HP Form 001 [5]

Status

ACTIVE

Date

4/23/2022

QR Tracking code

Form Name

HP FORM 001

1. Activity for which the permit is required

IMPORT

2. The application is made on by

REGISTERED COMPANY

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

RESEARCH

Search Applicant

dddd12

Lookup Applicant

Duck, Donald

B. Applicant: Title

B. Applicant: Full Name

Duck, Donald

B. Applicant: ID No.

dddd12

B. Applicant: Gender

MALE

B. Applicant: Population Group

WHITE

B. Applicant: Business Name

B. Applicant: PIA Registration No.

B. Applicant: Cellular No.

B. Applicant: Telephone No.

B. Applicant: Email

B. Applicant: Physical Address

56 Eastview Road

B. Applicant: Physical Address- Town

DURBAN NORTH

B. Applicant: Physical Address- Code

4051

B. Applicant: Physical Address- Local Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

B. Applicant: Physical Address- District Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

B. Applicant: Physical Address- Province

KWAZULU NATAL

B. Applicant: Physical Address- GPS Coordinates

B. Applicant: Postal Address

B. Applicant: Postal Address- Town

B. Applicant: Postal Address- Code

Search Representative

6607155264084

Lookup Representative

Omar, Farhaad

B. Representative: Title

B. Representative: Full Name

Farhaad

B. Representative: ID No.

6607155264084

B. Representative: Role

B. Representative: Cellular No.

0765260576

B. Representative: Telephone No.

0765260576

B. Representative: Email

farhaad@driversfriend.co.za

B. Representative: Business Name

Autointelligence

B. Representative: PIA Registration No.

1234567890

Search Site

123457890

Lookup Site

Vadia, Farhana

C. Site: Contact Person- Full Name

Vadia, Farhana

C. Site: Contact Person- ID No.

123457890

C. Site: Contact Person- Gender

FEMALE

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

202 Brickfield Road

C. Site: Physical Address- Town

DURBAN

C. Site: Physical Address- Code

4091

C. Site: Physical Address- Local Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

C. Site: Physical Address- District Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

C. Site: Physical Address- Province

KWAZULU NATAL

C. Site: Physical Address- GPS Coordinates

Search Police

DURBAN NORTH POLICE STATION

Lookup Police

DURBAN NORTH POLICE STATION

C. Police: Station Name

DURBAN NORTH POLICE STATION

C. Police: Physical Address- Town

DURBAN NORTH

C. Police: Physical Address- Code

4051

C. Police: Physical Address- Local Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

C. Police: Physical Address- District Municipality

ETHEKWINI METROPOLITAN MUNICIPALITY

C. Police: Physical Address- Province

KWAZULU NATAL

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

Duck, Donald

Declaration: Company Director- Signature

Declaration: Company Director- Date of Signature

Declaration: Company Counter- Signature

Declaration: Company Counter- Date of Signature

Declaration: Applicant- Name

Omar, Farhaad

Declaration: Applicant- Signature

Declaration: Applicant- Date of Signature

Declaration: Witness- Name

Declaration: Witness- Signature

Declaration: Witness- Date of Signature

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