Request for Information on the flooding impact

The on-going flooding has no doubt disrupted the business operations and key infrastructure. The MEC for Economic Development, Tourism and Environmental Affairs, Mr Ravi Pillay, has requested a quick survey of the businesses impacted by flooding. It is in this regard that we request your assistance in collating this information

This information will be used to assess the extent of the damage and impact to the businesses.

Please fill the form below:

Personal details
Title: Register As:
Name: Surname:
Tel(W): Mobile no.:
Fax: District:
E-mail: Local Municipality:
Street Address: Town:
  Postal Code:
  Postal Adress
Business details
Company name: Sector:
Designation: Number of Employees:
Nature & extent of flooding to your business
Estimated Value of Damage: R

The following tick boxes are mandatory for the completion of your registration

I warrant that all the information provided in this form is true and accurate to the best of my knowledge.

I understand and consent to TIKZN processing my personal information in terms of the Protection of Personal Information Act No. 4 of 2013 for the purposes of ascertaining the impact of flood damages to KwaZulu-Natal Businesses.

I consent to TIKZN storing and processing my personal information submitted in this form for historical and statistical purposes.

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