I hereby declare Applicant's Signature: that the above information is correct at the time ………………………………………………… of completion. I hereby pledge to On behalf of: (Company’s name) inform the SERVICES SETA in writing, of any ………………………………………………………………………… changes of any details that appears ………………………………….. on this document. I certify that I have Date: the appropriate authority to furnish the …………………………............... information on behalf of my employer. Title: ………………………………………………… Position: Applicant’s Title /Position and Name of director/member ………………………………………………………………………… that appears on CIPRO documents Full Names: …………………………………………………………………………
I hereby declare that the above information is correct at the time of completion. I hereby pledge to inform the SERVICES SETA in writing, of any changes of any details that appears on this document. I certify that I have the appropriate authority to furnish the information on behalf of my employer. Applicant's Signature: ………………………………………………… On behalf of: (Company’s name) ………………………………………………………………………… ………………………………….. Date: …………………………............... Applicant’s Title /Position and Name of director/member that appears on CIPRO documents Title: ………………………………………………… Position: ………………………………………………………………………… Full Names: …………………………………………………………………………