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De26 Form
POSTAL ADDRESS OF OFFICE POSTAL CODE BUSINESS TEL NO. INCLUDE CODE i MOBILE PHONE NUMBER FAX NO. I NCLUDE CODE E- MAI L SECTION 3 INFORMATION TO BE COMPLETED IN RESPECT OF ANNUAL INFORMATION SUBMISSION NAME OF FUEL SUPPLIER wholesaler / refiner OIL COMPANY BRAND DISPLAYED/TO BE DISPLAYED ON SITE INDICATE OWNERSHIP BY HISTORICALLY DISADVANTAGED SOUTH AFRICANS HDSA s IN PERCENTAGE INDICATE TYPE OF RELATIONSHIP BETWEEN SITE OWNER AND RETAILER DEALER Select one of the following RETAILER OWNED...
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