Welkom Yizani Investments Limited
(Incorporated in the Republic of South Africa)
(Registration number 2006/021434/06)
APPLICATION FORM TO SUBSCRIBE FOR WELKOM YIZANI ORDINARY SHARES
AVAILABLE TO BLACK GROUPS WHO QUALIFY TO PARTICIPATE IN THE PUBLIC OFFER
Definitions and interpretations used in this prospectus are contained on pages 10 to 16 and apply to the contents of this application form.
This application form forms part of the prospectus which was registered by the Registrar on 21 September 2006 and must be read in conjunction with it.
SECTION 1 – INSTRUCTIONS AND NOTES
THIS APPLICATION FORM SHOULD ONLY BE COMPLETED BY BLACK GROUPS WHO QUALIFY TO PARTICIPATE IN THE PUBLIC OFFER AND WOULD LIKE TO SUBSCRIBE
FOR WELKOM YIZANI ORDINARY SHARES AT R10,00 PER SHARE. PLEASE REFER TO THE LAST COLUMN ON PAGE 11 OF THE PROSPECTUS FOR A DESCRIPTION OF A
PLEASE NOTE: IF YOU ARE A GROUP THAT IS PLANNING TO APPLY FOR 20 000 WELKOM YIZANI ORDINARY SHARES OR MORE, YOU WILL NEED TO SUBMIT AN INITIAL
BEE OWNERSHIP CERTIFICATE OF COMPLIANCE OBTAINED FROM AN APPROVED BEE VERIFICATION ENTITY OR AGENCY. THESE APPROVED AGENCIES TAKE AT LEAST
10 DAYS TO ISSUE THIS CERTIFICATE, THEREFORE YOU NEED TO APPLY AS SOON AS POSSIBLE, TAKING INTO ACCOUNT THAT THE CLOSING DATE FOR APPLICATIONS IS
27 OCTOBER 2006.
You may only complete this application form if you qualify to participate in the public offer. Please refer to paragraph 3.2 on page 18 of the prospectus.
The subscription price in terms of the public offer is R10,00 per Welkom Yizani ordinary share.
Subscriptions for Welkom Yizani ordinary shares in terms of the public offer may only be made for a minimum subscription amount of R200,00.
Applications are irrevocable and may not be withdrawn once submitted.
Please refer to the terms and conditions of the public offer set out in paragraph 3 commencing on page 17 of the prospectus.
Applicants should consult their broker, banker or other professional adviser or the helpline on 0860 12 12 24 in case of doubt as to the correct completion of this
For every application hand delivered and accepted at an FNB branch, the teller will issue a receipt for the application form, payment and the supporting documents received.
If any cheque is dishonoured, Welkom Yizani may, in its sole discretion, regard the relevant application as invalid or take such other steps in regard thereto as it may deem
All alterations on this application form must be authenticated by a full signature.
Welkom Yizani is entitled to verify the details of the applicant and the applicant is obligated to assist in such verification.
• Welkom Yizani ordinary shares issued in respect of this application will be in a certificated form and the original of the share certificate will be retained by Link Market
Services in terms of the articles.
• Certain restrictions are contained in the articles (and in this regard you are referred to paragraph 5.17.3 on page 27 of the prospectus). In order to ensure that those
restrictions remain in place, Naspers has, in terms of the constitutional documents, been given certain call option and other rights.
If you have any questions regarding the contents of the prospectus, please call the helpline on 0860 12 12 24.
SECTION 2 – HOW TO SUBMIT THE APPLICATION
Completed application forms should be handed in at any FNB branch. All applications must be received by the FNB branch before the Closing Date, being 15:00 on 27 October
2006. Application forms received after the Closing Date will be disregarded. In addition any application form received which does not contain all the documentation required
or which has not been completed in full will be rejected.
SECTION 3 – REQUIRED DOCUMENTS
Applications should be accompanied by:
a copy of the certificate of incorporation (if applicable) or other comparable document evidencing the valid establishment of the Black Group. (For example, trustees must
submit letters of authority issued by the Master of the South African High Court, and unincorporated associations must submit a copy of their constitution or deed of
an affidavit confirming your group’s BEE status as declared below;
for Black Groups applying for Welkom Yizani ordinary shares in excess of 20 000, submit a certified copy of the Initial BEE Ownership Certificate of Compliance from an
approved BEE verification entity/agency obtained specifically for the purpose of the Media24 Empowerment Transaction; and
submit a list of all of the natural persons who, both directly or indirectly, hold the beneficial interest in the Black Group, including such persons’ names, ID numbers, nationality,
gender, racial group and effective percentage economic (and, if different, voting) interest held. If an effective interest in the Black Group is held by natural persons indirectly
through a company or entity, a detailed organogram setting out the sequence of ownership is required.
Each application submitted must be in one name only and show only one address. Welkom Yizani reserves the right to accept or reject any application in its absolute discretion.
You may pay for your Welkom Yizani ordinary shares either:
by cheque or postal order, which must be attached to the application form.The cheque must be crossed “not transferable” with the words “or bearer” deleted and made
payable to “Welkom Yizani”. If the cheque is dishonoured, your application will be rejected; or
by FNB debit card, presented at any FNB branch; or
by cash, deposited at the FNB branch.
The Directors reserve the right to accept payment in any other form in their sole discretion.
Please note: For payments by cheque in excess of R5 million please contact the helpline on 0860 12 12 24 for payment instructions. Credit cards will NOT be