EGazette Sample Forms

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eGazette Sample formsGovernment Printing WorkseGazetteVersion 1.0

RESTRICTEDTABLE OF CONTENTSLegal A GazettesBusiness Notice – Form BUSNOT. 4Business Notice – Output to Gazette. 6Company Notice – Form CNOT. 7Company Notice – Output to Gazette. 9Court Order – Form COHC. 10Court Order – Output to Gazette. 12General Legal Notice – Form GNOT. 13General Legal Notice – Output to Gazette. 15Liquidators Notice – Form LNOT. 16Liquidators Notice – Output to Gazette. 17Insolvency Form 1 – Form 1. 18Insolvency Form 1 – Output to Gazette. 19Insolvency Form 2 – Form 2. 20Insolvency Form 2 – Output to Gazette. 22Insolvency Form 3 – Form 3. 23Insolvency Form 3 – Output to Gazette. 24Insolvency Form 4 – Form 4. 25Insolvency Form 4 – Output to Gazette. 26Insolvency Form 5 – Form 5. 27Insolvency Form 5 – Output to Gazette. 28Insolvency Form 6 – Form 6. 29Insolvency Form 6 – Output to Gazette. 31Insolvency Form 7 – Form 7. 32Insolvency Form 7 – Output to Gazette. 33Insolvency Form 8 – Form 8. 34Insolvency Form 8 – Output to Gazette. 35Insolvency Form 9 – Form 9. 36Insolvency Form 9 – Output to Gazette. 38J28 – Form J28. 39J28 – Output to Gazette. 40J29 – Form J29. 41J29 – Output to Gazette. 43J29 CC – Form J29-CC. 44J29 CC – Output to Gazette. 45J158 – Form J158. 46J158 – Output to Gazette. 47J187 – Form J187. 48J187 – Output to Gazette. 491

RESTRICTEDJ193 – Form J193. 50J193 – Output to Gazette. 51J295 – Form J295. 52J295 – Output to Gazette. 53J297 – Form J297. 54J297 – Output to Gazette. 55Legal B GazettesNotice of Public Auction – Form PAUC. 58Notice of Public Auction – Output to Gazette. 60Notice of Sale in Execution – Form ESGV. 61Notice of Sale in Execution – Output to Gazette. 63Liquor GazettesGauteng Liquor Application – Form 2. 66Gauteng Liquor Application – Output to Gazette. 68National Liquor Application – Form 2. 69National Liquor Application – Output to Gazette. 71National Liquor Transfer – Form 13. 72National Liquor Transfer – Output to Gazette. 74Northern Cape Liquor Application – Form 2. 75Northern Cape Liquor Application – Output to Gazette. 77Northern Cape Liquor Transfer – Form 10. 78Northern Cape Liquor Transfer – Output to Gazette. 80National and Provincial GazettesZ95 – Form Z95. 82Z95 Provincial – Form Z95-PROV. 83Tender BulletinTender Form 1 – TForm 1. 86Tender Form 1 – Output to Gazette. 88Tender Form 2 – TForm 2. 89Tender Form 2 – Output to Gazette. 91Tender Form 3 – TForm 3. 92Tender Form 3 – Output to Gazette. 94Tender Form 4 – TForm 4. 95Tender Form 4 – Output to Gazette. 97Tender Form 5 – TForm 5. 98Tender Form 5 – Output to Gazette. 992

