Statistics Act, 1999
R 385
Promotion of National Unity and Reconciliation Act, 1995 (Act No. 34 of 1995)RegulationsRegulations relating to Assistance to Victims in respect of Higher Education and Training, 2014AnnexuresAnnexure 1Form 2 : Certificate by dedicated official |
FORM 2
CERTIFICATE BY DEDICATED OFFICIAL
[Regulation 13]
PROMOTION OF NATIONAL UNITY AND RECONCILIATION ACT, 1995 (ACT 34 OF 1995)
(This form must be completed by the dedicated official (an official in the TRC Unit) when
verifying whether the person who needs assistance is a victim or a relative or dependant of a victim)
* Mark appropriate block with an X
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Name of person who needs assistance: |
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ID number/Date of birth: |
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Date of application received: |
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The person mentioned in Part A is a— |
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*Yes / No |
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TRC reference check |
*Yes / No |
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TRC reference number of victim |
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Additional documents / information received |
*Yes / No |
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If Yes, specify |
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Or
His or her relationship with the victim is as follows: .......................................................... .......................................................................................................................................... |
Or
The basis of his or her dependency on the victim is as follows: .......................................................................................................................................... .......................................................................................................................................... |
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Name and surname: ........................................ |
ID number: ........................................ |
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Signature of dedicated official |
Date of certificate |
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