Promotion of National Unity and Reconciliation Act, 1995 (Act No. 34 of 1995)

FORM 2

CERTIFICATE BY DEDICATED OFFICIAL

[Regulation 16(3)(a)]

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