New Registration

Details of Applicants

Provide the information requested below and tick the appropriate box where applicable

Legal Name

Trade Name

Company Registration Number

Head Office Physical Address

Street Address

City

Province

Code

Head Office Postal Address

Postal Address

City

Province

Code

Company Telephone

Company Fax

Business Sector / Industry

Head of Organisation

Name

Surname

Job title

Land line phone number

Cell phone number

Fax number

E-mail address

Nominated Manager

Same as Head of Organisation Other

Name

Surname

Job title

Land line phone number

Cell phone number

Fax number

E-mail address

Categories of rail operations applied for

Tick the appropriate box/boxes below

4.1 Network operator

4.2 Train operator

4.3 Station operator

This application has been completed by:

Head of Organization Nominated Manager Other

Kindly provide us with your contact details

Name

Surname

Telephone

Cellular Phone

Fax

e-Mail