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Application for an Employment Equity Report EEA 11 Affix Revenue Stamp here DEPARTMENT OF LABOUR Application for an Employment Equity Report Page: 1of 1 Employment Equity Act Section A: Applicant details: 55 of 1998, Section 21(6) Name and Surname: PLEASE READ THIS FIRST ID Number: Organisation: Address: WHAT IS THE PURPOSE OF THIS FORM? Town/City This form contains the format for Postal Code requesting an employers Employment Equity Report (Form EEA 2) from the Telephone No: Department of Labour. Fax No: WHO FILLS IN THIS FORM? E-Mail Address: The applicant who is requesting this Date of application: report. INSTRUCTIONS Complete this for and mail to the Section B: Reason for this request: Employment Equity Registry. Enclose revenue stamp to the value of R15,00 as well as a self- addressed(postage paid) envelope. SEND TO? Employment Equity Registry (Application for Employment Equity Report) The Department of Labour Private Bag x117 Pretoria 0001 e-mail: email@example.com Section C: Report requested: Employer: 1.
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