DEPARTMENT OF LABOUR - DOC 1 by 5bcY1j3

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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: ee@labour.gov.za

                                           Section C: Report requested:

                                                                        Employer:
                                                        1.

								
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