Disaster Management Act, 2002 (Act No. 57 of 2002)NoticesDirections regarding the phased return of children to Early Childhood Development Programmes and Partial Care FacilitiesAnnexuresAnnexure B : Form 2 : Certificate for Child to travel to another Province or Metropolitan Area or District Area |
ANNEXURE B
FORM 2
(FORM 3A to the Regulations)
CERTIFICATE FOR CHILD TO TRAVEL TO ANOTHER PROVINCE OR METROPOLITAN AREA OR DISTRICT AREA
(Regulation 34(5))
To be completed by the head or manager or a person authorized by the head or manager
I, ________________________________________________ (Name and surname)
Details of head/manager or delegated person and an early childhood development programme or partial care facility |
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Full names |
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Surname |
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Identity number |
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Mobile number |
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Details of an early childhood development programme or partial care facility |
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Name |
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Full physical address |
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Province it is situated |
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Metropolitan area/district |
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Telephone |
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Email address (if available) |
In my capacity as head/manager or delegated person of the above early childhood development programme or partial care facility, I hereby declare that the undermentioned child is attending this early childhood development programme or partial care facility, and need to travel between different provinces/ metropolitan areas/districts to attend this programme.
Details of CHILD attending |
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Full names: |
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Surname: |
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Date of birth |
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Full address of place of residence of child: |
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Province of residence |
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Metropolitan area/district |
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Details parent of legal guardian |
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Name and surname |
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Mobile number |
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Telephone number |
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Email address (if available) |
Signed at ___________ this _____________ day of____________________2020
_____________________________ |
Official stamp in the case where there is no official stamp, another person needs to co-sign in this space |
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Principal/manager or or delegated person issuing |
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