Military Veterans Database Information Form - Republic Of South Africa
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4MILITARY VETERANS DATABASE INFORMATION
BARCODE:
DMVF-
FORM
CONFIDENTIAL WHEN COMPLETED
þ
- Where applicable
1.
MILITARY VETERAN PERSONAL INFORMATION:
FORCE NUMBER:
IDENTITY NUMBER:
SURNAME:
FULL NAMES:
GENDER:
Male
Female
RACE:
A
W C
I
O
African, White, Coloured, Indian, Other (Specify)
MARITAL STATUS:
Single
Married
Customary Marriage
Divorced
Separated
Widow/er
Life Partners
FORMER FORCE:
MK
SADF
TDF
VDF
APLA
SANDF
BDF
CDF
AZANLA
UDF (World War 2)
TRANSPORT:
Own Vehicle
Public Transport
DRIVERS LICENCE:
Yes
No
Code:
VETERAN:
Alive
If the veteran is deceased, please supply the following info:
Deceased
Date of death:
Y
Y
Y
Y
M M D
D
Name of Cemetery:
Town/City:
2.
MILITARY VETERAN’S CONTACT DETAIL:
(If military veteran is deceased, supply contact detail of dependants)
CURRENT
RESIDENTIAL
ADDRESS:
(INCLUDE PROVINCE)
CURRENT POSTAL
ADDRESS:
TYPE OF HOUSING:
Informal Dwelling (Shack)
Other
Brick House
Specify:
Flat
Owner
Boarding with people
OWNERSHIP OF
HOUSING:
Other
Rented/Tennant
Specify:
CONTACT NUMBERS:
Home Phone:
Work Phone:
Home Fax:
Work Fax:
Cell:
Alternative Cell:
E-Mail:
3.
MILITARY VETERAN EDUCATION:
(Attach information on additional pages if the number of courses exceeds the above allotted space)
LAST SCHOOL:
HIGHEST GRADE:
DATE OBTAINED:
Y
Y
Y
Y
M M D
D
DIPLOMA/DEGREE:
EDUCATIONAL
INSTITUTION:
DATE OBTAINED:
Y
Y
Y
Y
M M D
D
COURSE/SKILL:
EDUCATIONAL
INSTITUTION:
DATE OBTAINED:
Y
Y
Y
Y
M M D
D
THIS FORM IS SUPPLIED FREE OF CHARGE BY THE DEPARTMENT OF MILITARY VETERANS AND IS NOT FOR SALE
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