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Page 1: eGazette Sample forms - Government Printing Works (GPW) Sample Forms Web.pdf · eGazette Sample forms Government Printing Works eGazette Version 1.0 . 1 RESTRICTED TABLE OF CONTENTS

eGazette Sample forms

Government Printing Works eGazette

Version 1.0

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TABLE OF CONTENTS

Legal A Gazettes

Business Notice – Form BUSNOT ........................................................................................................... 4Business Notice – Output to Gazette....................................................................................................... 6

Company Notice – Form CNOT ............................................................................................................... 7Company Notice – Output to Gazette...................................................................................................... 9

Court Order – Form COHC .................................................................................................................... 10Court Order – Output to Gazette ........................................................................................................... 12

General Legal Notice – Form GNOT ...................................................................................................... 13General Legal Notice – Output to Gazette ............................................................................................. 15

Liquidators Notice – Form LNOT ........................................................................................................... 16Liquidators Notice – Output to Gazette ................................................................................................. 17

Insolvency Form 1 – Form 1 ................................................................................................................... 18Insolvency Form 1 – Output to Gazette ................................................................................................. 19

Insolvency Form 2 – Form 2 ................................................................................................................... 20Insolvency Form 2 – Output to Gazette ................................................................................................. 22

Insolvency Form 3 – Form 3 ................................................................................................................... 23Insolvency Form 3 – Output to Gazette ................................................................................................. 24

Insolvency Form 4 – Form 4 ................................................................................................................... 25Insolvency Form 4 – Output to Gazette ................................................................................................. 26

Insolvency Form 5 – Form 5 ................................................................................................................... 27Insolvency Form 5 – Output to Gazette ................................................................................................. 28

Insolvency Form 6 – Form 6 ................................................................................................................... 29Insolvency Form 6 – Output to Gazette ................................................................................................. 31

Insolvency Form 7 – Form 7 ................................................................................................................... 32Insolvency Form 7 – Output to Gazette ................................................................................................. 33

Insolvency Form 8 – Form 8 ................................................................................................................... 34Insolvency Form 8 – Output to Gazette ................................................................................................. 35

Insolvency Form 9 – Form 9 ................................................................................................................... 36Insolvency Form 9 – Output to Gazette ................................................................................................. 38

J28 – Form J28 ...................................................................................................................................... 39J28 – Output to Gazette ......................................................................................................................... 40

J29 – Form J29 ...................................................................................................................................... 41J29 – Output to Gazette ......................................................................................................................... 43

J29 CC – Form J29-CC ......................................................................................................................... 44J29 CC – Output to Gazette................................................................................................................... 45

J158 – Form J158 .................................................................................................................................. 46J158 – Output to Gazette ....................................................................................................................... 47

J187 – Form J187 .................................................................................................................................. 48J187 – Output to Gazette ....................................................................................................................... 49

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J193 – Form J193 .................................................................................................................................. 50J193 – Output to Gazette ....................................................................................................................... 51

J295 – Form J295 .................................................................................................................................. 52J295 – Output to Gazette ....................................................................................................................... 53

J297 – Form J297 .................................................................................................................................. 54J297 – Output to Gazette ....................................................................................................................... 55

Legal B Gazettes

Notice of Public Auction – Form PAUC .................................................................................................. 58Notice of Public Auction – Output to Gazette ........................................................................................ 60

Notice of Sale in Execution – Form ESGV ............................................................................................. 61Notice of Sale in Execution – Output to Gazette ................................................................................... 63

Liquor Gazettes

Gauteng Liquor Application – Form 2 .................................................................................................... 66Gauteng Liquor Application – Output to Gazette................................................................................... 68

National Liquor Application – Form 2..................................................................................................... 69National Liquor Application – Output to Gazette ................................................................................... 71

National Liquor Transfer – Form 13 ........................................................................................................ 72National Liquor Transfer – Output to Gazette ........................................................................................ 74

Northern Cape Liquor Application – Form 2 .......................................................................................... 75Northern Cape Liquor Application – Output to Gazette......................................................................... 77

Northern Cape Liquor Transfer – Form 10 ............................................................................................. 78Northern Cape Liquor Transfer – Output to Gazette .............................................................................. 80

National and Provincial Gazettes

Z95 – Form Z95 ...................................................................................................................................... 82Z95 Provincial – Form Z95-PROV .......................................................................................................... 83

Tender Bulletin

Tender Form 1 – TForm 1 ....................................................................................................................... 86Tender Form 1 – Output to Gazette ....................................................................................................... 88

Tender Form 2 – TForm 2 ....................................................................................................................... 89Tender Form 2 – Output to Gazette ....................................................................................................... 91

Tender Form 3 – TForm 3 ....................................................................................................................... 92Tender Form 3 – Output to Gazette ....................................................................................................... 94

Tender Form 4 – TForm 4 ....................................................................................................................... 95Tender Form 4 – Output to Gazette ....................................................................................................... 97

Tender Form 5 – TForm 5 ....................................................................................................................... 98Tender Form 5 – Output to Gazette ....................................................................................................... 99

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Legal A Gazettes

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Business Notice Transfer in terms of a contract of business

BSNOT

Notice is hereby given in terms of section 34(1) of the Insolvency Act, No. 24 of 1936, to interested parties and creditors of the intended transfer in terms of a contract of businesses, and/or goodwill, goods or property forming part of businesses, after a period of 30 days from the last publication of the relevant advertisements.

*Notice Language: Taal van kennisgewing: English # Afrikaans #

* Mandatory Fields / Verpligte Velde *Province: Provinsie:

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*1. Township or District, Division or County / Dorpsgebied of Distrik, Afdeling, County:

*2. Seller or Trader or Partnership / Verkoper of Handelaar of Vennootskap:

*3. Business or Trade, Kind, Name and/or Style, and the Address at which carried on: Besigheid of Handel, Soort, Naam en/of Styl, en Adres waar gedryf:

*4. Purpose and intent (alienation, sale, abandonment, change or dissolution of partnership, removal or change of address, change of name, cancellation of sale, etc.); Conditions, and Date or Period of time if other than 30 days: Doel en Voorneme (vervreemding, verkoop, oorgawe, verandering of ontbinding van vennootskap, verhuising of adresverandering, naamverandering, kansellasie van verkoop, ens.); Voorwaardes, en Datum of Tydperk indien anders as 30 dae:

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Business Notice Transfer in terms of a contract of business

BSNOT

*5. Purchaser, New Proprietor and/or Owner or Partner, or Contracting Party: Koper, Nuwe Besitter en/of Eienaar of Vennoot, of Kontrakterende Party:

6. Business and Address, if other than under (3); Notes, Comments: Besigheid en Adres, indien anders as onder (3); Opmerkings, Kommentaar:

*7. Advertiser and/or Agent, Address and Date / Adverteerder en/of Agent, Adres en Datum:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

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Business Notice – Output to Gazette

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COMPANY NOTICE

CNOT

* Mandatory Fields / Verpligte Velde

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Notice Language: Taal van kennisgewing: English # Afrikaans #

*Name of Company or Close Corporation(CC) / Naam van Maatskappy or Beslote Korporasie(BK):

Registration Number of Company or CC: Registrasienommer van Maatskappy of BK:

Masters Reference Number: Meestersverwysingsnommer:

*Heading for the Notice / Opskrif vir die Kennisgewing:

*Notice Body / Kennisgewing Inhoud:

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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COMPANY NOTICE

CNOT

*Company Name of Advertiser / Maatskappy van Adverteerder:

Name of Advertiser / Naam van Adverteerder:

*Address of Advertiser / Adres van Adverteerder:

Email Address of Advertiser / Eposadres van Adverteerder:

*Advertiser Telephone: Adverteerder Telefoon:

Advertiser Fax: Adverteerder Faks:

*Date Submitted: Datum Ingedien: (CCYY-MM-DD)

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

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Company Notice – Output to Gazette

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Order Of The Court Hofbevel

COHC

* Mandatory Fields / Verpligte Velde1. Case Number / Saaknommer:

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Case Number: Saaknommer:

Annexure: Bylae:

P/H or Docex Nr: P/H of Docex No:

2. Court / Hof:

*Type of Court / Tipe Hof:

*Division of the High Court e.g. NORTH GAUTENG HIGH COURT, Pretoria / Afdeling van die Hof bv. NOORD GAUTENG HOË HOF, Pretoria:

