Regulations > Precious Metals Regulations > Annexures > Annexure C : Forms > Form MB1 : Registration as an Approved Manufacturer of Minted Bars

Form MB1

South African Diamonds and Precious Metals Regulator

South African Diamond Centre, Cnr Main and Phillip Streets,

Johannesburg. PO Box 16001, Doornfontein, 2028’

REGISTRATION IN THE SA DIAMOND AND PRECIOUS METALS REGULATOR’S NATIONAL REGISTER

Instructions:

1.	For any enquiries, contact the office of the Regulator during office hours.

2.	Complete the form in block letters and in black pen.

3.	Where options are given mark the appropriate block.

4.	Complete the form in English and do not use abbreviations.

5.	Although the application forms are made available in electronic format, only a signed original hard copy shall be acceptable.

6.	Ensure that all the required documentation accompanies the application.

7.	The application must be submitted to the operational business premises of the Regulator.

PART A : PARTICULARS OF APPLICANT FOR REGISTRATION

1a)	In the case of a natural person, please provide the following:

Surname:

_________________________________________________

i)	First name(s):

_________________________________________________

ii)	Identity number:

_________________________________________________

*(A certified copy of the identity document must be attached.)

b)	In the case of a person other than a natural person, please indicate:

CC.____________Partnership/Joint venture _____________

Co. ____________Other (specify) _____________________

i)	Name of company, close corporation, partnership or joint venture:

_________________________________________________________

ii)	Registration number of Co. or CC:

_________________________________________________________

iii)	Name and identity number of Managing Director, Member:

_________________________________________________________

*(in case of a company or close corporation, certified copy of a certificate of incorporation must be attached)

2.	Specify the type of licence (refining licence or precious metal beneficiation licence) held (attach certified copy)

_____________________________________________________________________

3.	Licence number and the validity period (start and end date)

_____________________________________________________________________

State the quantity of minted bars and mass designations you intend to manufacture in a year; Note that the Regulator in consultation with National Treasury shall, as it may deem fit, limit the total amount per manufacturer to ensure that the aggregate total mass manufactured in the country does not exceed 500 000 ounces per annum.

_____________________________________________________________________

5.	State the source of the precious metal blank/strip of at least 99,99% purity that will be stamped/punched out to the required dimensions and minted into minted bars (State full name of supplier, licence number and contact details and contact person)

6.	Provide details of registered trade mark (that will be stamped on the minted bar, if approval is granted) and documentation to prove registration of registered trade mark.

____________________________________________________________________

7.	Provide a copy of the form of the certificate (or equivalent, which is subject to approval) that will accompany the sale of each minted bar.

8.	Provide details of the South African Bureau Standards (SABS) accredited hallmarking or quality management system (attach a certified copy of the certificate of accreditation as proof of the above; e.g, IS0 9001 or SANS 29:2004, if applicable) used in the manufacture of minted bars.

9.	Provide a detailed business plan inclusive of broad-based socio-economic empowerment and other details to support the application including but not limited to:

1)	accreditation from national or international organisations relating to manufacture of precious metal bars;

2)	track record of the manufacture of high quality precious metal bars;

3)	target market; or

4)	quality assurance system relating to precious metal bars.

PART B: CORRESPONDENCE ADDRESS FOR THIS REGISTRATION

10a)	Business address:

i)	Building name:

ii)	Building number:

iii)	Street number:

iv)	Street name:

Suburb:

vi)	Town/City:

vii)	Postal code:

viii)

Province:

ix)

Country:

x)	Telephone number:

xi)

Fax No:

xii)	Cellphone No:

xiii)

Email address:

·	b) Relevant postal address:

i)	Postal address:_________________________________

______________________________

ii)	Town/City:_____________________________________

iii)	Postal code:____________________________________

c) Primary Contact Person:

i)	Full Name:

ii)

Title:

iii)	Work Contact Number:

iv)	email address:

v)	Mobile number:

PART C: DECLARATION

11.	I, the undersigned declare that—

1)	the contents of this application are true and correct; and

2)	minted bars to be manufactured, if approval is granted, will be in accordance with the Precious Metals Act, 2005 (Act 37 of 2005) and Regulations made under the Act.

SIGNATURE:___________________________________________________________

DATE:_________________________________________________________________

CAPACITY:_____________________________________________________________

[Form MB1 inserted by regulation 14 of Notice No. R.387 dated 4 April 2008]

Precious Metals Act, 2005 (Act No. 37 of 2005)

Regulations

Precious Metals Regulations

Annexures

Annexure C : Forms

Form MB1 : Registration as an Approved Manufacturer of Minted Bars