50 Government Gazette 17 May 2001 No. 2532 Surname: ..................................................First Name:...................................... Citizenship: ..............................................Id.: .................................................. Date of birth: ............................................Sex:. ................................................ Office and traditional title (if any)...................................................................... 7. Give the reason for the proposed designation:............................................ 8. Give a summary of the customary law applicable in the Traditional Community in respect of the designation of a *Chief/Head of the Traditional Community: .................................................................................................................... .................................................................................................................... I.............................................................................................. declare that the above information is, to the best of my knowledge and belief, correct. Signed this day ....................of .............................at..................................... .......................................................... Signature of applicant *Delete whichever is not applicable. page 50 .................................................. Title of applicant