Gas Act, 2001 (Act No. 48 of 2001)

Rules in terms of the Gas Act, 2001

Annexures

Annexure F : Form: Application for the revocation of a licence

Section A: Particulars of Licensee
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1.Name of licensee

 

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2.Licence number

 

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3.Type of licence.

 

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4.Date on which the Energy Regulator issued the licence

 

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5.Details of the licensed facility/activity

 

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6.Details of mandated representative, including:

 

(a)designation                   ..........................................................................................

 

(b)family name                  ..........................................................................................

 

(c)first name                       ..........................................................................................

 

(d)telephone number     ..........................................................................................

 

(e)fax number                     .........................................................................................

 

(f)email address                .........................................................................................