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1 Disclaimer: This sample completed form does not necessarily cover all scenarios that are catered for by the form. Vuhamaba John Doe Ground View Street, Merryville 123 Ground View Street, Merryville Special Licence (Accommodation) (on-consumption) All kinds of liquor SAMPLE JD Guest House 123 Jonas Street, Allenview, Mphahlele Limpopo JD Advertisers (Pty) Ltd 123 Strong View, Midroed, Polokwane ( )

2 Disclaimer: This sample completed form does not necessarily cover all scenarios that are catered for by the form. Vuhamaba SAMPLE Limpopo

3 XXX Trade and Industry, Department of Liquor Act (1989): Notice of Applications for Liquor Licenses: STAATSKOERANT, 22 MEI 2015 No. 1 Form 2 Vorm 2 GENERAL NOTICES ALGEMENE KENNISGEWINGS NOTICE XXX LIQUOR ACT (1989): OF 2015 DEPARTMENT OF TRADE AND INDUSTRY LIQUOR ACT, 1989 NOTICE OF APPLICATIONS FOR LIQUOR LICENSES Notice is hereby given that the applicants specified in the Schedule hereto have given notice of their intention to lodge applications for liquor licences in respect of premises situated in the districts indicated in the Schedule The applications concerned may, up to and including the last date on which an objection against or representations or a petition in support of such applications may be lodged in terms of the regulations, upon request and free of charge, be inspected by any person at the office of the magistrate of the district from which they emanate SCHEDULE The undermentioned figures used in brackets in the Schedule, have the following meanings: (1) = Full name, street and postal address of applicant. (2) = Kind of licence applied for. (3) = Kind of liquor to be sold. (4) = Name under which business is to be conducted and full address of premises. (5) = Determination, consent, approval or authority applied for (see regulation 5). KENNISGEWING XXX DRANKWET (1989): VAN 2015 DEPARTEMENT VAN HANDEL EN NYWERHEID DRANKWET, 1989 KENNISGEWING VAN AANSOEKE OM DRANKLISENSIES Kennis word hierby gegee dat die aansoekers in die Bylae hierby gespesifiseer, kennis gegee het van hulle voorneme om aansoeke om dranklisensies in te dien ten opsigte van persele geleë in die distrikte wat in die Bylae aangedui is Die betrokke aansoeke kan tot en met die laaste dag waarop n beswaar teen of vertoë of n petisie ter ondersteuning van sodanige aansoeke ingevolge die regulasies ingedien kan word, op versoek gratis deur enige persoon by die kantoor van die landdros van die distrik van waar sodanige aansoeke afkomstig is, ondersoek word BYLAE Onderstaande syfers, wat tussen hakies in die Bylae gebruik word, het die volgende betekenisse: (1) = Volledige naam, straat- en posadres van aansoeker. (2) = Soort lisensie waarvoor aansoek gedoen word. (3) = Soort drank wat verkoop sal word. (4) = Naam waaronder besigheid gedoen sal word en volledige adres van perseel. (5) = Bepaling, toestemming, goedkeuring of magtiging waarom aansoek gedoen word (sien regulasie 5). VUHAMABA LIMPOPO VUHAMABA (1) John Doe, ( ), 123 Ground View Street, Merryville, 123 Ground View Street, Merryville. (1) John Doe, ( ), 123 Ground View Street, Merryville, 123 Ground View Street, Merryville. (2) Special Licence (Accommodation) (on-consumption). (2) Special Licence (Accommodation) (on-consumption). (3) All kinds of liquor. (3) All kinds of liquor. (4) JD Guest House, 123 Jonas Street, Allenview, Mphahlele. (4) JD Guest House, 123 Jonas Street, Allenview, Mphahlele. (5) Approval. (5) Approval. This gazette is also available free online at

4 RESTRICTED 1. Form Completion Rules Government Printing Works has implemented rules for completing and submitting the electronic Adobe Forms when you, the customer, submits your notice request. Please take note of these guidelines when completing your form. No. Rule Description Explanation/example 1. All forms must be completed in the chosen language. 2. All forms must be completed in sentence case, i.e. No fields should be completed in all uppercase 3. No single line text fields should end with any punctuation, unless the last word is an abbreviation 4. Multi line fields should not have additional hard returns at the end of lines or the field itself 5. Grid fields (Used for dates, ID Numbers, Telephone No., etc.) 6. Copy/Paste from other documents/text editors into the text blocks on forms. GPW does not take responsibility for translation of notice content e.g. The company is called XYZ Production Works e.g. Pty Ltd., e.g. Do not end an address field, company name, etc. with a period (.) comma (,) etc. This causes unwanted line breaks in the final output, e.g. Do not type as: 43 Bloubokrand Street Putsonderwater 1923 Text should be entered as: 43 Bloubokrand Street, Putsonderwater, 1923 Date fields are verified against format CCYY- MM-DD Time fields are verified against format HH:MM Telephone/Fax Numbers are not verified and allow for any of the following formats limited to 13 characters: including brackets, hyphens, and spaces o o (012) o (012) Avoid using this option as it carries the original formatting, i.e. font type, size, line spacing, etc. Do not include company letterheads, logos, headers, footers, etc. in text block fields.

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Disclaimer: This sample completed form does not necessarily cover all scenarios that are catered for by the form. SAMPLE

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