3. Date and Judge / Datum en Regter:*Dated at: Gedateer te:

(place), (plek),

(date), (datum),

*Judge e.g. before the Honourable Judge <Judgename> / Regter bv. voor Sy Edele Regter <Regter se Naam>:

(CCYY-MM-DD)

4. Matter and Parties / Saak en Partye:

*Matter description: e.g. In the matter between: / Saak beskrywing: bv. In die saak tussen:

*Full name(s) of Applicant(s) or Plaintiff(s) / Volle Name van Applikant(e) of Eiser(s):

Full name(s) of Respondent(s) or Defendant(s) / Volle Name van Respondent(e) of Verweerder(s):

In re / In re:

5. Additional Heading / Addisionele Opskrif:Any other text to be published as Heading for the Court Order / Enige ander teks om as Opskrif te publiseer bo-aan die Hofbevel:

This form continues on the next page / Hierdie vorm vervolg op die volgende bladsy

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Order Of The Court Hofbevel

COHC

*Details of the Court Order / Inhoud van die Hofbevel:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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Court Order – Output to Gazette

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GENERAL NOTICE For placement of a general Legal Notice in the Government Gazette

GNOT

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

1. Case or Application related information - only complete this section if your notice refers to a court case or application Saak of Aansoek verwante inligting - voltooi hierdie gedeelte slegs indien u kennisgewing verwys na 'n hofsaak of aansoek

Case Number or Application Number: Saaknommer of Aansoeknommer:

Type of Court: Tipe Hof:

The name of the Court by which the order was given e.g. Gauteng Division, Pretoria OR The District of Pretoria held at Pretoria: Die naam van die hof waaruit die bevel gegee is: bv. Gauteng Afdeling, Pretoria OF Die Distrik Pretoria gehou te Pretoria:

Matter description: e.g. In the matter of / Saak beskrywing: bv. In die saak tussen:

Full name(s) of Applicant(s) or Plaintiff(s) / Volle Name van Applikant(e) of Eiser(s):

Full name(s) of Respondent(s) or Defendant(s) / Volle Name van Respondent(e) of Verweerder(s):

In re / In re:

This form continues on the next page - please complete all relevant sections Hierdie vorm vervolg op die volgende bladsy - voltooi asseblief alle dele wat van toepassing is

* Mandatory Fields / Verpligte Velde

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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GENERAL NOTICE For placement of a general Legal Notice in the Government Gazette

GNOT

2. Heading and the Content of the notice / Opskrif en Inhoud van die kennisgewing:

*Heading for the Notice / Opskrif van die kennisgewing:

*Content of the General Notice / Inhoud van die Algemene Kennisgewing:

*Name of Advertiser / Naam van Adverteerder:

*Address of Advertiser / Adres van Adverteerder:

Email Address of Advertiser / Eposadres van Adverteerder:

*Advertiser Telephone: Adverteerder Telefoon:

Advertiser Fax: Adverteerder Faks

*Date Submitted: (CCYY-MM-DD)

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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General Legal Notice – Output to Gazette

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LIQUIDATOR'S AND OTHER APPOINTEES' NOTICE Notices by liquidators and other appointees such as executors, judicial managers, trustees,

curators or tutors, of appointments, meetings, accounts, claims, leave of absence, releases, etc.

LNOT

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Name of Company or Close Corporation(CC) / Naam van Maatskappy or Beslote Korporasie(BK):

Registration Number of Company or CC: Registrasienommer van Maatskappy of BK:

Masters Reference Number: Meestersverwysingsnommer:

*Heading for the Notice / Opskrif vir die Kennisgewing:

*Notice Body / Kennisgewing Inhoud:

*Name of Advertiser / Naam van Adverteerder:

*Address of Advertiser / Adres van Adverteerder:

Email Address of Advertiser / Eposadres van Adverteerder:

*Advertiser Telephone: Adverteerder Telefoon:

Advertiser Fax: Adverteerder Faks

*Date Submitted: Datum Ingedien: (CCYY-MM-DD)

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Liquidators Notice – Output to Gazette

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FORM 1 APPOINTMENT OF TRUSTEES AND LIQUIDATORS AND PROOF OF CLAIMS IN

SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UP

FORM 1

Pursuant to sections 40 (3), 56 (3) and 77 of the Insolvency Act, 1936 and sections 339, 366, 375 (5) (b) and 402 of the Companies Act, 1973, notice is hereby given that the persons mentioned below have been appointed trustees or liquidators, as the case may be, and the persons indebted to the estates or companies are required to pay their debts to them forthwith unless otherwise indicated. Meetings of creditors or contributories of the said estates or companies will be held on the dates and at the times and places mentioned below, for proof of claims against the estates or companies, for the purpose of receiving the trustees' or liquidators' reports as to the affairs and conditions of the estates or companies and for giving the trustees or liquidators directions concerning the sale or recovery of any parts of the estates or assets of the companies or concerning any matter relating to the administration thereof. Meetings in a place in which there is a Master's Office, will be held before the Master; elsewhere they will be held before the Magistrate.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate/Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Name of Trustee or Liquidator / Naam van Kurator of Likwidateur:

*Address of Trustee or Liquidator / Adres van Kurator of Likwidateur

*Date of Meeting: Datum van Byeenkoms: CCYY-MM-DD *Time of Meeting:

Tyd van Byeenkoms: HH:MM

*Place of Meeting / Plek van Byeenkoms:

Period within which debt must be paid if not to be done forthwith: Tydperk waarin skuld betaal moet word, indien dit nie onmiddellik moet geskied nie:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Advertiser Telephone:*Date Submitted:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Insolvency Form 1 – Output to Gazette

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FORM 2 MEETING OF CREDITORS IN SEQUESTRATED ESTATES OR COMPANIES BEING

WOUND UP

FORM 2

Pursuant to sections 41 and 42 of the Insolvency Act of 1936 and sections 339 and 366 of the Companies Act of 1973, notice is hereby given that a meeting of creditors will be held in the sequestrated estates or companies being wound up mentioned below on the dates, at the times and places and for the purposes therein set forth. Meetings, in a place in which there is a Master's Office, will be held before the Master; elsewhere they will be held before the Magistrate.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans # Province under which this notice will be grouped in the gazette.

Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Date of Meeting: Datum van Byeenkoms: CCYY-MM-DD *Time of Meeting:

Tyd van Byeenkoms: HH:MM

*Place of Meeting / Plek van Byeenkoms:

*Purpose of Meeting / Doel van Byeenkoms:

For an Annexure or additional information that does not fit on this page, please use the next page. Vir 'n Aanhangsel of addisionele inligting wat nie op hierdie bladsy pas nie, gebruik asb die volgende bladsy.

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Advertiser Telephone:*Date Submitted:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: CCYY-MM-DD

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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FORM 2 MEETING OF CREDITORS IN SEQUESTRATED ESTATES OR COMPANIES BEING

WOUND UP

FORM 2

Annexures or Additional Information / Aanhangsels of Addisionele Inligting:

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Insolvency Form 2 – Output to Gazette

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FORM 3 EXTENSION OF TIME WITHIN WHICH TO LODGE LIQUIDATION ACCOUNTS AND PLANS

OF DISTRIBUTION OR CONTRIBUTION IN SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UP

FORM 3

Pursuant to sections 109 (1) of the Insolvency Act of 1936, and section 404 of the Companies Act of 1973, notice is hereby given that after the expiration of a period of 14 days as from the date of publication hereof, it is the intention of the trustees or liquidators, as the case may be, of the sequestrated estates or companies being wound up mentioned below, to apply to the respective Masters for an extension of time, as specified below, within which to lodge liquidation accounts and plans of distribution or contribution.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans # Province under which this notice will be grouped in the gazette.

Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Name of Trustee or Liquidator / Naam van Kurator of Likwidateur:

*Address of Trustee or Liquidator / Adres van Kurator of Likwidateur:

*Date of Appointment of Trustee or Liquidator: Datum van Aanstelling van Kurator of Likwidateur: (CCYY-MM-DD)

*Date when Account Due: Datum wanneer rekening ingedien moet word: (CCYY-MM-DD)

*Period of Extension Required: Termyn van Verlangde Verlenging:

*Master's Office where application will be made / Meesterskantoor waar aansoek ingedien sal word:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Advertiser Telephone:*Date Submitted:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Insolvency Form 3 – Output to Gazette

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Insolvency Form 3 – Output to Gazette

FORM 4 LIQUIDATION ACCOUNTS AND PLANS OF DISTRIBUTION OR CONTRIBUTION IN

SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UP

FORM 4

Pursuant to section 108 (2) of the Insolvency Act, 1936 and section 406 (3) of the Companies Act, 1973, notice is hereby given that the liquidation account and plans of distribution or contribution in the estates or the companies mentioned below will lie open for inspection by creditors or contributories at the offices of the Masters and the Magistrates stated therein, for a period of 14 days, or for such a period as stated therein, from the dates mentioned below or from the date of publication hereof, whichever may be the later date.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

*Province: Provinsie:

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Description of Account / Beskrywing van Rekening:

Account for Inspection at / Rekening ter Insae by:

*Master's Office / Meesterskantoor:

*Magistrate's Office / Landdroskantoor:

Date (if later than date of publication) / Datum (indien later as publikasiedatum): (CCYY-MM-DD)

Period (if longer than 14 days) / Periode (indien langer as 14 dae):

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Advertiser Telephone:*Date Submitted:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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26

Insolvency Form 4 – Output to Gazette

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27

FORM 5 PAYMENT OF DIVIDENDS AND COLLECTION OF CONTRIBUTIONS IN

SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UP

FORM 5

The liquidation accounts and plans of distribution or contribution in the sequestrated estates or companies being wound up, as the case may be, mentioned below having been confirmed on the dates therein mentioned, notice is hereby given, pursuant to section 113 (1) of the Insolvency Act, 1936 and section 409 (2) of the Companies Act, 1973, that dividends are in the course of payment or contributions are in the course of collection in the said estates or companies as set forth below and that every creditor liable to contribution is required to pay the trustee or liquidator the amount for which he is liable at the address mentioned below.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

*Province: Provinsie:

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Description of Account / Beskrywing van Rekening:

(CCYY-MM-DD)

*Are dividends are being paid or contributions being collected or both? Select from the list below: Word dividende uitbetaal of word kontribusies gevorder of beide? Gebruik die lys hieronder om te kies:

*Name of Trustee or Liquidator / Naam van Kurator of Likwidateur:

*Address of Trustee or Liquidator / Adres van Kurator of Likwidateur:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

*Date when account confirmed: Datum waarop rekening bekragtig is:

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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28

Insolvency Form 5 – Output to Gazette

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29

Insolvency Form 5 – Output to Gazette

Page 1 of 2

FORM 6 APPLICATION FOR REHABILITATION

FORM 6

Pursuant to section 124 of the Insolvency Act, 1936, notice is hereby given that the insolvent mentioned below will apply for his or her rehabilitation on the date, at the time and place and upon the grounds as therein set forth opposite his or her name.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans # Province under which this notice will be grouped in the gazette.

Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number: Boedelnommer:

*Surname (of insolvent) / Familienaam (van insolvent):

*First Names (of insolvent) / Voorname (van insolvent):

First Names of Spouse / Voorname van Gade:

*Date of Birth (DOB): Geboortedatum: CCYY-MM-DD *ID Number:

ID Nommer:

Spouse DOB: Gade Geboortedatum: CCYY-MM-DD Spouse ID:

Gade se ID:

*Marital Status / Huwelikstatus:

*Present Occupation and Work Address of Insolvent / Huidige Betrekking en Werkadres van Insolvent:

Present Occupation and Work Address of Spouse / Huidige Betrekking en Werkadres van Gade:

*Present Residential Address of Insolvent / Huidige Woonadres van Insolvent:

Present Residential Address of Spouse / Huidige Woonadres van Gade:

Sequestration Dates: Sekwestrasiedatums:

Provisional: Voorlopige:

C C Y Y - M M - D D

Final: Finale:

C C Y Y - M M - D D

*Address of Insolvent at the time of sequestration / Adres van Insolvent ten tye van sekwestrasie:

*Occupation or Status of Insolvent at the time of sequestration / Beroep en Status van Insolvent ten tye van sekwestrasie:

This form continues on the next page. Please complete all required fields before submitting the form.

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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30

Page 2 of 2

FORM 6 APPLICATION FOR REHABILITATION

FORM 6

*Grounds of Application / Rede vir Aansoek:

Full Details if Application is made for a Declaratory Order in respect of Immovable Property / Volledige besonderhede indien Aansoek gedoen word vir 'n Verklarende Bevel ten opsigte van Vaste Eiendom:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

*Division of the High Court to which application to be made / Afdeling van die Hoë Hof waarby aansoek gedoen gaan word:

Date and time on which application will be made: Datum en tyd wanneer aansoek gedoen sal word:

*Date: Datum:

*Time: Tyd:

C C Y Y - M M - D D H H : M M

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31

Insolvency Form 6 – Output to Gazette

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32

FORM 7 NOTICE OF TRUSTEES

FORM 7

Notice is hereby given that a period of six months having elapsed since the confirmation of the final trustees' accounts in the estates mentioned below, the trustees for the said estates will pursuant to section 155 of the Insolvency Act, 1936, destroy all the books and documents in their possession relating to the said estates (except those which are required to be lodged with the Masters) after six weeks from the date of this notice.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number: Boedelnommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Full Name of Estate / Volle Naam van Boedel:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

*Sequestration Date: Sekwestrasiedatum: (CCYY-MM-DD)

*Division of the High Court to which application to be made / Afdeling van die Hoë Hof waarby aansoek gedoen gaan word:

*Date of Confirmation of Final Account: Datum van Bekragtiging van Finale Rekening: (CCYY-MM-DD)

*Name of Trustee / Naam van Kurator:

*Address of Trustee / Adres van Kurator:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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33

Insolvency Form 7 – Output to Gazette

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34

FORM 8 DATES FIXED FOR CREDITORS TO PROVE CLAIMS

FORM 8

DATES FIXED FOR CREDITORS TO PROVE CLAIMS Pursuant to section 366 (2) of the Companies Act, 1973, notice is hereby given of the dates or times fixed by Masters of the High Court by which creditors of companies in liquidation are to prove their claims or otherwise be excluded from the benefit of any distribution under any account lodged with the Master before those debts are proved.

DATUMS VASGESTEL VIR DIE BEWYS VAN EISE DEUR SKULDEISERS Ingevolge artikel 366 (2) van die Maatskappywet, 1973, word hierby kennis gegee van die datums of termyne deur Meesters van die Hooggeregshof vasgestel tot wanneer skuldeisers van maatskappye in likwidasie hulle eise moet bewys of anders van die voordeel van ’n distribusie kragtens ’n rekening by die Meester ingedien voordat daardie eise bewys is, uitgesluit word.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans # Province under which this notice will be grouped in the gazette.

Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Company Number: Maatskappynommer:

Insolvent Estate or Company In Liquidation: Insolvente Boedel of Maatskappy In Likwidasie:

*Name of Company / Naam van Maatskappy:

ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:

Date or Time Period fixed by the Master / Datum of Termyn vasgestel deur die Meester:

Date: (CCYY-MM-DD) OR Time Period:

*Name of Liquidator / Naam van Liwidateur:

*Address of Liquidator / Adres van Likwidateur:

*Advertiser Name:

Advertiser Address:

*Date Submitted:

Advertiser Email:

*Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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35

Insolvency Form 8 – Output to Gazette

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36Page 1 of 2

FORM 9 NOTICE OF SURRENDER OF A DEBTOR'S ESTATE

FORM 9

In terms of section 4 (1) of the Insolvency Act, No. 24 of 1936, as amended, notice is hereby given by a debtor of his or her making an application to the High Court on the date and time as stated or as soon thereafter as the matter can be heard, for the acceptance of the surrender of his or her estate; or of the withdrawal of such notice of surrender previously made and upon having received the Master's consent, in terms of section 7 of the Act.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans # Province under which this notice will be grouped in the gazette.

Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Name of Debtor / Naam van Skuldenaar:

*ID Number of Debtor / ID Nommer van Skuldenaar:

*Occupation / Beroep:

*Address / Adres:

Style of Partnership or Firm / Styl van Vennootskap of Firma:

Names of Partners / Name van Vennote:

ID Numbers of Partners / ID Nommers van Vennote:

Occupation of Partners / Beroep van Vennote:

Address of Partners (only if differs from the Debtor's address) / Adres van Vennote (slegs indien verskil van die skuldenaar se adres):

Division of the High Court / Afdeling van die Hoë Hof:

(CCYY-MM-DD) HH:MM

This form continues on the next page. Please complete all fields before submitting the form. Hierdie vorm vervolg op die volgende bladsy. Voltooi asseblief al die nodige velde voor die vorm ingedien word.

