PINELANDS CID CONSENT / OBJECTION FORM

PINELANDS CID CONSENT / OBJECTION FORM

(POPIA Compliant)
Establishment of Pinelands City Improvement District (CID) in accordance with the City of Cape Town: Special Rating Area By-law, 2012 (as amended) (the “By-law”). The main objectives of this CID are to improve and upgrade the area in the manner envisaged in the Business Plan dated 12 AUGUST 2022.
Details of Property / Properties

Property Details (include unit number for apartments)*

	ERF Number	Physical Address of Property
1
2
3

Find Your ERF Number HERE
Type of Registered Owner

Natural PersonJuristic Person / Other Body
COMPLETION OF CONSENT FORM
• Registered property owners who are natural persons: complete PART A(i) and PART C. (If the signatory is not the owner of the property and signs this form on behalf of such a registered property owner, the signatory must also complete the warranty under PART B).
• Registered property owners who are juristic persons or other bodies: complete PART A(ii); PART B and PART C.
• Owners of Sectional Title Units or multiple properties may request a schedule, listing all units and/or properties falling within the boundaries of the proposed CID. If you elect to make use of this schedule to identify your properties, please initial every page of the Schedule upon which your properties appear and submit the schedule together with this form.
• In the case of a juristic person or other body the following must be attached to the application:
o a resolution giving authority (on a company letterhead) stating the resolution number and representatives details as per Part B; or
o a letter giving authority stating the details as per Part A(ii) and Part B and must be signed by all Directors and include a copy of the CK2 document indicating current Directorship.
Please note: The Applicant and the steering committee will keep your personal information confidential. Without written consent, disclosure to third parties will be limited to CID application procedures prescribed by the City of Cape Town.

PART A: DETAILS OF REGISTERED PROPERTY OWNER(S)
(i) Natural Person(s)
Name*

Owner 1 – Name(s)Surname
ID number*
Cell Number*
Email Address*
example@example.com
Is the signatory of this form the registered property owner, or signing on behalf of the registered property owner?*

I am the registered ownerI am signing on behalf of the registered owner
Property Ownership

One OwnerTwo Owners

Owner 2 (if there is a second owner)*

Owner 2 – Name(s)Surname
ID number*
Cell Number*
Email address*
example@example.com
Is the signatory of this form the registered property owner, or signing on behalf of the registered property owner?*

I am the registered ownerI am signing on behalf of the registered owner

(ii) Juristic Person / Other Body
Name of Company/ Trust/ Sectional Title Body Corporate/ Other Body as it appears on Title Deed whichever is applicable*
Registration no.*
Physical Address*
Postal Address*
Website address (if any)
Contact Person*
Designation*
Business tel.*
Cell Number*
Email Address*
example@example.com
Upload: A resolution giving authority (on a company letterhead) stating the resolution number and representatives details as per Part B; or A letter giving authority stating the details as per Part A(ii) and Part B and must be signed by all Directors and include a copy of the CK2 document indicating current Directorship.

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PART B: WARRANTY BY REPRESENTATIVE
I hereby declare that I have been duly authorised by the aforesaid registered property owner to vote on their behalf in respect of the establishment of the proposed CID and to complete any necessary documentation in this regard.
Name*

Name(s)Surname
ID number*
Representative Capacity (if applicable)
Home tel.*
Work tel.*
Cell Number*
Email Address*
example@example.com

PART C: CONSENT / OBJECTION
CONSENT*

I consent to the establishing of a CID as per the Business PlanI do not consent to the establishing of a CID as per the Business Plan, for the reasons stated below

If you do not consent, please state the reasons below
File Upload

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Name*

Owner 1 – Name(s)Surname
Signature*

Clear
Date*

MonthDayYear
Date

Name*

Owner 2 – Name(s)Surname
Signature*

Clear
Date*

MonthDayYear
Date

SUBMISSION OF CONSENT FORM

Note: this form should be submitted on or before 20 January 2023.
Contact Information:

Queries: info@pinelandscid.freshdesk.com

Consent/Objection forms: consentforms@pinelandscid.co.za

Drop Off Locations: Postnet Pinelands & Pinelands SAPS

Phone/WhatsApp: 065 960 2606
Should be Empty:

PINELANDS CID CONSENT / OBJECTION FORM

Details of Property / Properties

COMPLETION OF CONSENT FORM

PART A: DETAILS OF REGISTERED PROPERTY OWNER(S)

(i) Natural Person(s)

(ii) Juristic Person / Other Body

PART B: WARRANTY BY REPRESENTATIVE

PART C: CONSENT / OBJECTION

SUBMISSION OF CONSENT FORM