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Stakeholder Registration Form
First Name(s)
Last Name
Address
Phone Number
Phone Number format 000-000-0000
ID Number
Age Group
Email Address
Sector
Community Development and Social Development
Community Safety and Security
Economic Development & Spatial Planning
Education
Faith Based Organisation
Finance
Health
Human Settlements
Individual Person
Other
Name of the Organization
Would you like to be invited to the following or shared information
Invitation to Public Meetings
Invitation to Public Participation / Consultation Meeting
New Policies or By Laws
Other
Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Additional Information
Attach ID Copy