Application for Re-classification of a Film, Game or Publication

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 Re-classification of a Film, Game or Publication in terms of section 18J subsection
(1) and (2) of the Film and Publications Act, 65 of 1996 as amended (Act)
[Regulation 10]

ERMS / OCR REF. NO. (Office Use)

DATE OF APPLICATION

DATE RECEIVED (Office use)

APPLICANT

TITLE FOR RE-CLASSIFICATION

FILM / PUBLICATION FORMAT:

GAME FORMAT:

Attach the reasons for requesting the re-examination and reclassification of the publication, film or game, with reference where applicable to the portion/s of the content forming the subject of the report.

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

FOR FPB OFFICE USE:

DATE OF PREVIOUS CLASSIFICATION

CERTIFICATE NUMBER

PREVIOUS CLASSIFICATION AND CONSUMER ADVICE

FORMAT

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