Date of Application: Datum van Aansoek:

Time of Application: Tyd van Aansoek:

Date of Master's Consent: Datum van Meester se Toestemming:

1)

2)

(CCYY-MM-DD)

Application Aansoek

WithDrawal Intrekking

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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37Page 2 of 2

FORM 9 NOTICE OF SURRENDER OF A DEBTOR'S ESTATE

FORM 9

3) *Date as from which a statement of his affairs will lie for inspection for 14 days: Datum vanaf wanneer sy vermoëstaat ter insae sal lê vir 14 dae:

Master's Office where laying for inspection / Meester se kantoor waar dit ter insae sal lê:

Magistrate's Office / Landdroskantoor:

4) *Attorney for Debtor / Prokureur vir die Skuldenaar:

*Attorney for Debtor's Address / Prokureur vir die Skuldenaar se Adres:

Attorney Date: Prokureur Datum:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

(CCYY-MM-DD)

(CCYY-MM-DD)

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38

Insolvency Form 9 – Output to Gazette

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39

Insolvency Form 9 – Output to Gazette

INSOLVENT ESTATES, COMPANIES OR CLOSE CORPORATIONS SEQUESTRATED OR WOUND UP PROVISIONALLY

Pursuant to section 17 (4) of the Insolvency Act, 1936, and section 356 (1) of the Companies Act, 1973, notice is hereby given by the Masters of the High Court that the estate or company mentioned below have been sequestrated or wound up provisionally by order of the said Court.

REPUBLIC OF SOUTH AFRICA

FORM J 28

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number or Company Number: Boedelnommer of Maatskappynommer:

*Full name of Estate or Company / Volle naam van Boedel of Maatskappy:

*ID Number(s) or Registration Number / ID Nommer(s) of Registrasienommer:

Description of Estate or Company / Beskrywing van Boedel of Maatskappy:

*Date of Order: Datum van Bevel: (CCYY-MM-DD)

*Division or District of Court by which order is made / Afdeling of Distrik van hof waardeur order gemaak is:

Upon Application of / Op aansoek van:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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40

J28 – Output to Gazette

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41

J28 – Output to Gazette

FORM J 29

Page 1 of 2

REPUBLIC OF SOUTH AFRICA

FIRST MEETINGS OF CREDITORS, CONTRIBUTORIES, MEMBERS OR DEBENTURE-HOLDERS OF SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UP

The estates and companies mentioned below having been placed under sequestration or being wound up by order of the High Court of South Africa, Masters of the High Court hereby give notice, pursuant to sections 17 (4) and 40 (1) of the Insolvency Act of 1936 and sections 356 (1) and 364 (1) of the Companies Act of 1973, that a first meeting of creditors, contributories, members or debenture-holders of the said estates or companies will be held on the dates and at the times and places mentioned below, for proof of claims against the estates or companies, the election of trustees the nomination of liquidators and considering the statement of affairs of the company, as the case may be.

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Number of Estate or Company: Nommer van Boedel of Maatskappy:

*Full name of Estate/Company / Volle Naam van Boedel of Maatskappy:

ID Number(s) or Registration Number / ID Nommer(s) of Registrasienommer:

Description of Estate or Company / Beskrywing van Boedel of Maatskappy:

*Choose if Court Order or Special Resolution: Kies of Hofbevel of Spesiale Resolusie:

Court Order Hofbevel

Special Resolution Spesiale Resolusie

Provisional Order Date: Datum van Voorlopige Bevel:

*Final Order Date:: Datum van Finale Bevel:

Resolution Detail e.g. By Registrar of Companies / Resolusie detail bv. Deur Registrateur van Maatskappye:

To add more special resolution detail - use the next page / Om meer spesiale resolusie detail in te vul - gebruik die volgende bladsy

Division of Court where order was issued / Afdeling van die Hof waar bevel uitgereik is:

*Date of Meeting: Datum van Byeenkoms: (CCYY-MM-DD) *Time of Meeting:

Tyd van Byeenkoms: (HH:MM)

*Place of Meeting / Plek van Byeenkoms:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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42

FORM J 29

Page 2 of 2

Special Resolutions / Spesiale Resolusies:

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43

J29 – Output to Gazette

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44

FIRST MEETINGS OF CREDITORS MEMBERS OF CLOSE CORPORATIONS BEING WOUND UP The Close Corporation mentioned below having been placed in liquidation by order of the High Court of South Africa or the Magistrate's Court having jurisdiction, and pursuant to section 78 of the Close Corporations Act of 1984, read together with sections 40 (1) and 77 of the Insolvency Act of 1936 and sections 356, 375(5)(b) and 412 of the Companies Act of 1973, notice is hereby given that persons indebted to the under-mentioned Close Corporation are required to pay their debts to the liquidator forthwith unless otherwise indicated and that the First Meeting of Creditors and Members of the under-mentioned Close Corporation will be held on the date and at the time and place mentioned below, for the following purposes:

(i) The consideration of the statement of affairs of the Corporation lodged with the Master of the High Court; (ii) the proof of claims against the Close Corporation; (iii) determination by creditors of the necessity of the appointment of a co-liquidator and, if so, the nomination of a person for appointment;

(iv) receiving or obtaining directions or authorisation in respect of any matter regarding the liquidation.

REPUBLIC OF SOUTH AFRICA

FORM J 29-CC

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Number of Close Corporation (CC): Nommer van Beslote Korporasie (BK):

*Full Name of Close Corporation / Volle Naam van Beslote Korporasie:

Registration Number of Close Corporation / Registrasienommer van Beslote Korporasie:

Description of the CC e.g. (In liquidation) and/or address / Beskrywing van die BK bv. (In Likwidasie) en/of adres:

*Name of Liquidator / Naam van Likwidateur:

*Address of Liquidator / Adres van Likwidateur:

*Date of Meeting: Datum van Byeenkoms: (CCYY-MM-DD) *Time of Meeting:

Tyd van Byeenkoms: (HH:MM)

*Place of Meeting / Plek van Byeenkoms:

Period within which debt must be paid, if this is not done forthwith: Tydperk waarin skuld betaal moet word, indien dit nie onmiddellik geskied nie:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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45

J29 CC – Output to Gazette

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46

SETTING ASIDE OF PROVISIONAL ORDERS In terms of section 17(4) of the Insolvency Act, 1936 and section 339 of the Companies Act 1973, notice is hereby given by the

Masters of the High Court of South Africa, as stated, of the setting aside of provisional orders of sequestration/liquidation.

VERNIETIGING VAN VOORLOPIGE BEVELE Ingevolge artikel 17(4) van die Insolvensiewet 1936 en artikel 339 van die Maatskappywet, 1973 word kennis hiermee deur die Meesters van die Hoë Hof van Suid-Afrika, soos vermeld, gegee van die vernietiging van voorlopige bevele van sekwestrasie/

likwidasie.

REPUBLIC OF SOUTH AFRICA

FORM J 158

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number: Boedelnommer:

*Division of High Court / Afdeling van Hoë Hof:

*Applicant / Applikant:

*Respondent / Verweerder:

Date of: Datum van:

*Provisional Order: Voorlopige Bevel:

C C Y Y - M M - D D

*Order setting aside: Bevel wat vernietig:

C C Y Y - M M - D D

Date: Datum:

C C Y Y - M M - D D

Signature: Handtekening:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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47

J158 – Output to Gazette

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LIQUIDATION AND DISTRIBUTION ACCOUNTS IN DECEASED ESTATES LYING FOR INSPECTION In terms of section 35 (5) of the Administration of Estates Act, No. 66 of 1965, notice is hereby given that copies of the liquidation and distribution accounts (first and final, unless otherwise stated) in the estates specified below will be open for the inspection of all persons with an interest therein for a period of 21 days (or shorter or longer if specially stated) from the date specified or from the date of publication hereof, whichever may be the later, and at the offices of the Masters of the High Court and Magistrates as stated. Should no objection thereto be lodged with the Masters concerned during the specified period, the executors will proceed to make payments in accordance with the accounts.

