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DWS – REGISTRATION/LICENSING WITH TRICON ENVIRONMENTAL

Please complete your details for your DWS Registration and License Application

DWS Applications

First Name

Last Name

Email

Phone/Mobile

GENERAL INFORMATION

Registration Type

New registration

Minor change

Formal amendment

Registration Number

PARTICULARS OF THE APPLICANT

Application for:

Individuals

Company, business, partnership or community

National or provincial government

PARTICULARS OF THE INDIVIDUAL, COMPANY, BUSINESS, PARTNERSHIP OR COMMUNITY

Name of company, business, partnership or community:

Trading name if different from name of company, business, partnership or community:

Type of enterprise:

Business enterprise registration number:

Date established:

Country where established:

VAT registration number:

What are you registering for?

Dam

Conservancy Tank

Borehole

Surface Water

Spring/Fountain

Septic Tank

Other Waste Water Processing

Declaration by applicant (or person who was granted power of attorney by the applicant)

Surname of delegated person:

Dropdown

Initials

Identity Type:

South African ID

Passport number: (if not a holder of South African ID)

South African ID Number

Passport Number

Passport Expiry date

I/we hereby declare that the information provided by me/us in this application form is, to the best of my/our knowledge, true and correct.

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