Lower Gardens CID Application - Consent / Objection Form

Lower Gardens CID

LOWER GARDENS CITY IMPROVEMENT DISTRICT NPC Registration No.: 2025/238993/08
APPLICATION FOR ADMISSION OF MEMBERSHIP BY A JURISTIC PERSON / OTHER BODY
To the Board of the Lower Gardens City Improvement District NPC, Insert name of Juristic Person/Other Body*, hereby applies for membership and to be entered into the NPC's Membership Register.
General Note on Information
Under the Companies Act, the Members’ Register must contain the following information in respect of each member: (a) name; (b) business, residential or postal address; (c) email address (unless person has declined to provide an email address); and (d) an identifying number unique to that person (e.g. a RSA ID number).

However, the Lower Gardens City Improvement District NPC will keep your unique identity number and email address provided confidential when any member or outside third party requests access to the Members’ Register under the Companies Act, unless you give your written consent.
Details of Juristic Person / Other Body
Type of Juristic Person / Body:
Name of Juristic Person / Body:
Registration No. (if any):
Physical Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal Address (if different):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
NOTE: Where the body’s physical address differs from its postal address, only its postal address will be recorded in the Members’ Register.
Website address (if any):
Details of Representatives
Representative:*

First NameLast Name
Designation:*
ID number:*
Contact Details of Representative:
Business Tel:

Country CodeArea CodePhone Number
Fax:

Country CodeArea CodePhone Number
Cell Number:*

Country CodeArea CodePhone Number
Email address:*
example@example.com
Notices and communication needs to be addressed to the (tick appropriate box):

The email addressThe physical addressThe postal address
Details of Property

The aforesaid body is the registered owner/ co-owner (strike through whichever is not applicable), of the following property located within the Lower Gardens City Improvement District. *

	Erf number	Physical Address of property
1
2
3
4
5
6

Warranty by Signatory

I am the authorised signatory of the abovementioned juristic person/ body (by resolution or letter of authorisation, a copy of which is attached hereto), and warrant that I have the necessary authority to apply for membership of the Lower Gardens City Improvement District NPC.
Name:*

First NameLast Name
Email address:*
example@example.com
ID number:*
(Note: your identity number will be kept confidential and not disclosed to third parties, without your written consent).
Signed at*
On*

DayMonthYear
Date
Signature:*

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Lower Gardens CID

Details of Juristic Person / Other Body

Details of Representatives

Details of Property

Warranty by Signatory