REPUBLIC OF SOUTH AFRICA

FORM J187

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

A. *Estate Number: Boedelnommer:

*Surname / Van:

*First Names / Voorname:

South African ID Number: OR Passport /

Other ID:

*Last Address / Laaste Adres:

B. Complete this section only if deceased was married in community of property / Voltooi hierdie gedeelte slegs as oorledene binne gemeenskap van goedere getroud was

First Names of Surviving Spouse / Voorname van Nagelate Eggenoot(note):

Surname of Surviving Spouse / Familienaam van Nagelate Eggenoot(note):

ID Number of Surviving Spouse / ID Nommer van Nagelate Eggenoot(note):

C. Description of Account if other than First and Final: Beskrywing van rekening indien anders as Eerste en Finale is:Period of Inspection (if other than 21 days): Tydperk van Insae (indien korter of langer as 21 dae):

Magistrate's Office / Landdroskantoor:

Master's Office / Meesterskantoor:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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49

J187 – Output to Gazette

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NOTICE TO CREDITORS IN DECEASED ESTATES All persons having claims against the under-mentioned estate must lodge it with the Executor concerned within 30 days

(or as indicated) from date of publication hereof.

REPUBLIC OF SOUTH AFRICA

FORM J 193

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

*Province: Provinsie:

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.A. *Estate Number:

Boedelnommer:

*Surname / Van:

*First Names / Voorname:

*Date of Birth: Geboortedatum: (ccyy-mm-dd) *ID Number:

ID Nommer:

*Last Address / Laaste Adres:

*Date of Death: Datum van Oorlye: (ccyy-mm-dd)

Master's Office / Meesterskantoor:

B. Only applicable if deceased was married in community of property/subject to the accrual system:

First Names of Surviving Spouse / Voorname van Nagelate Eggenoot(note):

Surname of Surviving Spouse / Familienaam van Nagelate Eggenoot(note):

Date of Birth of Surviving Spouse /Geboortedatum van Nagelate Eggenoot(note): (ccyy-mm-dd)

ID Number of Surviving Spouse / ID Nommer van Nagelate Eggenoot(note):

C. *Name of Executor or Authorised Agent / Naam van Eksekuteur of Gemagtigde Agent:

*Address of Executor or Authorised Agent / Adres van Eksekuteur of Gemagtigde Agent:

D. Period allowed for lodgement of claims, if other than 30 days: Tydperk toegelaat vir lewering van vorderings indien anders as 30 dae:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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J193 – Output to Gazette

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NOTICE OF CURATOR AND TUTOR

In terms of section 75 of the Administration of Estates Act, No. 66 of 1965 (as amended), notice is hereby given of appointment of a person as Curator or Tutor by Masters of the High Court, or of termination of such appointment.

REPUBLIC OF SOUTH AFRICA

FORM J 295

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Estate Number: Boedelnommer:

*Person Persoon

Under Curatorship OR Onder Kuratorskap OF

Minor Minderjarige

(Select the applicable check box)

*First Names / Voorname:

*Surname / Van:

*Address / Adres:

*Name and address of: Naam en adres van:

Curator Kurator

Tutor Voog (Select the applicable check box)

*Name of Curator or Tutor / Naam van Kurator of Voog:

*Address of Curator or Tutor / Adres van Kurator of Voog:

*Whether - Of -

Appointment OR Aanstelling OF

Termination Beëindiging (Select the applicable check box)

*As from date: Vanaf datum: (CCYY-MM-DD)

*Master of the High Court / Meester van die Hooggeregshof:

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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J295 – Output to Gazette

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ELECTION OF EXECUTORS, TUTORS AND CURATORS Interested parties are hereby given notice by Masters of the High Court of South Africa that meetings will be held at the places, dates and times specified for the purpose of selecting persons for approval by the respective Masters, as fit and proper to be appointed by them as Executors, or Tutors or Curators as the case may be, in regard to the matters listed below. Meeting, in a place in which there is a Master's Office, will be held before the Master, elsewhere they will be held before the Magistrate.

VERKIESING VAN EKSEKUTEURS, VOOGDE EN KURATORS Belanghebbendes word hiermee deur Meesters van die Hoë Hof van Suid-Afrika kennis gegee dat byeenkomste op die plekke, datums en tye vermeld, gehou sal word, met die doel om persone te kies vir goedkeuring deur die onderskeie Meesters as geskik om deur hulle na gelang van die geval aangestel te word as Eksekuteurs of Voogde of Kurators, ten opsigte van die gevalle hieronder vermeld. In `n plek waarin 'n kantoor van die Meester is, word die byeenkoms voor die Meester gehou en in ander plekke voor die Landdros.

REPUBLIC OF SOUTH AFRICA

FORM J297

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

Executor Eksekuteur

Tutor Voog

Curator Kurator

*Select the applicable option / Kies die toepaslike opsie

*File Number: Lêernommer:

In the matter of / In die geval van:

*Surname / Familienaam:

*First Names / Voorname:

*Residential Address / Woonadres:

*Occupation / Beroep:

*Date of Death: Datum van Oorlye:

*Place of Meeting / Plek van Byeenkoms:

*Date of Meeting: Datum van Byeenkoms: (CCYY-MM-DD) *Time of Meeting:

Tyd van Byeenkoms: (HH:MM)

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT

(CCYY-MM-DD)

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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J297 – Output to Gazette

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Legal B Gazettes

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Notice of Public Auction Kennisgewing van Publieke Veiling

PAUC

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

*Province: Provinsie:

*Auctioneer / Afslaer:

*Name of the Company, CC or Estate whose assets are to be auctioned / Naam van Maatskappy, BK of Boedel waarvan die bates opgeveil word:

*Master's Reference: Meestersverwysing:

*Date of Auction: Datum van Veiling: (CCYY-MM-DD) *Time of Auction

Tyd van Veiling: (HH:MM)

*Address where Auction to be held / Adres waar Veiling gehou gaan word:

Heading for the Notice e.g. AUCTION NOTICE / Opskrif vir die Kennisgewing bv. VEILINGSADVERTENSIE:

*Details of Auction: Description of Property; Physical Address; Improvements; Zoning of property; Terms and Conditions; Payment; etc. : Veiling besonderhede: Beskrywing van Eiendom; Fisiese Adres; Verbeterings; Sonering van die Eiendom; Terme en Voorwaardes; Betaling; ens:

This is a multipage form, please continue on the next page

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Notice of Public Auction Kennisgewing van Publieke Veiling

PAUC

Auctioneer Contact Person / Afslaer se Kontakpersoon:

*Address of Auctioneer / Adres van Afslaer:

*Auctioneer Telephone: Afslaer Telefoon:

Auctioneer Fax: Afslaer Faks:

Auctioneer Website / Afslaer Webwerf:

Auctioneer Email / Afslaer E-pos:

Auctioneer Reference / Afslaer Verwysing:

*Date Submitted: Datum Ingedien:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

(CCYY-MM-DD)

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Public Auction – Output to Gazette

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Public Auction – Output to Gazette

Page 1 of 2

Notice of Sale in Execution Kennisgewing van Geregtelike Verkoping

ESGV

* Mandatory Fields / Verpligte Velde

*Notice Language: Taal van kennisgewing: English # Afrikaans #

*Province: Provinsie:

Province under which this notice will be grouped in the gazette. Provinsie waaronder kennisgewing in die staatskoerant verskyn.

Should this notice be labelled as "AUCTION"? Moet "VEILING" bo-aan die kennisgewing verskyn?

