Military Veterans Database Information Form - Republic Of South Africa Page 3
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4MILITARY VETERANS DATABASE INFORMATION
BARCODE:
DMVF-
FORM
CONFIDENTIAL WHEN COMPLETED
þ
- Where applicable
9.
ORDERS/DECORATIONS/MEDALS RECEIVED:
10.
WHAT ARE YOUR HOBBIES/INTERESTS:
11.
DEPENDANTS:
(Attach additional pages if number of dependants exceed allotted space)
ARE YOUR DEPENDANTS COVERED MEDICALLY?
YES
NO
SPOUSE/LIFE PARTNER:
GENDER:
MALE
FEMALE
FULL NAMES:
SURNAME:
ID NUMBER:
CHILDREN:
Child 1:
GENDER:
MALE
FEMALE
FULL NAMES:
SURNAME:
ID NUMBER:
EDUCATION:
Primary/Secondary/Tertiary
Highest Grade/Level
Date Passed
Does your child need a bursary
Y
N
(ENTER P; S OR T)
Passed
Study Direction/Course
(Tertiary students)
Child 2:
GENDER:
MALE
FEMALE
FULL NAMES:
SURNAME:
ID NUMBER:
EDUCATION:
Primary/Secondary/Tertiary
Highest Grade/Level
Date Passed
Does your child need a bursary
Y
N
(ENTER P; S OR T)
Passed
Study Direction/Course
(Tertiary students)
Child 3:
GENDER:
MALE
FEMALE
FULL NAMES:
SURNAME:
ID NUMBER:
EDUCATION (INDICATE THE EDUCATIONAL INSTITUTION YOUR CHILD IS CURRENTLY ATTENDING):
Primary/Secondary/Tertiary
Highest Grade/Level
Date Passed
Does your child need a bursary
Y
N
(ENTER P; S OR T)
Passed
Study Direction/Course
(Tertiary students)
NOTES FOR YOUR INFORMATION:
1.
This is not an application for any Military Veterans’ Benefits. Please contact relevant Departments with such enquiries.
2.
This form is utilised for the following:
a.
To verify bona fide military veterans and to register them on the military veterans’ database.
b.
To collect data iro the situation military veterans are finding themselves in to negotiate appropriate projects etc. for military veterans
3.
This form is to be completed only by South African Military Veterans or his/her surviving Spouse and/or Children.
4.
Not to be completed by serving members of the SA National Defence Force (SANDF) – Permanent Force & Reserve Force.
5.
No fees are payable to obtain or submit this form. The form is supplied free of charge by the Department of Military Veterans. Please report
any irregularities to the Department of Military Veterans asap.
THIS FORM IS SUPPLIED FREE OF CHARGE BY THE DEPARTMENT OF MILITARY VETERANS AND IS NOT FOR SALE
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