FORM E
Application for an amendment of a license in terms of section 23 of the Petroleum
Pipelines Act, 2003 (Act No. 60 of 2003)
INSTRUCTIONS
1. Before completing this form, you are advised to read the following documents: (a)the Petroleum Pipelines Act, 2003 (Act No. 60 0f 2003) and its Regulations; and (b) the Rules made in terms of the Petroleum Pipelines Act, specifically rule
2. Please note that this form has five sections (A, B, C, D & E). An applicant must provide all information and supporting documentation required. Incomplete applications will not be accepted.
3. The completed form with supporting documentation must be delivered to the Energy Regulator:
(a) by registered mail to: P O Box 40343, Arcadia 0007; or
(b) by hand at: Kulawula House, 526 Madiba Street, Arcadia, Pretoria; or
(c) electronically to pipelines@nersa.org.za; or
(d) by fax to 012 401 4700
4. If you want to request the confidential treatment of certain information in your application, you must make the request in accordance with Rule 4 of the Rules
made in terms of the Petroleum Pipelines Act.
Enquiries:
Contact: Executive Manager: Petroleum Pipelines Regulation
Contact no.: (012) 401 4600
Fax no.: (012) 401 4700