HP Form 001 - Advanced search

Id

Status

Date

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Form Name

1. Activity for which the permit is required

2. The application is made on by

3. Indicate if you are applying for commercial or research purposes

Search Applicant

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Lookup Applicant

B. Applicant: Title

B. Applicant: Full Name

B. Applicant: ID No.

B. Applicant: Gender

B. Applicant: Population Group

B. Applicant: Business Name

B. Applicant: PIA Registration No.

B. Applicant: Cellular No.

B. Applicant: Telephone No.

B. Applicant: Email

B. Applicant: Physical Address

B. Applicant: Physical Address- Town

B. Applicant: Physical Address- Code

B. Applicant: Physical Address- Local Municipality

B. Applicant: Physical Address- District Municipality

B. Applicant: Physical Address- Province

B. Applicant: Physical Address- GPS Coordinates

B. Applicant: Postal Address

B. Applicant: Postal Address- Town

B. Applicant: Postal Address- Code

Search Representative

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Lookup Representative

B. Representative: Title

B. Representative: Full Name

B. Representative: ID No.

B. Representative: Role

B. Representative: Cellular No.

B. Representative: Telephone No.

B. Representative: Email

B. Representative: Business Name

B. Representative: PIA Registration No.

Search Site

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Lookup Site

C. Site: Contact Person- Full Name

C. Site: Contact Person- ID No.

C. Site: Contact Person- Gender

C. Site: Contact Person- Cellular No.

C. Site: Contact Person- Telephone No.

C. Site: Contact Person- Email Address

C. Site: Details- Type of Activity currently at the Site

C. Site: Details- Hectares of Hemp Cultivation

C. Site: Physical Address

C. Site: Physical Address- Town

C. Site: Physical Address- Code

C. Site: Physical Address- Local Municipality

C. Site: Physical Address- District Municipality

C. Site: Physical Address- Province

C. Site: Physical Address- GPS Coordinates

Search Police

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Lookup Police

C. Police: Station Name

C. Police: Physical Address- Town

C. Police: Physical Address- Code

C. Police: Physical Address- Local Municipality

C. Police: Physical Address- District Municipality

C. Police: Physical Address- Province

C. Police: Physical Address- GPS Coordinates

C. Police: Contact Details- Telephone No.

C. Police: Contact Details- Fax No.

D1. Cultivation?

D1. Harvest?

D1. How wil it be done?

D1. What equipment is available?

D2. Where will the seed / seedlings be kept before planting?

D3. How is the area secured against unauthorised access?

D4. How far is the area from a public road?

D5. How is the area from the residence?

D6. Are there notifications displayed on the fencing that the planting is (low THC)?

D7. Is a visitor’s register available for signing by each visitor?

D8. The address of the site where records of hemp related activities will be kept:

D9. Harvested Material: Stalk- Product to Produce

D9. Harvested Material: Stalk- End Use of Product

D9. Harvested Material: Stalk- Method of Processing

D9. Harvested Material: Stalk- Where will Processing be done?

D9. Harvested Material: Leaves- Product to Produce

D9. Harvested Material: Leaves- End Use of Product

D9. Harvested Material: Leaves- Method of Processing

D9. Harvested Material: Leaves- Where will Processing be done?

D9. Harvested Material: Flowers- Product to Produce

D9. Harvested Material: Flowers- End Use of Product

D9. Harvested Material: Flowers- Method of Processing

D9. Harvested Material: Flowers- Where will Processing be done?

D9. Harvested Material: Seed- Product to Produce

D9. Harvested Material: Seed- End Use of Product

D9. Harvested Material: Seed- Method of Processing

D9. Harvested Material: Seed- Where will Processing be done?

10. Source of plants or propagating material to be cultivated

D11. Describe the relevant training, technical skills ...

D12. Proposed security arrangements at each Premises

Ea. Have you been found guilty of any offence?

Ea. If Yes, please provide details

Ea. Have you been a juristic person been found guilty of any offence?

Ea. If Yes, please provide details

Ec. 3.1. Have you ever been found guilty of any offences?

Ec. 3.2. Are you aware of any proceedings against you?

Ec. 3.3. Have you ever been disqualified from holding a permit?

Ec. 3.4. If Yes, please provide details

Declaration: Company Director- Name

Declaration: Company Director- Signature

Clear

Declaration: Company Director- Date of Signature

Declaration: Company Counter- Signature

Clear

Declaration: Company Counter- Date of Signature

Declaration: Applicant- Name

Declaration: Applicant- Signature

Clear

Declaration: Applicant- Date of Signature

Declaration: Witness- Name

Declaration: Witness- Signature

Clear

Declaration: Witness- Date of Signature

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