FORM 44: Application for Duplicate Employee Licence

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FORM 44: Application for Duplicate Employee Licence
1. I (Name of Applicant)

do hereby make an application in terms of regulation 82 for a duplicate employee licence.

2. Physical Address
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Postal Address
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Telephone
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5. Please provide details of original licence:

Licence No:
Date of Issue:
Place of Issue:
Date of Expiry:
6. Please indicate reasons for the application:
0 /

DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION

1. Certified copy of identity document (Omang or passport);
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2. Copy of original licence.
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I certify that the information supplied on this application form is true and correct. I understand that failure to provide true and correct information will result in the failure of this application.
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