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Companies Tribunal Republic of South Africa Application for Relief Form CTR 142 About this Form Date From Insert name of Applicant This form is issued in terms of section 180 to 184 of the Companies Act 2008 and Regulation 145 of the Companies Regulations 2011. Hearings of the Companies Tribunal are governed by Companies Act and Chapter 7 Part D of the This Application and the affidavit in support of it must be served on each respondent within business days after it is filed* Each respondent named in the Application has the right to file an Answer within 20 served* It is an offense in terms of section 215 of the Companies Act to refuse to attend when summoned or when attending to refuse to answer any question or produce any document or to knowingly provide false information to the Tribunal* To The Companies Tribunal and Name registration number and address of respondent s. Use additional sheet if required Reg No Address Concerning Name and Registration number of Company or Date and Number of Commission Notice as the case may be The Applicant requests that the Tribunal grant the following relief Insert the relief or order sought For the following reasons Insert a concise statement of the circumstances and the particulars of the request Contacting the Tribunal In support of this Application the applicant has attached an affidavit setting out the facts on Africa which the Applicant relies. Address Pretoria Tel 27 0 11 642 1301 Fax www. Name and Title of person signing on behalf of Applicant Authorised Signature This form is prescribed by the Minister of Trade and Industry in terms of section 223 of the Companies Act 2008 Act No* 71 of 2008. Hearings of the Companies Tribunal are governed by Companies Act and Chapter 7 Part D of the This Application and the affidavit in support of it must be served on each respondent within business days after it is filed* Each respondent named in the Application has the right to file an Answer within 20 served* It is an offense in terms of section 215 of the Companies Act to refuse to attend when summoned or when attending to refuse to answer any question or produce any document or to knowingly provide false information to the Tribunal* To The Companies Tribunal and Name registration number and address of respondent s. Use additional sheet if required Reg No Address Concerning Name and Registration number of Company or Date and Number of Commission Notice as the case may be The Applicant requests that the Tribunal grant the following relief Insert the relief or order sought For the following reasons Insert a concise statement of the circumstances and the particulars of the request Contacting the Tribunal In support of this Application the applicant has attached an affidavit setting out the facts on Africa which the Applicant relies. Use additional sheet if required Reg No Address Concerning Name and Registration number of Company or Date and Number of Commission Notice as the case may be The Applicant requests that the Tribunal grant the following relief Insert the relief or order sought For the following reasons Insert a concise statement of the circumstances and the particulars of the request Contacting the Tribunal In support of this Application the applicant has attached an affidavit setting out the facts on Africa which the Applicant relies. Address Pretoria Tel 27 0 11 642 1301 Fax www. Name and Title of person signing on behalf of Applicant Authorised Signature This form is prescribed by the Minister of Trade and Industry in terms of section 223 of the Companies Act 2008 Act No* 71 of 2008. .

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