Application for Classification of Films and Publications

Film and Publication Board

Private Bag X31, Highveld, 0149
Eco Glades 2, 420 Witch Hazel Avenue, Eco Park, Centurion

Tel: 0800 000 555 e-mail: clientsupport@fpb.org.z

Application for Classification of Films and Publications in terms of section 18(1) of the Films and
Publications Act, 65 of 1996 as amended
[Regulation 10]

ERMS / OCR REF. NO. (Office Use)

DATE OF APPLICATION

DATE RECEIVED (Office use)

APPLICANT

TITLE (for distribution/exhibition)

HOME ENTERTAINMENT FORMAT:

PUBLIC ENTERTAINMENT FORMAT:

DECLARATION: I declare and confirm that the highest impact release format (eg. 2D, 3D, etc) for the above title is:

RUNNING-TIME IN MINUTES (Excl VAM)

VALUE ADDED MATERIAL (VAM)

TOTAL RUNNING TIME

GENRE

DIRECTOR

CAST

LANGUAGE

SUB-TITLED LANGUAGE

PRODUCTION

IF INTERNATIONAL, NAME OF COUNTRY

CONTACT PERSON

TEL

E-MAIL

POSTAL ADDRESS

POSTAL CODE

FOR FPB OFFICE USE:

DATE OF PREVIOUS CLASSIFICATION

CERTIFICATE NUMBER

PREVIOUS CLASSIFICATION AND CONSUMER ADVICE

FORMAT

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