Prevention of Organised Crime Act, 1998 (Act No. 121 of 1998)

I,

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Being the/acting as

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designated as contemplated in regulation 2 of the Prevention of Organised Crime Regulations,

1991, hereby acknowledge receipt of the following report(s):

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Made in terms of section 7 of the Prevention of Organised Crime Act, 1998 (Act 121 of 1998),

by ........................................................................................................... in his / her capacity as

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I also acknowledge receipt of copies of the following documentation which accompanied the

report(s):

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Signed at ........................................... this ...................... day of .................................

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(Signature of person making the report)