IN TERMS OF SECTION 45 OF THE MPUMALANGA LIQUOR LICENCING ACT, 2006
| 1 | Name of the License Holder | Snoyee Liquor Store and Trading (Pty) Ltd |
|---|---|---|
| 2 | License Number | 9-2-1-09029 |
| 3 | Mobile Number | Not Applicable |
| 4 | E-Mail Address | freedom@licentia.co.za |
| 5 | Full Names | |
|---|---|---|
| 6 | ID Number (attach a copy) | |
| 7 | Are you an unrehabilitated insolvent? | |
| 8 | Are you the subject of a court order declaring you a person of unsound mind/ mentally disordered/ mentally defective? | |
| 9 | Have you been convicted of contravening the Mpumalanga Liquor Licensing Act, 2006 for the past three years? | |
| 10 | Have you been convicted of an offence inconsistent with the object of the Mpumalanga Liquor Licensing Act, 2006 for the past three years? | |
| 11 | Details if the response to any of questions 7, 8, 9, or 10 was “Yes”: | |
|---|---|---|
| 12 | Signature | |
|---|---|---|
| 13 | Date | |
| 14 | Is this a compulsory appointment of a Manager by a juristic person? | |
|---|---|---|
| 15 | Is this a voluntary appointment of a Manager by a sole proprietor? | |
| 16 | Does this appointment replace a previous Manager? (If Yes, provide the name or reference number of the previous Manager): | |
| 17 | Name of the person appointing the Manager (if not the Licence Holder): | |
| 18 | Do you have the authority to appoint Managers and terminate services of Managers on behalf of the Licence Holder? | |
| 19 | Signature | |
| 20 | Date | |
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