Regulations > Unreserved Postal Services Regulations, 2020 > Forms > Form D : Surrender of Unreserved Postal Service Certificate

FORM D

SURRENDER OF UNRESERVED POSTAL SERVICE CERTIFICATE

(a)	Registrants must refer to the Act and any Regulations published under the Act regarding the requirements to be fulfilled by applicants.

(b)	Information required in terms of this Form which does not fit into the space provided may be contained in an appendix attached to the Form. Each appendix must be numbered with reference to the relevant part of the Form.

(c)	Where any information in this Form does not apply to the registrant, the registrant must indicate that the relevant information in the Form is not applicable.

1.	PARTICULARS OF REGISTRANT

1.1	Company Name

1.2	Company registration number

1.3	Expiration date of the certificate

1.4	Date on which surrender of the certificate is to take effect:

1.5	Attach a copy of the certificate that is the subject of this notice marked clearly as Appendix 1 of Form D.

2.	PARTICULARS OF THE DESIGNATED CONTACT PERSON

2.1.	Full name:

2.2.

Position:

2.3.	Telephone numbers:

2.4.	E-mail address:

3.	REASONS FOR SURRENDER

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4.	STEPS TO INFORM CUSTOMERS

Provide details of the steps the registrant proposes to take to inform customers of the cessation of the unreserved postal services in respect of which the certificate was granted.

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5.	FEES PAYABLE

Indicate the fees which will be due and payable by the date on which the surrender of the certificate is to take effect and, where possible, the amount of such fees.

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GENERAL

6.1.	Provide details of any matter and undertakings which, in the registrant's view, the Authority should take note of.

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6.2.	Attach a resolution authorising the person signing this notice marked clearly as Appendix 2 of Form D.

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Signed ............................................................................... (CERTIFICATE)

I certify that this declaration was signed and sworn to before me at ......................... on the ............... day of .......................... 20 ..., by the deponent who acknowledged that he/she:

1.	knows and understands the contents hereof;

2.	has no objection to taking the prescribed oath or affirmation; and

3.	consider this oath or affirmation to be truthful and binding on his/her conscience.

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COMMISSIONER OF OATHS

Name: ..................................................................

Address: ................................................................

Capacity: ...............................................................

Postal Services Act, 1998 (Act No. 124 of 1998)

Regulations

Unreserved Postal Services Regulations, 2020

Forms

Form D : Surrender of Unreserved Postal Service Certificate