Regulations > Regulations issued in terms of Section 27(2) of the Disaster Management Act, 2002 (COVID-19) > Annexures > Annexure A : Forms > Form 3 : Permit for the Movement of Children to Travel to another Province/Metropolitan Area/District

FORM 3

PERMIT FOR THE MOVEMENT OF CHILDREN TO TRAVEL TO ANOTHER

PROVINCE/METROPOLITAN AREA/DISTRICT

Regulation 17(1)(c)

Note: This permit and any form of identification must be in the possession of the person to whom this permit is issued.

IN THE MAGISTRATES COURT FOR THE DISTRICT OF __________________ HELD

AT ___________ ON THIS _____________ DAY OF____________________2020.

BEFORE ME _______________________________________ MAGISTRATE FOR THE

AFOREMENTIONED DISTRICT IN CHAMBERS

I, hereby issue this permit for travel to the following person:

Full names
Surname
Identity number
Address of place of residence:
Province of residence:
Contact details	Cell nr.	Tel No (h)	Email Address

Metropolitan area/district traveling to:
Province traveling to:
Date of travel:
Date of return travel:
Name of child concerned (must correspond with the birth certificate):
Reason for movement of child(ren):

I also declare that the above-mentioned person presented the documentation as required by *regulation 17(5).

Signed at ___________ this _____________ day of____________________2020

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