Judicial Service Commission Act, 1994 (Act No. 9 of 1994)

Regulations

Disclosure of Registrable Interests

Annexures

Annexure B

Form 2
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Form 2

Regulations Relating to the Judicial Service Commission Act, 1994

 

Application for Consent in Terms of Section 11(1) And (2) of the Judicial Service Commission Act, 1994

[Regulation 4(1)]

 

 

File number :.......................

Please note:

1.This form must be—
(a)completed in block letters; and
(b)submitted in duplicate to the Chief Justice.
2.Certified copies of supporting documentation must be attached to application.
3.If space provided is not enough, please continue on a separate page.
4.Part I of the form must be completed by a judge performing active service.
5.Part II of the form must be completed by a judge who has been discharged from active service.

 

 

PART I

 

APPLICATION FOR CONSENT IN TERMS OF SECTION 11(1) OF THE JUDICIAL SERVICE COMMISSION ACT, 2008

(To be completed by a judge performing active service)

 

Surname:

 

Full names:

 

Identity number

 

Business address:

 

Telephone (h):

(   )

Telephone (b):

(   )

Cellular phone nr:

 

Facsimile nr:

(   )

E-mail address:

 

Consent requested: Royalties for:

Legal books written

 

Legal books edited

Give full description of royalties:

 

 

 

 

 

 

 

 

 

 

SIGNED:

 

--------------------------

__________________          __________________        __________________

Name of Judge                       Place                                   Date

 

PART II

APPLICATION FOR CONSENT IN TERMS OF SECTION 11(2) OF THE JUDICIAL SERVICE COMMISSION ACT, 2008

(To be completed by a judge who has been discharged from active service)

Surname:

 

Full names:

 

Identity number

 

Residential Address:

 

Business address:

 

Postal address:

 

 

Telephone (h):

(   )

Telephone (b):

(   )

Cellular phone nr:

 

Facsimile nr:

(   )

E-mail address:

 

Consent requested for:

Holding/performing other office of profit

 

Fees/emoluments/other remuneration/allowance apart from salary

Give full description of office/fees/emoluments/other, remuneration/allowance/other amount:

 

 

 

 

 

 

 

 

 

 

From whom would office/fees/emoluments/ other remuneration/ allowance/other amount be received

 

SIGNED:

 

--------------------------        _____________________________

 

 

 

__________________          __________________        __________________

Name of Judge                       Place                                   Date