Application for FPB license

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 an FPB license

The Board may refuse to process your submission if this form is not completed in all details

Section 18(1)(a) and/ Section 27A(1) of the Film and Publications Act 65 of 1996, as amended

NB: Must have a 2H license issued by the municipality

TYPE OF LICENSE:

Please provide registration number

Applicant/Owner

South African ID Validation Enter South African ID Number:

Contact Details

Postal Address (Where license will be posted)

Postal code

Tel

Fax

e-mail

Cell

Contact Person

Business Information

Business Name (if different to applicant name)

Address (Physical Address where business is carried out)

Province

Tax Ref. No

Nature of Business

Documents Required NB: VALIDITY OF CERTICICATE WILL BE CONFIRMED WITH SARS

Certified copy of valid tax clearance certificate

CIPRO Certificate

Proof of payment of applicable fees

2(H) License (Only for distributors of Adult Material)

NB: NO LICENSE WILL BE ISSUED WITHOUT ALL REQUIRED DOCUMENTS

Comments (Office use)

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