No. 2532

Government Gazette 17 May 2001

53

ANNEXURE B
NOTIFICATION OF APPOINTMENT OR ELECTION OF SENIOR
TRADITIONAL COUNCILLOR OR TRADITIONAL COUNCILLOR
I ....................................................................................................*Chief/Head
of the Traditional Community of........................................................................
on....................................................................at..................................................
have under section 10(1) of the Traditional Authorities Act, 2000, *appointed
/ caused to be elected as *Senior Traditional Councillor/Traditional
Councillor:
Surname: ..................................................First Name: ......................................
Citizenship: .............................................. Id.: ..................................................
Date of birth:............................................ Sex:. ................................................
Office and traditional title (if any)......................................................................
Address of Traditional Authority
..................................................................
..................................................................
..................................................................
..................................................................
I ...................................................................................... declare that the above
information is, to the best of my knowledge and belief correct.
....................................................................................................................
*Signature/Thumb print of *Chief/Head of the Traditional Community
*Delete whichever is not applicable

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