Fire Brigade Services Act, 1987 (Act No. 99 of 1987)

Regulations

Purchase

APPLICATION FOR APPOINTMENT AS MEMBER OF THE FIRE BRIGADE RESERVE FORCE OF (CONTROLLING AUTHORITY)

(REGULATION 3)

1. Full name and surname (Mr / Mrs / Miss) ...................................................................

2. Sex .................................................................... 3. Age ....................................

4. Identity number .......................................................................................................

5. Full residential address ...........................................................................................

6. Telephone number ........................... (Home) ........................................... (Work)

7. Are you a member of — (Reply YES or NO in each case)

(a)	The S.A. Police?	........................................
(b)	The Police reserve?	........................................
(c)	The Reserve Police Force (Reservist)?	........................................
	If yes, have you been recruited with a view to the performance of guard duties at key and vulnerable points?	........................................
(d)	Correctional Services?	........................................
(e)	The Permanent Force?	........................................
(f)	The Citizen Force?	........................................
(g)	A Commando?	........................................
(h)	The Permanent Force Reserve?	........................................
(i)	The Reserve of Officers?	........................................
	If yes, since when? (Date)	........................................
(j)	The Citizen Force Reserve?	........................................
(k)	If yes, since when? (Date)	........................................
(l)	The Auxiliary Service of the SA Defence Force?	........................................
(m)	An employee of the Armaments Corporation?	........................................
(n)	An employee of the Department of National Security?	........................................
(o)	A fulltime civilian employee of the Department of Defence?	........................................
(p)	Civil Defence?	........................................

................................................................ ..........................................

Signature of applicant Date