Disaster Management Act, 2002 (Act No. 57 of 2002)

Notices

Small Business Development on implementation of provisions relating to essential services

Annexure C : Form 1
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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