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

Regulations

Regulations relating to Assistance to Victims in respect of Higher Education and Training, 2014

Annexures

Annexure 1

Form 2 : Certificate by dedicated official

 

FORM 2

CERTIFICATE BY DEDICATED OFFICIAL

[Regulation 13]

 

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

A. PARTICULARS OF PERSON WHO NEEDS ASSISTANCE IN TERMS OF REGULATION 11

Name of person who needs assistance:

 

ID number/Date of birth:


Date of application received:


 

B. VERIFICATION BY DEDICATED OFFICIAL

The person mentioned in Part A is a—

(a) VICTIM:

*Yes        /        No



TRC reference check

*Yes        /        No


TRC reference number of victim



Additional documents / information received

*Yes        /        No


If Yes, specify


 

 

 

 

Or

(b) RELATIVE OF A VICTIM                        *Yes        /        No

His or her relationship with the victim is as follows: ..........................................................

..........................................................................................................................................

 

Or

(c) DEPENDANT OF A VICTIM                        *Yes        /        No

The basis of his or her dependency on the victim is as follows:

..........................................................................................................................................

..........................................................................................................................................

 

C. REMARKS BY DEDICATED OFFICIAL

 

D. PARTICULARS OF DEDICATED OFFICIAL

Name and surname: ........................................

ID number: ........................................

 

                                                                             

Signature of dedicated official

                                                       

Date of certificate      

 

 

 


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