Samsung E-store TV license Compliance SABC Compliance form

Regulatory Filling for SA TV licenses

Please note that TV delivery cannot be executed until the Broadcasting Act: Regulations for Television license fees have been met

All fields marked (*) are mandatory Your details will be shared with a third party service provider in order to arrange delivery.

First Name *

Last Name *

Email address of TV license holder *

Day time Contact number of TV license holder *

What type of TV licenses you have *

Order number (on Order Confirmation Email) *

ID number of TV license holder *

Residential Address of TV license holder *

Business Registration *

Vat registration *

TV license number *

Delivery address of TV license holder *

Postal address of TV license holder *

Contact info of TV license holder *

Do you have a valid tv license

Upload of a copy of ID for TV license holder .png,.jpg,.pdf (Less than 3 MB)

I have read and agree to the terms & conditions*

I have read and agreed to the Samsung Privacy Policy *

I accept that Samsung will share my details with a 3rd party for the purpose of concluding the delivery of my TV *

I agree to receive information about products, services, promotions and marketing communications from Samsung South Africa