Petroleum Pipelines Act, 2003 (Act No. 60 of 2003)NoticesPetroleum Pipelines Act: Rules, 2014FormsForm F : Application for the revocation of a licence in terms of section 24 of the Petroleum Pipelines Act, 2003 (Act No. 60 of 2003)Section A : Particulars of licensee |
1. |
Name of licensee ...................................................................................................... |
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2. |
License 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/area .......................................................................... |
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6. |
Details of mandated representative, including: |
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(a) |
designation ............................................................................................ |
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(b) |
family name ........................................................................................... |
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(c) |
first name .............................................................................................. |
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(d) |
telephone number ................................................................................. |
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(e) |
fax number ............................................................................................ |
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(f) |
email address ......................................................................................... |
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