S39 P.O. Box 1976 Mbabane, HI 0 I Swaziland Tel: Fax: Email: Swaziland Competition Commission THE SWAZILAND COMPETITION COMMISSION FORM 4 (Under Regulation20(S)(b)) NON CONSENSUAL MERGERS This form is issued in terms of Section 35 of The Competition Act, 2007 and, Regulation 20(S)(b) of the Competition Regulations, 20 I O. Please note that your complaint should pertain to an anticompetitive activity that is in force as at I Sf April 2008 or later. The form must be completed to the best of your ability, and submitted to The Competition Commission for consideration of your complaint. A. Person/ organization making the complaint Title: Dr/ Mr/ Mrsl Miss/ Ms Surname: Given Name: Address: Postal Code: Contact No. Fax No.: Email address: Are you representing an organization (e.g. a company, association, partnership, or society) in making this complaint? Yes Please provide the relevant information relating to the organization below. No Name of organization on behalf of which you are making this complaint (if different from above): Address: Postal Code: Contact No. Fax No.: Email address: