Social Assistance Act, 2004 (Act No. 13 of 2004)

Regulations

Regulations regulating to the Lodging of Applications for Social Assistance Appeals and the Consideration and Adjudication of Appeals by the Independent Tribunal issued in terms of Section 32, read with Section 18 of the Act

Annexures

Form 2 : Application for Condonation for Late Appeal
Purchase cart Previous page Return to chapter overview Next page

 

FORM 2

 

APPLICATION FOR CONDONATION FOR LATE APPEAL

(Regulation 13(3))

Section 18 of the Social Assistance Act, 2004 (Act No. 13 of 2004)

 

A.        PERSONAL DETAILS OF APPLICANT OR BENEFICIARY

Surname:

Full Names:

ID Number:

Nationality:

Date of Birth:

Gender:       M

F

Tel No:

Fax No:

Email:

Cell No:

Physical Address

Postal Address

 

B.        REASONS FOR LATE LODGING OF AN APPEAL

 

Reasons for application for condonation as contemplated in regulation 135(2):

 

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

(If the space provided is insufficient, please attach a separate page to this form and clearly indicate that a separate page(s) is attached).

 

C.DOCUMENTATION TO ACCOMPANY CONDONATION APPLICATION

 

FORM 1 (Application for Appeal)

All documents required under Form 1

 

 

 

 

 

 

 

Signature of applicant/beneficiary/representative

 

Place

 

Date