Legal A Gazettes3

BSNOTBusiness NoticeTransfer in terms of a contract of businessNotice is hereby given in terms of section 34(1) of the Insolvency Act, No. 24 of 1936, to interested parties and creditors of the intended transferin terms of a contract of businesses, and/or goodwill, goods or property forming part of businesses, after a period of 30 days from the lastpublication of the relevant advertisements.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*1. Township or District, Division or County / Dorpsgebied of Distrik, Afdeling, County:*2. Seller or Trader or Partnership / Verkoper of Handelaar of Vennootskap:*3. Business or Trade, Kind, Name and/or Style, and the Address at which carried on:Besigheid of Handel, Soort, Naam en/of Styl, en Adres waar gedryf:*4. Purpose and intent (alienation, sale, abandonment, change or dissolution of partnership, removal or change of address, change of name,cancellation of sale, etc.); Conditions, and Date or Period of time if other than 30 days:Doel en Voorneme (vervreemding, verkoop, oorgawe, verandering of ontbinding van vennootskap, verhuising of adresverandering,naamverandering, kansellasie van verkoop, ens.); Voorwaardes, en Datum of Tydperk indien anders as 30 dae:#Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.Page 1 of 24

BSNOTBusiness NoticeTransfer in terms of a contract of business*5. Purchaser, New Proprietor and/or Owner or Partner, or Contracting Party:Koper, Nuwe Besitter en/of Eienaar of Vennoot, of Kontrakterende Party:6. Business and Address, if other than under (3); Notes, Comments:Besigheid en Adres, indien anders as onder (3); Opmerkings, Kommentaar:*7. Advertiser and/or Agent, Address and Date / Adverteerder en/of Agent, Adres en Datum:*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*Advertiser Telephone:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:(CCYY-MM-DD)Page 2 of 25

Business Notice – Output to Gazette6

CNOTCOMPANY NOTICE* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*Name of Company or Close Corporation(CC) / Naam van Maatskappy or Beslote Korporasie(BK):Registration Number of Company or CC:Registrasienommer van Maatskappy of BK:Masters Reference Number:Meestersverwysingsnommer:*Heading for the Notice / Opskrif vir die Kennisgewing:*Notice Body / Kennisgewing Inhoud:#Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.Page 1 of 27

CNOTCOMPANY NOTICE*Company Name of Advertiser / Maatskappy van Adverteerder:Name of Advertiser / Naam van Adverteerder:*Address of Advertiser / Adres van Adverteerder:Email Address of Advertiser / Eposadres van Adverteerder:*Advertiser Telephone:Adverteerder Telefoon:*Date Submitted:Datum Ingedien:Advertiser Fax:Adverteerder Faks:(CCYY-MM-DD)*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:(CCYY-MM-DD)Page 2 of 28

Company Notice – Output to Gazette9

COHCOrder Of The CourtHofbevel* Mandatory Fields / Verpligte Velde1. Case Number / Saaknommer:*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Afrikaans #*Case Number:Saaknommer:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Annexure:Bylae:P/H or Docex Nr:P/H of Docex No:2. Court / Hof:*Type of Court / Tipe Hof:*Division of the High Court e.g. NORTH GAUTENG HIGH COURT, Pretoria / Afdeling van die Hof bv. NOORD GAUTENG HOË HOF, Pretoria:3. Date and Judge / Datum en Regter:*Dated at:Gedateer e e.g. before the Honourable Judge Judgename / Regter bv. voor Sy Edele Regter Regter se Naam :4. Matter and Parties / Saak en Partye:*Matter description: e.g. In the matter between: / Saak beskrywing: bv. In die saak tussen:*Full name(s) of Applicant(s) or Plaintiff(s) / Volle Name van Applikant(e) of Eiser(s):Full name(s) of Respondent(s) or Defendant(s) / Volle Name van Respondent(e) of Verweerder(s):In re / In re:5. Additional Heading / Addisionele Opskrif:Any other text to be published as Heading for the Court Order / Enige ander teks om as Opskrif te publiseer bo-aan die Hofbevel:This form continues on the next page / Hierdie vorm vervolg op die volgende bladsy#Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.Page 1 of 210

COHCOrder Of The CourtHofbevel*Details of the Court Order / Inhoud van die Hofbevel:*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*Advertiser Telephone:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:(CCYY-MM-DD)Page 2 of 211

