Kindly Note

The application form must be completed online or printed and faxed to (011) 206 3205.
Press the "submit" button at the bottom of the page and correct errors if any.

 
Application to host your website .LOCAL.GOV.ZA (Internet)

1. Domain Name

This name will be used for your website address eg: http://municipalityname.local.gov.za

2. Municipality address

Provide the name and postal address of the government department or organisation establishing this sub-domain.
2a. Department Name
2b. Postal Address
2c. Physical street Address
2d. Postal Code

3. Administrative Contact (In Municipality)
Please provide details of a person who will carry the responsibility for administrative and policy matters of the sub-domain to be established.
3a. Name (last, first)
3b. Title / Position
3c. Department
3d. Telephone number
3e. Fax number
3f. Postal Address
3g. Postal Code
3h. Cellular number
3i. E-mail address

4. Technical Contact (Webmaster if not the same as administrative contact)

Please provide details of a person who will carry the responsibility for all technical matters and the web site updates. If your name servers are housed at a commercial ISP then the details here will be those of the person or team at that ISP.
4a. Name (last, first)
4b. Title / Position
4c. Department
4d. Telephone number
4e. Fax number
4f. Postal Address
4g. Postal Code
4h. Cellular number
4i. E-mail address
5. Terms and conditions
The applicant, acknowledges that he/she has read and accepted the Local Government Resource Centre terms and conditions hereto and declares that he/she has the approval of the department or organisation to be the administrator of this website.
Place
Date (dd/mm/yyyy)
Name of applicant
 
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The data, information, findings, interpretations and conclusions expressed in this system are those of the author/s and or not necessarily those of the Development Bank of Southern Africa Limited. In the preparation of this data and information every effort has been made to offer the most current, correct and clearly expressed information possible. Nonetheless, inadvertent errors can occur, and applicable laws, rules and regulations may change. The Development Bank of Southern Africa Limited makes its documentation available without warranty of any kind and accepts no responsibility for its accuracy or for any consequences of its use.