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 page 53

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