Court Order – Output to Gazette12

GNOTGENERAL NOTICEFor placement of a general Legal Notice in the Government Gazette* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Afrikaans #Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.1. Case or Application related information - only complete this section if your notice refers to a court case or applicationSaak of Aansoek verwante inligting - voltooi hierdie gedeelte slegs indien u kennisgewing verwys na 'n hofsaak of aansoekCase Number or Application Number:Saaknommer of Aansoeknommer:Type of Court:Tipe Hof:The name of the Court by which the order was given e.g. Gauteng Division, Pretoria OR The District of Pretoria held at Pretoria:Die naam van die hof waaruit die bevel gegee is: bv. Gauteng Afdeling, Pretoria OF Die Distrik Pretoria gehou te Pretoria:Matter description: e.g. In the matter of / Saak beskrywing: bv. In die saak tussen:Full name(s) of Applicant(s) or Plaintiff(s) / Volle Name van Applikant(e) of Eiser(s):Full name(s) of Respondent(s) or Defendant(s) / Volle Name van Respondent(e) of Verweerder(s):In re / In re:This form continues on the next page - please complete all relevant sectionsHierdie vorm vervolg op die volgende bladsy - voltooi asseblief alle dele wat van toepassing is#Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.13

GNOTGENERAL NOTICEFor placement of a general Legal Notice in the Government Gazette2. Heading and the Content of the notice / Opskrif en Inhoud van die kennisgewing:*Heading for the Notice / Opskrif van die kennisgewing:*Content of the General Notice / Inhoud van die Algemene Kennisgewing:*Name of Advertiser / Naam van Adverteerder:*Address of Advertiser / Adres van Adverteerder:Email Address of Advertiser / Eposadres van Adverteerder:*Advertiser Telephone:Adverteerder Telefoon:*Date Submitted:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:14Advertiser Fax:Adverteerder Faks(CCYY-MM-DD)(CCYY-MM-DD)

General Legal Notice – Output to Gazette15

LNOTLIQUIDATOR'S AND OTHER APPOINTEES' NOTICENotices by liquidators and other appointees such as executors, judicial managers, trustees,curators or tutors, of appointments, meetings, accounts, claims, leave of absence, releases, etc.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Afrikaans #Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.*Name of Company or Close Corporation(CC) / Naam van Maatskappy or Beslote Korporasie(BK):Registration Number of Company or CC:Registrasienommer van Maatskappy of BK:Masters Reference Number:Meestersverwysingsnommer:*Heading for the Notice / Opskrif vir die Kennisgewing:*Notice Body / Kennisgewing Inhoud:*Name of Advertiser / Naam van Adverteerder:*Address of Advertiser / Adres van Adverteerder:Email Address of Advertiser / Eposadres van Adverteerder:Advertiser Fax:Adverteerder Faks*Advertiser Telephone:Adverteerder Telefoon:*Date Submitted:Datum Ingedien:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:#16(CCYY-MM-DD)(CCYY-MM-DD)Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.

