsFilms and Publications Regulations, 2014AnnexuresAnnexure A : Board/E |
Annexure A
BOARD/E
FILM AND PUBLICATION BOARD
420 WITCH HAZEL, ECO GLADE 2, ECO PARK
CENTURION 0169
PRIVATE BAG X 31, HIGHVELD 0169
E-MAIL: [email protected]
Website: www.fpb.org.za
Application for an FPB license The Board may refuse to process your submission if this form is not completed in all details Section 18(1)(a) and/ Section 27A(1) of the Films and Publications Act 65 of 1996, as amended |
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TYPE OF LICENSE: (Please tick applicable)
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New Applicant (mainstream) |
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New Applicant (Adult) |
NB: Must have a 2H license issued by the municipality |
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Renewal |
Please provide registration number FPB8/........... |
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Internet Service Provider |
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Online content distributor |
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Applicant/Owner ...............................................................................................................
Identity Number ................................................................................................................
CONTACT DETAILS
Postal Address (Where license will be posted) .................................................................. ..................................................................................Postal Code (Compulsory) ............... Tel...............................................Fax....................................e-mail .................................. Cell......................................... Contact Person ................................................................................................................... BUSINESS INFORMATION Business Name (if different to applicant name) .................................................................. Address (Physical Address where business is carried out) ................................................... ....................................................................................Province.......................................... Tax Ref. No........................................................ |
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Nature of Business (tick appropriate) |
Exhibitor of films |
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Distributor of films |
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Internet Service |
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Distributor of Games |
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Online Content Distributor |
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Documents Required: Certified copy of valid tax clearance certificate NB: Validity of certificate will be confirmed with SARS CIPRO Certificate Proof of payment of applicable fee 2(H) License (Only for distributors of Adult Material)
Applicants Signature ....................................................................................................... Capacity.......................................................................................................................... Date................................................................................................................................ NB: No license will be issued without all the required documents.
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Comments (Office use)....................................................................................................
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