FORM 47: Application for Cancellation of Registration of Excluded Persons

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FORM 47: Application for Cancellation of Registration of Excluded Persons
1. I (Name of Applicant):

do hereby, in terms of the provisions of regulation 94, apply for the cancellation of my registration as an excluded person.

2. Physical address
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Postal address
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Telephone
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Tax No.
3. Registration number as excluded person:
4. State the reason(s) for the application:
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DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

1. Certified copy of identity document (Omang or passport) of the Applicant;
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2. Proof of rehabilitation of 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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