Statistics Act, 1999
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Prevention of and Treatment for Substance Abuse Act, 2008 (Act No. 70 of 2008)RegulationsRegulations for Prevention of and Treatment for Substance Abuse, 2013AnnexuresAnnexure F : FormsForm 3 : Nomination form for candidates to be appointed as members of the management structure for community-based services/treatment centres/halfway houses |
FORM 3
NOMINATION FORM FOR CANDIDATES TO BE APPOINTED AS MEMBERS OF THE MANAGEMENT STRUCTURE FOR COMMUNITY-BASED
SERVICES/TREATMENT CENTRES/HALFWAY HOUSES
(Regulation 22(4))
Each nomination must be lodged with the relevant community-based centre/treatment centre/halfway house by post, fax or hand before ....................................................
Nomination forms are available at www.socdev.gov.za.
A nomination which has not been lodged with the community-based centre/treatment centre/halfway house at the address stated below by the said date is invalid.
REQUEST FOR NOMINATIONS
| 1. | In terms of the regulation 22 and 39 of the Regulations made in terms of the Prevention of and Treatment for Substance Abuse Act, 2008 (Act No. 70 of 2008) nominations are hereby invited for candidates to be appointed by the community-based service/treatment centre/halfway house to serve on the management structure. |
| 2. | Nominations are invited for the appointment of persons nominated by organisations in the social development sector and by the public. |
| 3. | Interested candidates must familiarise themselves with regulations 22 and 39 to see if they qualify to be nominated. |
| 4. | Each candidate must be nominated separately in the following form: |
NOMINATION FORM
I nominate (print the full names and surname of the candidate)
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as candidate to be appointed as a member of the management structure of community-based services/treatment centre/halfway house (delete whichever is not applicable).
Signature of person nominating
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Print full names and surname
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DECLARATION BY PERSON WHO SIGNS NOMINATION
I (print full names and surname)
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declare that I am resident in the Republic (state full residential address)
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SECONDMENT OF THE NOMINATION
I (print full names and surname) ..................................................................................... second the nomination of ....................................................................................
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SIGNATURE OF PERSON NOMINATING DATE:
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SIGNATURE OF THE PERSON SECONDING DATE:
