Fill - Free fillable APPLICATION FOR DISPUTE RESOLUTION FORM (South Africa Office of the Chief Justice) PDF form

THE CSOS APPLICATION FORM - For Dispute Resolution Page 1 of 3

Completed forms must be emailed to

Gauteng, Limpopo and North West - gp-complaints@csos.org.za

KwaZulu-Natal, Free State and Mpumalanga - kzn-complaints@csos.org.za

Western Cape, Eastern Cape and Northern Cape - wc-complaints@csos.org.za

APPLICATION FOR DISPUTE RESOLUTION FORM

Kindly complete the form in a legible manner and all pages must be completed.

DETAILS OF PERSON MAKING THIS APPLICATION:



Full Names:

Surname:

ID Number:

Tel No: (home/work): Cell Phone:

Email:

Race: Age: Gender:

ADDRESS:

Name of Scheme: Unit No:

Street Name:

Suburb:

City:

Province: Postal Code:



PO Box No: Suburb:

City:

Province: Postal Code:





Sectional Title Development Homeowners Association

Housing Scheme for Retired Persons Share Block Company

Housing Cooperative Other (please specify)





Owner Occupier Management Agent

Board of Directors Sectional Title Trustees Management Association for Retired Persons

Other (please specify)



Yes No Not sure



(If more than one person, please state details under additional information)

Details:

Address:

Tel No: (home/work):

Email:

Male

THE CSOS APPLICATION FORM - For Dispute Resolution Page 2 of 3







EXHAUSTION OF INTERNAL REMEDIES:





..........................................................................................................................................................................

RELIEF SOUGHT:



..........................................................................................................................................................................

THE CSOS APPLICATION FORM - For Dispute Resolution Page 3 of 3

ADDITIONAL INFORMATION:

..........................................................................................................................................................................

SUPPORTING DOCUMENTATION





A copy of Scheme Governance documentation (including: any rules, regulations, articles, constitution, terms and conditions or

other provisions that control the administration or occupation of private areas and common areas)

A copy of Sectional Title / Homeowners Association Plan

A copy of the Title Deed

All documentation, including correspondence with the Respondent (party you are making the application against) relevant to

the application

A copy of your latest statement of account

A copy of the minutes of the Annual / Special General Meeting

Photographs

A copy of audited nancial statements

A copy of Summons

A copy of Administration Order

Other (please specify)

I do not have supporting documentation

DECLARATION AND SIGNATURE OF APPLICANT:

I declare that the above information is true and correct to the best of my knowledge. I agree that the information I have given in this

form may be used or disclosed to process and resolve this application.

Signature:

/ /

(dd/mm/yy)

2 0 1 9

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APPLICATION FOR DISPUTE RESOLUTION FORM (South Africa Office of the Chief Justice)

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