Liquidators Notice – Output to Gazette17

FORM 1FORM 1APPOINTMENT OF TRUSTEES AND LIQUIDATORS AND PROOF OF CLAIMS INSEQUESTRATED ESTATES OR COMPANIES BEING WOUND UPPursuant to sections 40 (3), 56 (3) and 77 of the Insolvency Act, 1936 and sections 339, 366, 375 (5) (b) and 402 of the CompaniesAct, 1973, notice is hereby given that the persons mentioned below have been appointed trustees or liquidators, as the case maybe, and the persons indebted to the estates or companies are required to pay their debts to them forthwith unless otherwiseindicated.Meetings of creditors or contributories of the said estates or companies will be held on the dates and at the times and placesmentioned below, for proof of claims against the estates or companies, for the purpose of receiving the trustees' or liquidators'reports as to the affairs and conditions of the estates or companies and for giving the trustees or liquidators directionsconcerning the sale or recovery of any parts of the estates or assets of the companies or concerning any matter relating to theadministration thereof. Meetings in a place in which there is a Master's Office, will be held before the Master; elsewhere they willbe held before the Magistrate.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*Estate Number or Company Number:Boedelnommer of Maatskappynommer:Insolvent Estate or Company In Liquidation:Insolvente Boedel of Maatskappy In Likwidasie:*Full Name of Estate/Company / Volle Naam van Boedel of Maatskappy:ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:*Name of Trustee or Liquidator / Naam van Kurator of Likwidateur:*Address of Trustee or Liquidator / Adres van Kurator of Likwidateur*Date of Meeting:Datum van Byeenkoms:CCYY-MM-DD*Time of Meeting:Tyd van Byeenkoms:*Place of Meeting / Plek van Byeenkoms:Period within which debt must be paid if not to be done forthwith:Tydperk waarin skuld betaal moet word, indien dit nie onmiddellik moet geskied nie:*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:#18*Advertiser Telephone:(CCYY-MM-DD)Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.HH:MM

Insolvency Form 1 – Output to Gazette19

FORM 2FORM 2MEETING OF CREDITORS IN SEQUESTRATED ESTATES OR COMPANIES BEINGWOUND UPPursuant to sections 41 and 42 of the Insolvency Act of 1936 and sections 339 and 366 of the Companies Act of 1973, notice ishereby given that a meeting of creditors will be held in the sequestrated estates or companies being wound up mentionedbelow on the dates, at the times and places and for the purposes therein set forth. Meetings, in a place in which there is aMaster's Office, will be held before the Master; elsewhere they will be held before the Magistrate.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*Estate Number or Company Number:Boedelnommer of Maatskappynommer:Insolvent Estate or Company In Liquidation:Insolvente Boedel of Maatskappy In Likwidasie:*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:*Date of Meeting:Datum van Byeenkoms:CCYY-MM-DD*Time of Meeting:Tyd van Byeenkoms:HH:MM*Place of Meeting / Plek van Byeenkoms:*Purpose of Meeting / Doel van Byeenkoms:For an Annexure or additional information that does not fit on this page, please use the next page.Vir 'n Aanhangsel of addisionele inligting wat nie op hierdie bladsy pas nie, gebruik asb die volgende bladsy.*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*Advertiser Telephone:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:#CCYY-MM-DDLanguage chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.Page 1 of 220

FORM 2FORM 2MEETING OF CREDITORS IN SEQUESTRATED ESTATES OR COMPANIES BEINGWOUND UPAnnexures or Additional Information / Aanhangsels of Addisionele Inligting:Page 2 of 221

Insolvency Form 2 – Output to Gazette22

FORM 3FORM 3EXTENSION OF TIME WITHIN WHICH TO LODGE LIQUIDATION ACCOUNTS AND PLANSOF DISTRIBUTION OR CONTRIBUTION IN SEQUESTRATED ESTATES OR COMPANIES BEING WOUND UPPursuant to sections 109 (1) of the Insolvency Act of 1936, and section 404 of the Companies Act of 1973, notice is hereby giventhat after the expiration of a period of 14 days as from the date of publication hereof, it is the intention of the trustees orliquidators, as the case may be, of the sequestrated estates or companies being wound up mentioned below, to apply to therespective Masters for an extension of time, as specified below, within which to lodge liquidation accounts and plans ofdistribution or contribution.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Afrikaans #Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.*Estate Number or Company Number:Boedelnommer of Maatskappynommer:Insolvent Estate or Company In Liquidation:Insolvente Boedel of Maatskappy In Likwidasie:*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:*Name of Trustee or Liquidator / Naam van Kurator of Likwidateur:*Address of Trustee or Liquidator / Adres van Kurator of Likwidateur:*Date of Appointment of Trustee or Liquidator:Datum van Aanstelling van Kurator of Likwidateur:(CCYY-MM-DD)*Date when Account Due:Datum wanneer rekening ingedien moet word:(CCYY-MM-DD)*Period of Extension Required:Termyn van Verlangde Verlenging:*Master's Office where application will be made / Meesterskantoor waar aansoek ingedien sal word:*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:#*Advertiser Telephone:(CCYY-MM-DD)Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.23

