APPLICATION FOR RENEWAL OF DEALER’S LICENCE OR INVESTMENT ADVISER’S LICENCE
Application is hereby made for the renewal of a Dealer’s/an Investment Adviser’s* licence and the following statements are made in respect of the applicant:
1. (a) Applicant’s name:
(b) Expiry date of licence:
(c) Licence No.:
2. Where the applicant is a company to complete the following: (Answer “Yes” or “No” in space provided. If “Yes” attach annexures giving all relevant particulars.)