Films and Publications Act, 1996 (Act No. 65 of 1996)RegulationsFilms and Publications Regulations (Games), 1999AnnexuresAnnexure 4 : Prescribed form for appeal to Review Board |
Annexure 4 : Regulation 6(a)
FPB 16/CC: Section 18 of the Films and Publications Act, 1996
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FILM AND PUBLICATION BOARD 13th Floor Pleinpark Building Private Bag X9069 Cape Town 8000 Tel (021) 465 6518 Fax (021) 465 6511 |
The Board may refuse to process your application if this form is not completed fully |
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(For Office Use) Ref. No. Date Received:
APPEAL TO REVIEW BOARD, dated ............................................................................................ Applicant ................................................................................................................................. Address .................................................................................................................................... Tel..................................Fax..................................E-mail.......................................................... Contact Person........................................................................................................................... Title and Version of Game ......................................................................................................... Year of Production .............................Country of Origin ............................................................. Name of Publisher ..................................................................................................................... Details of Classification Appealed Against: ................................................................................ ................................................................................................................................................... ................................................................................................................................................... Certificate of Classification No. .................................................................................................. .................................................................................................................................................. Classification ...................................................Consumer Advice............................................... .................................................................................................................................................. Date When Notified of Decision of Publication in Gazette ......................................................... Reason or Grounds of Appeal .................................................................................................... .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. Signed: ...................................................................................................................................... Capacity if on behalf of a firm .................................................................................................... |
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