Yes Ja

No Nee✔

*Case Number: Saaknommer:

P/H or Docex Nr: P/H of Docex No:

*Type of Court: Tipe Hof:

*The name of the Court by which the order was given e.g. Gauteng Division, Pretoria OR The District of Pretoria held at Pretoria: Die naam van die hof waaruit die bevel gegee is: bv. Gauteng Afdeling, Pretoria OF Die Distrik Pretoria gehou te Pretoria:

*Matter description: e.g. In the matter of / Saak beskrywing: bv. In die saak tussen:

*Plaintiff(s) Name(s) and Surname(s) or Company Name(s): / Eiser(s) se Naam en Van of Naam van Maatskappy(e):

Defendant(s) Name(s) and Surname(s) or Company Name(s): / Verweerder(s) se Naam en Van of Naam van Maatskappy(e):

*Type of Sale Heading: Tipe Verkoping Opskrif:*Date of Sale: Datum van Verkoping: (CCYY-MM-DD) *Time of Sale:

Tyd van Verkoping: (HH:MM)

*Address where sale to be held: / Adres waar verkoping gehou gaan word:

*Attorneys for Plaintiff(s): / Prokureur(s) vir Eiser(s):

*Address of Attorney(s): / Adres van Prokureur(s)

*Attorney Tel: Prokureur Tel:

Attorney Fax: Prokureur Faks::

Attorney Ref: Prokureur Verw:

Attorney Acct: Prokureur Rek:

*Date Submitted to Government Printers: Datum Ingedien by Staatsdrukker:

*For publication in the Government Gazette on: Vir publikasie in die Staatskoerant op: (CCYY-MM-DD)

Please provide full details of the sale on the next page / Verstrek asseblief volledige detail van die verkoping op die volgende bladsy

Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated. Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.#

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Notice of Sale in Execution Kennisgewing van Geregtelike Verkoping

ESGV

* Details of the sale (Full description of Property; Physical Address; Improvements; Zoning of property; Full description of title deed etc., as well as rules of sale, Terms and conditions, Address where conditions may be inspected) Besonderhede van die verkoping (Volledige beskrywing van die eiendom: Fisiese Adres; Verbeterings; Sonering; Beskrywing van titelakte ens., asook reels van verkoping, Terme en voorwaardes, Adres waar die voorwaardes besigtig mag word)

Dated at: Gedateer te:

(place), (plek),

(date), (datum), (CCYY-MM-DD)

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Sale in Execution – Output to Gazette

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Liquor Gazettes

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Page 1 of 2

GAUTENG LIQUOR ACT, 2003 (ACT No. 2 OF 2003) [Reg. 2 (2)]

NOTICE OF APPLICATION IN TERMS OF SECTION 24

FORM 2

To be typed - No handwritten copies will be accepted

Notice is hereby given that it is the intention of the person whose details are set out below to lodge an application for :

to the Secretary of the Local Committee of : situated at:

*on date: Province: Gauteng

1. *Full Names of the Applicant:

2. *Intended Trading Name:

3. *ID Number OR Registration Number of the Applicant:

4. *Full Address and Location of the Premises:

*City / Suburb / Town / Township where Premises located (It will be used as heading for your advertisement in the gazette):

5. *Type of License Applied for:

This form continues on the next page. Please complete all relevant sections before submitting.

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op:

(CCYY-MM-DD)

* Mandatory Fields / Verpligte Velde

*

*

*

(CCYY-MM-DD)

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Page 2 of 2

GAUTENG LIQUOR ACT, 2003 (ACT No. 2 OF 2003) [Reg. 2 (2)]

NOTICE OF APPLICATION IN TERMS OF SECTION 24

FORM 2

6. *Names and nature of educational institutions within a radius of 1 kilometer from the premises in par (4):

7. *Names and distances to similar licensed premises within a radius of 1 kilometer from the premises in par (4):

8. *Places of worship within a radius of 1 kilometer from the premises in par (4):

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Gauteng Liquor Application – Output to Gazette

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LIQUOR ACT, 1989 [REG 4(1)]

NOTICE OF INTENTION TO APPLY IN TERMS OF SECTION 19 FOR A LICENSE

FORM 2

* Mandatory Fields / Verpligte Velde

Notice is hereby given that it is the intention to lodge the above-mentioned application, particulars of which appear hereunder, with the magistrate of the district referred to in section 1 on :

*

1. *District:

*Full Name of Applicant:

2. *Full Names, Street and Postal Address of the Applicant:

ID or Registration Number of Applicant:

*Street Address of the Applicant:

*Postal Address of the Applicant:

3. *Kind of License applied for:

4. *Kind of Liquor to be sold:

5. *Name under which business is to be conducted and full address of premises:

*Name under which business is to be conducted:

*Full Address of Premises:

Province under which this notice will be grouped in the gazette.*Province:

6. *Determination, Consent, Approval or Authority applied for:

Date (CCYY-MM-DD)

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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DRANKWET, 1989 [REG 4(1)]

KENNISGEWING VAN VOORNEME OM INGEVOLGE ARTIKEL 19 OM 'N LISENSIE AANSOEK TE DOEN

VORM 2

* Mandatory Fields / Verpligte Velde

Kennisgewing geskied hiermee dat dit die voorneme is om die bogenoemde aansoek, waarvan die besonderhede hieronder verskyn, by die Landros van die distrik in deel 1 genoem, in te dien op:

* (Datum) (EEJJ-MM-DD)

1. *Distrik:

2. *Volle Naam, Straat- en Posadres van die Aansoeker:

*Volle Naam van Aansoeker:

ID Nommer of Registrasienommer van die Aansoeker:

*Straatadres van die Aansoeker:

*Posadres van die Aansoeker:

3. *Soort Lisensie waarvoor aansoek gedoen word:

4. *Soort Drank wat verkoop sal word:

*Naam waaronder besigheid gedoen sal word:

*Volledige Adres van Perseel:

Provinsie waaronder kennisgewingin die staatskoerant verskyn.

*Province: Provinsie:

5. *Naam waaronder besigheid gedoen sal word en volledige adres van perseel:

6. *Bepaling, Toestemming, Goedkeuring of Magtiging waarom aansoek gedoen word:

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71

National Liquor Application – Output to Gazette

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LIQUOR ACT, 1989 [REG 82(1)]

NOTICE OF INTENTION TO APPLY IN TERMS OF SECTION 120 FOR THE PERMANENT REMOVAL OF A LICENSE

FORM 13

Notice is hereby given that it is the intention to lodge the above-mentioned application, particulars of which appear hereunder, with the magistrate of the district referred to in section 4 on :

* (Date) CCYY-MM-DD

*Full Name of Applicant:

1. *Full Names, Street and Postal Address of the Applicant:

ID or Registration Number of Applicant:

*Street Address of the Applicant:

*Postal Address of the Applicant:

2. *Kind of License to be removed:

3. *Kind of Liquor to be sold:

4. *Full Address of Licensed Premises and District in which situated

*District:

5. *Name under which business is to be conducted and full address of other premises:

*Name under which business is to be conducted:

*Full Address of Premises:

Province under which this notice will be grouped in the gazette.*Province:

6. *Determination, Consent, Approval or Authority applied for (see regulation 83):

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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DRANKWET, 1989 [REG 82(1)]

KENNISGEWING VAN VOORNEME OM INGEVOLGE ARTIKEL 120 AANSOEK TE DOEN OM DIE PERMANENTE VERPLASING VAN 'N LISENSIE

VORM 13

Kennisgewing geskied hiermee dat dit die voorneme is om die bogenoemde aansoek, waarvan die besonderhede hieronder verskyn, by die Landros van die distrik in deel 4 genoem, in te dien op:

* (Date) EEJJ-MM-DD

*Volle Naam van Aansoeker:

1. *Volle Naam, Straat- en Posadres van Aansoeker:

IDnommer of Registrasienommer van Aansoeker:

*Straatadres van Aansoeker:

*Posadres van die Aansoeker:

2. *Soort Lisensie wat verplaas sal word:

3. *Soort Drank wat verkoop sal word:

4. *Volledige adres van gelisensieerde perseel en distrik waarin geleë:

*Distrik:

5. *Naam waaronder besigheid gedoen sal word en volledige adres van ander perseel:

*Naam waaronder besigheid gedoen sal word:

*Volledige adres van ander perseel:

Provinsie waaronder hierdie kennisgewing geplaas word in die gazette*Provinsie:

6. *Bepaling, toestemming, goedkeuring of magtiging waarom aansoek gedoen word (sien regulasie 83):

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74

National Liquor Transfer – Output to Gazette

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National Liquor Transfer – Output to Gazette

NORTHERN CAPE LIQUOR ACT, 2008 [REG 4(1)]

NOTICE OF INTENTION TO APPLY IN TERMS OF SECTION 20 OF THE ACT FOR A LICENSE

FORM 2

* Mandatory Fields / Verpligte Velde

Notice is hereby given that it is the intention to lodge the above-mentioned application, particulars of which appear hereunder, with the Northern Cape Liquor Board.

1. *Municipality:

*Full Name of Applicant:

2. *Full Names, Street and Postal Address of the Applicant:

ID or Registration Number of Applicant:

*Street Address of the Applicant:

*Postal Address of the Applicant:

3. *Kind of License applied for:

4. *Kind of Liquor to be sold:

5. *Name under which business is to be conducted and full address of premises:

*Name under which business is to be conducted:

*Full Address of Premises:

Northern Cape / Noord-Kaap*Province:

6. *Extra items to be sold (section 4(5)(a) and (b))

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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NOORD-KAAP DRANKWET, 2008 [REG 4(1)]

KENNISGEWING VAN VOORNEME OM INGEVOLGE ARTIKEL 20 VAN DIE WET VIR 'N LISENSIE AANSOEK TE DOEN

VORM 2

* Mandatory Fields / Verpligte Velde

Kennis geskied hiermee dat dit die voorneme is om die bogenoemde aansoek, waarvan die besonderhede hieronder verskyn, by die Noord-Kaap Drankraad, in te dien.

