National Small Business Act, 1996 (Act 102 of 1996)
R 385
Disaster Management Act, 2002 (Act No. 57 of 2002)RegulationsRegulations issued in terms of Section 27(2) of the Disaster Management Act, 2002 (COVID-19)AnnexuresAnnexure A : FormsForm 3A : Certificate for learners or students to travel to another province/metropolitan area/district |
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]
