Competition and Consumer Protection (Tribunal) Rules, 2012

3. (for other documents see overleaf) Dated this . . . . . . . . . . . . . ..... day of . . . . . . . . . . . . ,20 . . . . . . . . . . . . . . . . . ... . (2) . . . . . ..... . . . . .............. . .. . .. . . . . . . . . . . ............... .. Secretariat I; . . . IJ I i ) .. J Sth June, 20 12 Statutory Instruments 223 Form IV (Rule I 8(3)) REPUBLIC OF ZAMBIA fhe Competition and Consumer Protection Act, 2010 (Act No. 24 of20 I 0) The Competition and Consumer Protection (Tribunal) Rules, 2012 APPLICATION FOR LEAVE TO INTERVENE BETWEEN: (!) .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . . . . . . . . . . . . ............................ . AND AND TAKENOTICETHAT(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... . . . . . . . .. intends to intervene in the hearing of this appeal. TAKE FURTHER NOTICE THAT - !. The following matters in the appeal affect the applicant: (a) (b) (c) 2 The following are the competitive consequences likely to arise from the matters stated in paragraph I : (a) (b) (c)

3. The applicant intends to support the position of (3) . . . . . . . . . . . . . . . . . . . . . . . . . , who is a party to this appeal.

4. The applicant intends to participate in this appeal by (4)­ (a) (b) (c) !) Here insert the full names of the parties (2) Here insert the full name of the person filing the application (3) Here insert the name of the party, whose position the applicant intends to support (4)here describe how the applicant proposes to participant in the hearing of the appeal 5) Here insert the signature of the applicant

5. The applicant *does/does not request the Tribunal todispose of the application without a hearing. (5) . . .. . . . . .. . .. . .. . ..... . .. . .. . .. . .. . .. . . . . .. ......... . . . . .. . . . 224 Statutory Instruments 15th June, 20 12 The applicant's address of service (6) Applicant (6) Here insert the physical address of the applicant ••••• � •••• ' .-, • • J ................................................... . NOTES -*Delete where inapplicable LUSAKA 5th June, 2012 E. L. SAKALA, Chief Justice