Lower Gardens CID Application - Consent / Objection Form

Lower Gardens CID

LOWER GARDENS CITY IMPROVEMENT DISTRICT NPC Registration No.: 2025/238993/08
APPLICATION FOR ADMISSION OF MEMBERSHIP BY A PRIVATE INDIVIDUAL
To the Board of the Lower Gardens City Improvement District NPC, I, First Name* Last Name* hereby apply for admission of membership of the NPC to be entered into the NPC’s Membership Register.
General Note on Information
Under the Companies Act, the Members’ Register must contain the following information in respect of each member: (a) name; (b) business, residential or postal address; (c) email address (unless person has declined to provide an email address); and (d) an identifying number unique to that person (e.g. a RSA ID number).

However, the Lower Gardens City Improvement District NPC will keep your unique identity number and email address provided confidential when any member or outside third party requests access to the Members’ Register under the Companies Act, unless you give your written consent.
Details of Owner representing the property
Full name:*

Name(s)Last Name
ID number:*
Residential address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal address (if different):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Note: Where your residential address differs from your postal address, only your postal address will be recorded in the Members’ Register.
Contact Details:
Home tel.:

Country CodeArea CodePhone Number
Work tel.:

Country CodeArea CodePhone Number
Cell Number:*

Country CodeArea CodePhone Number
Fax:

Country CodeArea CodePhone Number
Email address:*
example@example.com
Notices and communication needs to be addressed to the (tick appropriate box):*

The email addressThe physical addressThe postal address
Details of Co-Owner(s)
Owner 2
Full name:

Name(s)Surname
ID number:
Email address:
example@example.com
Signature:

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Date:

DayMonthYear
Date
Owner 3
Full name:

Name(s)Last Name
ID number:
Email address:
example@example.com
Signature:

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Date:

DayMonthYear
Date
Details of Property
I, First Name* Last Name* am the registered owner / co-owner, of the following property located within the Lower Gardens City Improvement District.

Properties:*

	Erf number	Physical Address of property
1
2
3
4
5
6

Signed at*
On*

DayMonthYear
Date
Signature*

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Should be Empty:

Lower Gardens CID

Details of Owner representing the property

Details of Co-Owner(s)

Details of Property