FORM 46: Application of a Third Party to Register a Person as an Excluded Person

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FORM 46: Application of a Third Party to Register a Person as an Excluded Person
1. I (Name of Applicant):

do hereby, in terms of the provisions of the Act and these Regulations, apply for the exclusion of

(Names of person to be excluded)
2. Physical address of applicant
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Postal address
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Telephone
Fax
Tax No.
3. State the reason(s) for the application:
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4. State the relationship of the Applicant to the person to be excluded:
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DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

1. Two identical and recent coloured passport-size photos of the person to be excluded;
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2. Certified copy of identity document (Omang or passport) of the person to be excluded and the Applicant.
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I certify that the information supplied on this application form (please print name clearly) is true and correct. I understand that failure to provide true and correct information will result in the failure of this application.
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