South African Boxing Act, 2001 (Act No. 11 of 2001)

ANNEXURE B

[Regulation 2(1) and (6)]

To: Boxing SA

I hereby apply to be registered/for the renewal of my registration as Referee/Judge/Ringmaster/Timekeeper/Announcer (delete where necessary) in terms of the regulations published under section 34 of the South African Boxing Act, 2001 (Act No.11 of 2001) and I agree to conform with and abide by all those regulations, with which I acknowledge myself to be fully acquainted.

I tender herewith R _______________, being the prescribed registration/renewal fee payable.

Date: __________________________

Address: _______________________

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Applicant