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APPLICATION FOR A REGISTRATION CERTI FICArE

22 GOVERNMENT GAZETTE. 20 APRIL 2012 Annexure A APPLICATION FOR A REGISTRATION CERTI FICA"rE PLEASE SEND TO: Date of APPLICATION The National Conventional Arms Control (Director Applicant's Reference Conventional Arms Control) Private Bag X910 R PRETORIA 0001 DETAILS OF APPLICANT Name and Postal Address I Physical Address I 1. Trading As: FaCSimile:I Telephone No: e-mail: I WebSite: I DECLARATION BY APPLICANT 2. I. the applicant, duly authorised thereto, hereby apply for REGISTRATION under the National Conventional Arms Control Act (Act No 73 of 2008) and declare that Information furnished in this APPLICATION Is true and correct. NATURE AND PURPOSE OF APPLICATION 3. COMPANY INFORMATION 4. List of the Principal Executive Officer, Directors, Partners and Owners of the company and identification numbers Member Position Identification Number I I 20 Reproduced by Sabinet Online in terms of Government Printer s Copyright Authority No.

e-mail Controlled Items Related Services Indicate whether your company provides any of the following services Acts as an agent in negotiating or arranging a contract, purchase, sale or transfer of controlled items for a

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