Tanzania Shipping Agencies (Port Terminal Operators) Regulations, 2020

1. Document attached- (a) a certified copy of a valid regulated service provider’s licence; (b) proposed tariff for review; (c) justifications for tariff review including how the industry will benefit from such review; (d) financial implications to the applicant if the requested tariff review is not approved; (e) worksheet of workings leading to the proposed tariff; (f) tax clearance certificate; (g) audited financial statement for the immediate preceding three years or less depending on the age of the company; (h) provisional financial statement where the audited statement are not ready; (i) performance report and financial analysis for the past five years or less depending on the age of the company in accordance with the Tariff Application Guidelines to be prepared by the Corporation; implementation report of regulatory directives, if any, contained in the previous tariff order issued to the applicant; or (j) (k) any other supporting document as may be required by the Corporation.

2. The Corporation may require more information and documents at any time. C DECLARATION I hereby declare that to the best of my knowledge and belief all the information provided in this application is true. Full Name: ………………………….……………... Designation: ……………………………………….. Signature: ………………………………. Date: ………………………………… FOR OFFICIAL USE ONLY Designation: …………………………………………………. . Official Stamp 16 GN. NO. 8 (Contd.) Tanzania Shipping Agencies (Tariff) Received ……………………………………………….. Date: CAUTION: (a) initial each page. (d) making a false statement for the purpose of obtaining the tariff is an offence under these Regulations is punishable by fine or imprisonment or both. (e) change of particulars provided in this form must be communicated to TASAC. 17 GN. NO. 8 (Contd.) Tanzania Shipping Agencies (Tariff) THE UNITED REPUBLIC OF TANZANIA MINISTRY OF WORKS, TRANSPORT AND COMMUNICATION TANZANIA SHIPPING AGENCIES CORPORATION (TASAC) ____________ THIRD SCHEDULE _____________ (Made under regulation 13) ____________ INTERNAL VERIFICATION OF APPLICATION FOR NEW OR REVIEW OF TARIFF ____________ PART I: VERIFICATION BY A SENIOR OFFICER Name of applicant:…………………………………………………......................................... Address:…………………………………… …………..………………………………… Tel. No:………………………………… Requirements for Verification: (i) ATTACH DULLY FILLED IN APPLICATION FORM. (ii) FOR NEW APPLICANT, ATTACH INSPECTION REPORT FORM. Remarks: ………………………………………………………………………………………………… …………………………… Name:………………………………………… …….. Signature:……… ……. Date:…………… ...... II: RECOMMENDATION BY MANAGER RESPONSIBLE FOR TARIFF PART REGULATION This applicant is recommended not recommended Remarks: ………………………………………………………………………………………………… …………………………… Name:………………………………………… …….. Signature:……… ……. Date:…………… ...... PART III: RECOMMENDATION BY DIRECTOR, ECONOMIC REGULATION This applicant is recommended for issuance not recommended for issuance 18 GN. NO. 8 (Contd.) Tanzania Shipping Agencies (Tariff) Remarks: …………………………………………………………………………………………………… PART IV: APPROVAL BY DIRECTOR GENERAL This applicant is approved not approved Remarks: …………………………………………………………………………………………………… Dodoma, 20th December, 2019 ISACK A. KAMWELWE Minister for Works, Transport and Communication 19