1. *Munisipaliteit:

2. *Volle Naam, Straat- en Posadres van die Aansoeker:

*Volle Naam van Aansoeker:

ID Nommer of Registrasienommer van die Aansoeker:

*Straatadres van die Aansoeker:

*Posadres van die Aansoeker:

3. *Soort Lisensie waarvoor aansoek gedoen word:

4. *Soort Drank wat verkoop sal word:

*Naam waaronder besigheid gedoen sal word:

*Volledige Adres van Perseel:

Northern Cape / Noord-Kaap*Provinsie:

5. *Naam waaronder besigheid gedoen sal word en volledige adres van perseel:

6. *Ektra items wat verkoop kan word [artikel 4 (5) (a) en (b)]:

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Northern Cape Liquor Application – Output to Gazette

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NORTHERN CAPE LIQUOR ACT, 2008 [REG 45]

NOTICE OF INTENTION TO APPLY FOR THE PERMANENT / TEMPORARY TRANSFER OF A LICENCE TO OTHER PREMISES IN TERMS OF SECTION 20 (1) (d) OF THE ACT

FORM 10

* Mandatory Fields / Verpligte Velde

Notice is hereby given that it is the intention to lodge the above-mentioned application, particulars of which appear hereunder, with the Northern Cape Liquor Board.

1. *Municipality:

*Full Name of Applicant:

2. *Full Names, Street and Postal Address of the Applicant:

ID or Registration Number of Applicant:

*Street Address of the Applicant:

*Postal Address of the Applicant:

3. *Kind of License to be Transferred:

4. *Kind of Liquor to be sold:

5. *Full Address of Licensed Premises and Municipality where situated:

*Province: Northern Cape / Noord-Kaap

6. *Name under which business is to be conducted and full address of other premises:

*Name under which business is to be conducted:

*Full Address of Other Premises:

7. *Extra items to be sold (section 4(5)(a) and (b))

*Advertiser Name:

Advertiser Address:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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NOORD-KAAP DRANKWET, 2008 [REG 45]

KENNISGEWING VAN VOORNEME OM VIR DIE PERMANENTE /TYDELIKE OORDRAG VAN LISENSIE NA 'N ANDER PERSEEL AANSOEK TE DOEN INGEVOLGE ARTIKEL 20 (1)(d) VAN DIE WET

VORM 10

* Mandatory Fields / Verpligte Velde

Kennis geskied hiermee dat dit die voorneme is om die bogenoemde aansoek, waarvan die besonderhede hieronder verskyn, by die Noord-Kaap Drankraad, in te dien.

1. *Munisipaliteit:

2. *Volle Naam, Straat- en Posadres van die Aansoeker:

*Volle Naam van Aansoeker:

ID Nommer of Registrasienommer van die Aansoeker:

*Straatadres van die Aansoeker:

*Posadres van die Aansoeker:

3. *Soort Lisensie waarvoor aansoek gedoen word:

4. *Soort Drank wat verkoop sal word:

5. *Volle Adres van gelisensieerde perseel en Munisipaliteit waarin geleë:

*Provinsie: Northern Cape / Noord-Kaap

6. *Naam waaronder besigheid gedoen sal word en volledige adres van ander perseel:

*Naam waaronder besigheid gedoen sal word:

*Volledige Adres van ander Perseel:

7. *Ektra items wat verkoop kan word [artikel 4 (5) (a) en (b)]:

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80

Northern Cape Liquor Transfer – Output to Gazette

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Northern Cape Liquor Transfer – Output to Gazette

National & Provincial

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OFFICIAL NOTICE FOR PUBLICATION OFFISIëLE KENNISGEWING VIR PUBLIKASIE

REPUBLIC OF SOUTH AFRICA - REPUBLIEK VAN SUID-AFRIKA

Z95 (81/42603)G.P.-S. 09/08

*Department/Institution: Departement/Instelling:

*Postal Address: Posadres:

*Account Number with Government Printing Works: Rekening Nommer by Staatsdrukkery:

*Order Number: Bestelnommer:

Please take note that this form (Z 95) MUST be accompanied by an official order form (Z 492 or Z 577) Neem asseblief kennis dat die vorm (Z 95) vergesel MOET wees van `n amptelike bestelvorm (Z 492 of Z 577)

*Short Description of Notice Content / Kort Beskrywing van Kennisgewing Inhoud:

Act referenced in the notice content / Wet waarna verwys word in die kennisgewing:

*Type of Notice / Tipe Kennisgewing:Proclamation Proklamasie

Government Notice Goewermentskennisgewing

General Notice Algemene Kennisgewing

Board Notice Raadskennisgewing

*Type of Gazette / In watter Koerant:

Government Gazette Staatskoerant

Regulation Gazette Regulasiekoerant

Acts Petrol Price

Films Road Carrier Permits

Manuals Unclaimed Monies

Ordinary or Extraordinary Gazette?

Extraordinary Gazette Buitengewone Koerant

Note: Only applicable to Government and Regulation Gazette

*Publication Date: Publikasiedatum: (CCYY-MM-DD)

*Whether Proof required for proofreading: Of proef verlang word vir proeflees:

Yes Ja

No Nee✔

Please Note: Proofs will not be sent if the document is scanned

COPIES OF THE GAZETTE REQUIRED / AFSKRIFTE VAN DIE KOERANT VERLANG

Number Required: Getal Benodig

Deliver To: Lewer af aan:

*Contact Person: Kontakpersoon: Email Address: E-posadres:*Contact Tel: Kontak Tel:

Contact Fax: Kontak Faks:

Contact Cell: Kontak Sel:

For Government Printer's use Vir Staatsdrukker se gebruik

Gazette Number

Gazette Date

Pro Forma Quote Amount

Dept. Code

Notice Number(s)

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Z95-PROV

OFFICIAL NOTICE FOR PROVINCIAL PUBLICATION OFFISIëLE KENNISGEWING VIR PROVINSIALE PUBLIKASIE

* Mandatory Fields / Verpligte Velde

*Client/Institution: Kliënt/Instelling:

*Postal Address: Posadres:

Account Number with Government Printing Works: Rekening Nommer by Staatsdrukkery: Order Number: Bestelnommer:

Please take note that this form MUST be accompanied by an official order form or proof of payment Neem asseblief kennis dat die vorm vergesel MOET wees van `n amptelike bestelvorm of bewys van betaling

*Province (this determines the provincial gazette that the notice is placed in): Provinsie (bepaal die provinsiale gazette waarin die kennisgewing geplaas word):

Gauteng Eastern Cape / Oos-Kaap KwaZulu-Natal Limpopo

Mpumalanga Northern Cape / Noord-Kaap North West / Noord-Wes

*Type of Notice / Tipe Kennisgewing:

General Notice Algemene Kennisgewing

Local Authority Notice Plaaslike Owerheid

Municipal notice Munisipale Kennisgewing

Official Notice Amptelike Kennisgewing

Premier Notice Premier Kennisgewing

Proclamation Proklamasie

Provincial Notice Provinsiale Kennisgewing

Acts (KwaZulu-Natal) Wette

Advertisements (KwaZulu-Natal) Advertensies

Ordinary or Extraordinary Gazette?

Extraordinary Gazette Buitengewone Koerant

*Date of Publication: Datum van Plasing:

*Notice will also appear in local newspaper: Kennisgewing verskyn in plaaslike koerant:

Yes Ja

No Nee

*Number of Insertions Required: Aantal Plasings Verlang:

On Date(s) - other than date of 1st insertion: Op die Datum(s) - anders as datum van 1ste plasing:

Yes Ja

No Nee✔

*Whether Proof required for proofreading: Of Proef verlang word vir proeflees:

Please Note: Proofs will not be sent if the document is scanned

COPIES OF THE GAZETTE REQUIRED / AFSKRIFTE VAN DIE KOERANT VERLANG

Number Required: Getal Benodig

Deliver To: Lewer af aan:

*Contact Person: Kontakpersoon: Email Address: E-posadres:*Contact Tel: Kontak Tel:

Contact Fax: Kontak Faks:

Contact Cell: Kontak Sel:

For Government Printer's use Vir Staatsdrukker se gebruik

Gazette Number

Pro Forma Quote Amount

Notice Number(s)

Dept. Code

Gazette Date

NB: GPW is not responsible for publication in other newspapers. NB: GPW is nie verantwoordelik vir publikasie in ander koerante nie.