Insolvency Form 3 – Output to Gazette24

FORM 4FORM 4LIQUIDATION ACCOUNTS AND PLANS OF DISTRIBUTION OR CONTRIBUTION INSEQUESTRATED ESTATES OR COMPANIES BEING WOUND UPPursuant to section 108 (2) of the Insolvency Act, 1936 and section 406 (3) of the Companies Act, 1973, notice is hereby giventhat the liquidation account and plans of distribution or contribution in the estates or the companies mentioned below will lieopen for inspection by creditors or contributories at the offices of the Masters and the Magistrates stated therein, for a period of14 days, or for such a period as stated therein, from the dates mentioned below or from the date of publication hereof,whichever may be the later date.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*Estate Number or Company Number:Boedelnommer of Maatskappynommer:Insolvent Estate or Company In Liquidation:Insolvente Boedel of Maatskappy In Likwidasie:*Full Name of Estate or Company / Volle Naam van Boedel of Maatskappy:ID Number(s) or Company Registration Number / Identiteitsnommer(s) of Registrasienommer van Maatskappy:*Description of Account / Beskrywing van Rekening:Account for Inspection at / Rekening ter Insae by:*Master's Office / Meesterskantoor:*Magistrate's Office / Landdroskantoor:(CCYY-MM-DD)Date (if later than date of publication) / Datum (indien later as publikasiedatum):Period (if longer than 14 days) / Periode (indien langer as 14 dae):*Advertiser Name:Advertiser Address:Advertiser Email:*Date Submitted:*For Publication in the Government Gazette on:Vir Publikasie in die Staatskoerant op:#*Advertiser Telephone:(CCYY-MM-DD)Language chosen will be used for formatting of date fields and standing text. It does not imply that the notice content will be translated.Die taal hier gekies, word slegs gebruik om datum formaat en staande teks te bepaal. Dit impliseer nie vertaling van gegewe teks nie.25

Insolvency Form 4 – Output to Gazette26

FORM 5FORM 5PAYMENT OF DIVIDENDS AND COLLECTION OF CONTRIBUTIONS INSEQUESTRATED ESTATES OR COMPANIES BEING WOUND UPThe liquidation accounts and plans of distribution or contribution in the sequestrated estates or companies being wound up, asthe case may be, mentioned below having been confirmed on the dates therein mentioned, notice is hereby given, pursuant tosection 113 (1) of the Insolvency Act, 1936 and section 409 (2) of the Companies Act, 1973, that dividends are in the course ofpayment or contributions are in the course of collection in the said estates or companies as set forth below and that everycreditor liable to contribution is required to pay the trustee or liquidator the amount for which he is liable at the addressmentioned below.* Mandatory Fields / Verpligte Velde*Notice Language:Taal van kennisgewing:English #*Province:Provinsie:Province under which this notice will be grouped in the gazette.Provinsie waaronder kennisgewing in die staatskoerant verskyn.Afrikaans #*Estate Number or Company Number:Boedelnommer of Maatskappynommer:Insolvent Estate or Company In Liquidation:Insolvente Boedel of Maatskappy In Likwidasie

5 Page 2 of 2 Business Notice Transfer in terms of a contract of business BSNOT *5.Purchaser, New Proprietor and/or Owner or Partner, or Contracting Party: Koper, Nuwe Besitter en/of Eienaar of Vennoot, of Kontrakterende Party: 6.Business and Address, if other than under (3); Notes, Comments: Besigheid en Adres, indien anders as onder (3); Opmerkings, Kommentaar:

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