COL15


THE NATIONAL HORSERACING AUTHORITY OF SOUTHERN AFRICA

Application for Individual or Partnership Colours (To be completed by an Applicant for Individual Colours or by each Member of a Partnership applying for Partnership Colours).

Individual Colours

/

Partnership Colours

  1. PERSONAL DETAILS (To be completed by all applicants)

Surname / Title
First Names
I.D. Number / Date of Birth
RACE:Required for statistical purposes only. / BLACK / COLOURED / INDIAN / WHITE / OTHER: Please specify:
Postal Address / Code
Residential Address / Code
Telephone Numbers / (Home) / (Work) / (Fax)
Cellphone / Email address
Occupation
Employer / Position Held
  1. In terms of the Rules of The National Horseracing Authority of Southern Africa, a Partnership MUST appoint one of its members as its Representative. The Representative of the Partnership will be entitled to exercise all of the powers of an Owner in terms of the Partnership except that an Authority to Act and achange of ownership form, for any horse bought, leased or disposed of by the Partnership will not be accepted unless it has been signed by ALL members of the Partnership.

Full Name of Partnership’s Representative:

  1. SPECIFIC INFORMATION (If you answer ‘yes’ - please provide full details)

  1. Have you ever participated in Horse Racing in Southern Africa? (Other than attending race meetings)
/ YES / NO
  1. Have you ever had an Application for Colours refused?
/ YES / NO
  1. Have you ever had any disqualification, disability, or other penalty, imposed on you by any Racing Authority, or Racing Organisation?
/ YES / NO
  1. Have you ever been found guilty of contravening The Rules of The National Horseracing Authority (Previously The Jockey Club of Southern Africa)?
/ YES / NO
  1. Have you ever been declared insolvent?
/ YES / NO
  1. Have you ever been convicted of a criminal offence?
/ YES / NO

PAGE 2 / …. (SIGNATURE REQUIRED)

  1. DECLARATIONS

I hereby apply for Colours in terms of the Constitution and Rules of The National Horseracing Authority of Southern Africa as amended from time to time. I acknowledge that I am acquainted with and bound by them with effect from the date that this application is approved. I declare that the information given by me is complete and accurate. Should it be found subsequent to approval that the information contained herein is false, the registration/license may be subjected to review. I further acknowledge that I shall be deemed to have received any communication from The National Horseracing Authority of Southern Africa if such communication is sent to the abovementioned postal address or email address or to such other address as I advise The National Horseracing Authority of Southern Africa, in writing.

I confirm that I am aware of the costs of owning and keeping a racehorse. I understand that the failure to pay any fees related to the owning and keeping of horses could result in me being posted as a Defaulter in terms of the Rules of The National Horseracing Authority of Southern Africa.

Signature of Applicant:Date:

IMPORTANT NOTICE

COLOURS EXPIRE ON THE 31ST JULY EACH YEAR AND MUST BE RENEWED BEFORE 15TH JUNE, EACH YEAR.

BANKING DETAILS The National Horseracing Authority of Southern Africa. STANDARD BANK Johannesburg Branch Code: 000 205 / ACCOUNT NUMBER: 000 357537

Regional Offices - The National Horseracing Authority of Southern Africa

Central Provinces / P O BOX 74439, TURFFONTEIN 2140 TURF CLUB STR, TURFFONTEIN 2091 / Email address
/ Telephone 011 683 9283
Fax 011 683 1382
Or 011 683 5548
Kwa-Zulu Natal / P O BOX 78101, AVONDALE ROAD,
4101. TOTALIZATOR BUILDING,
15 MITCHELL CRESCENT, GREYVILLE, DURBAN 4001 / Email address
/ Telephone 031 314 1740
Fax: 031 314 1755
Western Cape / P O BOX 18258, WYNBERG, 7824
KENILWORTH RACECOURSE,
ROSMEAD AVENUE, KENILWORTH 7708 / Email address
/ Telephone 021 700 1900
Fax: 021 797 1343
Eastern Cape / P O BOX 5299, WALMER, 6065
FAIRVIEW RACECOURSE, GREEN-BUSHES, PORT ELIZABETH, 6390 / Email address
/ Telephone 041 3721119
Fax: 041 3721020
Zimbabwe / P O BOX BW90, BORROWDALE, ZIMBABWE
BORROWDALE ROAD,
BORROWDALE, HARARE, ZIMBABWE / Email address
/ Tel: (00263) 04 882233
Fax: (00263) 04 850515