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Tender Bulletin

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86Page 1 of 2

TFORM 1

New Bid Erratum Registry of Potential Suppliers*Type of Tender Notice: (Select an option)

BID CATEGORY:

*Bid Category:

*Department:

Division or Section:

*Tender / Quotation No: *Due Date:

Heading for Bid or Quotation:

*Details of Bid or Quotation ( Short description of Bid Details, Contract or Support Period, Terms and Conditions etc. as applicable):

SITE MEETING or BRIEFING SESSION:

Meeting Details:

Meeting Date: Meeting Time:

Meeting Place:

REQUIRED AT:

Province:

BID DETAILS:

TENDER BULLETIN FORM FOR SUBMITTING: - A NEW BID NOTICE or

AN ERRATUM NOTICE or A REGISTRY OF POTENTIAL SUPPLIERS NOTICE

FOR PUBLICATION IN THE GOVERNMENT TENDER BULLETIN

To submit a Cancellation or Finalisation notice, use TForm2, for a Results notice use TForm3, for a Response from Suppliers notice use TForm4

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87Page 2 of 2

TFORM 1

DOCUMENTS AVAILABLE FROM:

*Address:

Cost of Documents:

Payment Details:

Document Notes:

POST OR DELIVER DOCUMENTS TO:*Address:

Document Delivery Instructions:

SPECIFICATIONS / TECHNICAL CONTACT DETAILS:

Name:

Telephone: Fax Nr:

Email:

Office Hours:

BID CONTACT DETAILS:

Name:

Telephone: Fax Nr:

Email:

Office Hours:

Additional Notes:

BID SUBMITTED BY:

*Advertiser Name:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

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Tender Form 1 – Output to Gazette

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89Page 1 of 2

TENDER BULLETIN FORM FOR SUBMITTING CANCELLATION OR FINALISATION OF BID NOTICES FOR PUBLICATION IN THE

GOVERNMENT TENDER BULLETIN

TFORM 2

This form can be used for submitting either cancellation of tender invitation notices or finalisation of tender invitations. The form cannot be used for both options. Select the relevant option below and all bids listed on the form below will be categorised and published as either cancellations or finalised bids based on the option selected. If you need to submit both types of notices, then please submit two forms.

Maximum 10 cancellation or finalisation entries may be submitted on this form.

Cancellation Finalisation*Type of Tender Notice: (Select an option)

SUBMITTED BY:

*Advertiser Name:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

REQUIRED AT:

*Province:

*Department:

Division or Section:

LIST OF BIDS:

*01. Tender / Quotation No: Closing Date:

*Bid Description:

Contact Person: Contact Telephone:

02. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

03. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

This form continues on the next page. Maximum 10 cancellation or finalisation entries may be submitted on this form. If you need to submit more than 10 cancellation or finalisation entries please complete and submit on a second form

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90Page 2 of 2

TENDER BULLETIN FORM FOR SUBMITTING CANCELLATION OR FINALISATION OF BID NOTICES FOR PUBLICATION IN THE

GOVERNMENT TENDER BULLETIN

TFORM 2

LIST OF BIDS CONTINUED:

04. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

05. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

06. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

07. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

08. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

09. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

10. Tender / Quotation No: Closing Date:

Bid Description:

Contact Person: Contact Telephone:

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Tender Form 2 – Output to Gazette

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92Page 1 of 2

TENDER BULLETIN

FORM FOR SUBMITTING RESULTS OF TENDER INVITATIONS FOR PUBLICATION IN THE GOVERNMENT TENDER BULLETIN

TFORM 3

This form can be used for submitting the results of tender invitations. Maximum 6 Result entries may be submitted on this form.

Results of Tender Invitations✔*Type of Tender Notice:

SUBMITTED BY:

*Advertiser Name:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

DEPARTMENT AND BID CATEGORY DETAILS:

*Bid Category:

*Province:

*Department:

Division or Section:

LIST OF RESULTS OF TENDER INVITATIONS

*01. Tender / Quotation No:

*Bid Description:

*Awarded To:

Amount: Points Awarded:

02. Tender / Quotation No:

Bid Description:

Awarded To:

Amount: Points Awarded:

This form continues on the next page. Maximum 6 results entries may be submitted on this form. If you need to submit more than 6 results entries please complete and submit them on a second form

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93Page 2 of 2

TENDER BULLETIN

FORM FOR SUBMITTING RESULTS OF TENDER INVITATIONS FOR PUBLICATION IN THE GOVERNMENT TENDER BULLETIN

TFORM 3

LIST OF BIDS CONTINUED:

03. Tender / Quotation No:

Bid Description:

Awarded To:

Amount: Points Awarded:

04. Tender / Quotation No:

Bid Description:

Awarded To:

Amount: Points Awarded:

05. Tender / Quotation No:

Bid Description:

Awarded To:

Amount: Points Awarded:

06. Tender / Quotation No:

Bid Description:

Awarded To:

Amount: Points Awarded:

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Tender Form 3 – Output to Gazette

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95Page 1 of 2

TENDER BULLETIN

FOR SUBMITTING A RESPONSE FROM SUPPLIERS NOTICE FOR PUBLICATION IN THE GOVERNMENT TENDER BULLETIN

TFORM 4

To submit a New Bid use TForm1, for a Cancellation or Finalisation notice, use TForm2, for a Results notice use TForm3

SUBMITTED BY:

*Advertiser Name:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

BID CATEGORY DETAILS:

Bid Category:

*Province:

*Department:

Division or Section:

REQUIRED AT:

Response from Suppliers ✔*Type of Tender Notice:

Please use the next page to give the quotation/bid number and the list of suppliers/bidders who submitted responses

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96Page 2 of 2

TENDER BULLETIN

FOR SUBMITTING A RESPONSE FROM SUPPLIERS NOTICE FOR PUBLICATION IN THE GOVERNMENT TENDER BULLETIN

TFORM 4

TENDER RESPONSES FROM SUPPLIERS:

*Tender / Quotation No:

*Bid Description:

*List of Bidders/Suppliers that submitted bids:

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Tender Form 4 – Output to Gazette

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98Page 1 of 1

SPECIAL ADVERTISEMENT

FORM FOR SUBMITTING A SPECIAL ADVERTISEMENT IN THE TENDER BULLETIN

TFORM 5

SELECT THE TYPE OF TENDER NOTICE:

New Bid

Erratum

Registry of Potential Suppliers

Cancellation Notice for previously published bid advertisements

Results of Tender Invitations

Tender Invitations Finalised Responses from Suppliers

DETAILS OF BID OR QUOTATION:

*Bid Category:

*Province:

*Department:

Division or Section:

Use this form for submitting a notice in the Tender Bulletin which cannot be submitted on the normal form TForm1. Using this form requires that a ready to print electronic copy of the bid notice must be submitted with this form. This form serves as the cover letter the the content you want published. To submit a cancellation or finalisation notice, use TForm2, for a results notice use TForm3 and for Tender Response use TForm4

BID SUBMITTED BY:

*Advertiser Name:

Advertiser Email:

*Date Submitted: *Advertiser Telephone:

*For Publication in the Government Gazette on: Vir Publikasie in die Staatskoerant op: (CCYY-MM-DD)

Instructions for submitting a Tender Notice using TForm5: 1. One form per type of notice. Please do not mix notice types on one form. It will result in incorrect placement of your notice. 2. One form per Bid category. Please do not mix bid categories on one form, it wil result in incorrect placement of your notice. 3. Technical Specifications: Submit your notice in either MSWord document or a PDF document. Use font size: Font Arial 9 / Helvetica 9 Margins: Top = 40mm LH/RH = 16mm Bottom = 20 mm 4. Prepare your tender notice as per the technical specification above and save it. 5. Complete this form and save it as a separate document. 6. Compile an email and attach the form and the tender notice that you have completed, as separate documents, to the email. 7. Send the email to Government Printers for publication in the Tender bulletin.

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Tender Form 5 – Output to Gazette

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