Domestic, Gardener & Staff Extension Form Name Name of registered owner / tenant Address / Stand Number Name of Domestic / Gardener / Staff Member Access Card No / ID Number Reactivate / Cancel * Reactivate Cancel Reason for Cancelation if Applicable Owner / Tenant * Owner Tenant Days Employed * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Sleeping Arrangements Sleep In Sleep Out POPI Act We are committed to protecting your privacy ensuring that your Personal Information is collected and used properly, lawfully, and openly for the following purpose: Domestic / Gardener Extension. We confirm that your Personal Information collected will be used and disposed of as is required by the Protection of Personal Information Act No. 4 of 2013 (POPI Act).
