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[ Include Logo of Business Entity ] FOR THE ATTENTION OF: TRAFFIC POLICE SOUTH AFRICAN NATIONAL DEFENCE FORCE SOUTH AFRICAN POLICE SERVICES As Gazetted (Regulation 11B [3] dated 25 March 2020) the agricultural sector is exempted from the national lockdown and should proceed with the production, distribution and supply of food and basic goods, including the movement and transport of agri-workers. The Employee (details below) is mandated to travel to and from his/her home and/or to transport workers. The employee will at all times carry a form of identification which will be presented together with this permit. Employer’s details: Name: _______________________________ Registration number: _______________________________ Address: _______________________________ Contact person: _______________________________ Contact number: _______________________________ PUC/PHC number: _______________________________ SIGNATURE: _________________________ Employee’s detail: Full name: ______________________________ Surname: ______________________________ I.D/passport No.: ______________________________ Work address: ______________________________ Occupation and brief description: ____________________________________________________ TRANSPORT / MOVEMENT PERMIT Valid: 26 March – 16 April 2020

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[ Include Logo of Business Entity ]

FOR THE ATTENTION OF:TRAFFIC POLICESOUTH AFRICAN NATIONAL DEFENCE FORCE SOUTH AFRICAN POLICE SERVICES

As Gazetted (Regulation 11B [3] dated 25 March 2020) the agricultural sector is exempted from the national lockdown and should proceed with the production, distribution and supply of food and basic goods, including the movement and transport of agri-workers.

The Employee (details below) is mandated to travel to and from his/her home and/or to transport workers. The employee will at all times carry a form of identification which will be presented together with this permit.

Employer’s details:Name: _______________________________Registration number: _______________________________Address: _______________________________Contact person: _______________________________Contact number: _______________________________PUC/PHC number: _______________________________

SIGNATURE: _________________________

Employee’s detail:Full name: ______________________________Surname: ______________________________I.D/passport No.: ______________________________Work address: ______________________________Occupation and brief description: ____________________________________________________

The Employer hereby confirms that the information set out above is true and correct, follows all guidelines and risk control measures to restrict the spread of the Covid-19 virus

TRANSPORT /MOVEMENT PERMIT

VERVOER / BEWEGINGSPERMIT

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VIR AANDAG:VERKEERSPOLISIESUID-AFRIKAANSE NASIONALE WEERMAG SUID-AFRIKAANSE POLISIEDIENS

Volgens Regerings Gazette (Regulasie 11B [3] gedateer 25 Maart 2020) is die landboubedryf vrygestel van die nasionale inperking op beweging en moet voortgaan met die produksie, verspreiding en verskaffing van voedsel en basiese goedere, insluitend die beweging en vervoer van landbou-werkers.

Die Werknemer (besonderhede hieronder) het die mandaat om van sy/haar woning te beweeg en/of werkers te vervoer. Die werknemer sal te alle tye ‘n vorm van identifikasie dra wat saam met hierdie permit getoon sal word.

Werkgewer besonderhede:Naam: _______________________________Registrasie nommer: _______________________________Adres: _______________________________Kontakpersoon: _______________________________Kontaknommer: _______________________________PUC/PHC nommer: _______________________________

HANDTEKENING: _________________________

Werknemer besonderhede:Volle naam: ______________________________Van: ______________________________I.D/paspoort nommer: ______________________________Werksadres: ______________________________Beroep en kort beskrywing: ____________________________________________________

Die Werkgewer bevestig hiermee dat die inligting soos hierbo vervat die waarheid is, dat dit korrek is en dat alle riglyne en redelike risiko beheer maatreëls om die verspreiding en oordrg van die Covid-19 virus nagekom word.

VERVOER / BEWEGINGSPERMIT