Click Here & Upgrade PDF Complete Expanded Features Unlimited Pages Documents Form D4 Application or request to the Registrar (Regulation 24) (Lodge in duplicate) Application No.: Date of lodgement: Full names) of applicant(s): In terms of the following sections and regulations: (a) section (b) regulation the applicant hereby requests the following: Documents, if any, lodged in support of the request: Date: _________________________________ APPLICANT/APPLICANT'S AGENT Address for service: FOR OFFICIAL USE ONLY Official date stamp …………………… The above application or request is hereby allowed / refused Reasons for refusal or conditions of allowance, if any: