Witness Protection Act, 1998
R 385
Disaster Management Act, 2002 (Act No. 57 of 2002)RegulationsRegulations Issued in terms of Section 27(2) of the Disaster Management Act, 2002AnnexuresAnnexure C - FormsForm 1-Permit to Perform Essential Service (Regulation 11B(3)) |
ANNEXURE C
FORM 1
PERMIT TO PERFORM ESSENTIAL SERVICE
Regulation 11B(3)
• Please note that the person to whom the permit is issued must at all times a form of identification to be presented together with this permit. If no identification is presented the person to whom the permit is issued will have to return to his or her place of residence during the lockdown
I,
|
Surname |
||||
|
Full names |
||||
|
Identity number |
||||
|
Contact details |
Cell nr. |
Tel Nr (W) |
Tel Nr (H) |
e-mail address |
|
Physical Address of Institution |
||||
Hereby certify that:
|
Surname |
|
|
Full names |
|
|
Identity number |
Signed at ___________ on this the _____________ day of____________________2020
|
_____________________________ |
Official stamp of Institution |
|||
|
Signature of Head of Institution |
||||
[Annexure C inserted by section 9 of Notice No. R. 398, GG43148, dated 25 March 2020]
