HSF General Query Form

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* 1. Name

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* 2. Surname

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* 3. Race

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* 4. What is your gender?

Male

Female

non-binary

I prefer not to say

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* 5. Address

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* 6. Which Province do you currently reside in?

Eastern Cape

Free State

Gauteng

Western Cape

Northern Cape

Mpumalanga

Limpopo

Kwa-Zulu Natal

North-West

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* 7. Email

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* 8. Alternative Contact Details

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* 9. Employment Status

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* 10. Summary of issue

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* 11. Document Upload

Please upload any relevant documents

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.