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

Regulations

Regulations issued in terms of Section 27(2) of the Disaster Management Act, 2002 (COVID-19)

Annexures

Annexure A : Forms

Form 3A : Certificate for learners or students to travel to another province/metropolitan area/district
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FORM 3A

CERTIFICATE FOR LEARNERS OR STUDENTS TO TRAVEL TO ANOTHER PROVINCE/METROPOLITAN AREA/DISTRICT

Regulation 34(5)

 

Note: This certificate and an identity document/drivers licence must be in the possession of the learner/student to whom this certificate is issued

 

I,

Full names:

Surname:

Identity number:

Name of school/institution:

Address of school/Institution:

Province of school/institution:

Metropolitan area/district of school/institution:

Contact details:

Cell nr.

Tel No (h)

e-mail address



In my capacity as *Head/delegated person of the above-mentioned *school/institution, hereby declare that the undermentioned *learner/student, is a *learner/student at this *school/institution, and needs to travel between different *provinces/metropolitan areas/districts for education

 

Full names of learner/student:

Surname of learner/student:

Residential address:

Province of residence:

Metropolitan area/district of residence:

Full names of primary caregiver:

Contact details of primary caregiver:

Cell nr.

Tel No (h)

e-mail address



 

 

Signed at ___________ on this _____________ day of____________________2020

 

_____________________________


Official stamp

*Head/delegated person of *school/institution














 

[Form 3A inserted by section 7(a) of Notice No. 608, GG43364, dated 28 May 2020]