Stellenbosch SRA Voting Form

Stellenbosch SRA Voting Form

STELLENBOSCH SRA (SiTi) CONSENT / OBJECTION FORM

(POPIA Compliant)
Establishment of Stellenbosch Improvement and Transformation Initiative (SITI) in accordance with Stellenbosch Municipality: Special Rating Area By-law, 2023/2024. The main objectives of this SRA are to improve and upgrade the area in the manner envisaged in the Business Plan.
Details of Property / Properties

Property Details*

	ERF Number	Unit No. (if sectional)	Physical Address
1
2
3

Type of Registered Owner*

Natural PersonJuristic Person (Company/Trust)
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 SRA application procedures prescribed by Stellenbosch Municipality.

PART A: DETAILS OF JURISTIC PERSON (COMPANY/TRUST)
Name of Company/Trust*
Registration Number*
Contact Person: Name and Surname*
Contact Person: Cell Number
Contact Person: Email Address
example@example.com

PART A: DETAILS OF REGISTERED PROPERTY OWNER(S)
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

Registered Property Owner 1
Name*

Owner 1 - Name(s) Surname
ID number*
Owner 1
Cell Number
Owner 1
Email Address
Owner 1 - example@example.com
Registered Property Owner 2
Name*

Owner 2 - Name(s) Surname
ID number*
Owner 2
Cell Number
Owner 2
Email Address
Owner 2 - example@example.com

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 SRA and to complete any necessary documentation in this regard.
Name*

Name(s) Surname
ID number*
Cell Number
Email Address
example@example.com

PART C: CONSENT / OBJECTION
CONSENT*

YES - I consent to be included in the Stellenbosch Central SRA boundary as per the Business PlanNO - I do not consent to be included in the Stellenbosch Central SRA boundary as per the Business Plan
Please note: If the majority (60%) of properties vote YES then ALL properties will automatically be included and by law obligated to contribute monthly.

SUBMISSION OF CONSENT FORM

Note: We need 1,000 YES votes by the end of October 2024
Name*

Name(s) Surname
Signature*

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Contact Information:

Queries: info@siti.org.za

Consent/Objection forms: forms@siti.org.za

Phone/WhatsaApp: 083 385 2564
Should be Empty: