DEPARTMENT OF HEALTH
Directorate: Radiation Control
SBLN-1
APPLICATION FOR A LICENCE TO USE, OPERATE, APPLY, INSTALL OR KEEP INSTALLED
A NON-MEDICAL LASER
Section 4(1)(b)&(c), Hazardous Substances Act, 1973 (Act 15 of 1973)
Postal Address: Director: Radiation Control, Private Bag X62, Bellville 7535
Street Address: 2nd Floor, Louwville Place, cor. Vrede & Kort St., Bellville 7530
Enquiries: Tel: 021 – 957 7450 Fax: 021 – 946 1589
A: PARTICULARS OF APPLICANT
Name (Individual / Organisation):
Responsible Person (Laser Safety Officer):
Postal Address:
Tel:
Fax:
E-mail:
Academic Qualifications:
Experience/Training regarding laser radiation protection:
Cell:
Street Address:
B: PREMISES
C: DETAILS OF ELECTRONIC PRODUCT
Brand and Model Name: WEIHAI DELI ( AM.CO.ZA ) TruCUT CO2 Laser Machine
Product Serial Number:
Manufacturer: WEIHAI DELI MACHINERY CO., LTD (China)
Supplier in South Africa: Advanced Machinery (Pty) Ltd
Product Sales Licence No: 1360/23332
