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Guyana
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Hungary
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India
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Iran (Islamic Republic of)
Iraq
Ireland
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Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
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Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
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Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
SECTION A: PERSONAL INFORMATION
SECTION A: PERSONAL INFORMATION
SECTION A: PERSONAL INFORMATION
Surname
First Name
Middle Names
Initials
Title
ID Number
Alternative ID Type
Date of Birth (YYYY-MM-DD)
Date of Birth (YYYY-MM-DD)
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Area Type
Rural
Urban
Unknown
SECTION B: EQUITY & NATIONALITY
SECTION B: EQUITY & NATIONALITY
SECTION B: EQUITY & NATIONALITY
Gender
Male
Female
Non-Binary
Other
Unknown
Equity
Black African
Coloured
Indian/Asian
White
Other
Not Selected
Nationality
South Africa
SADC except SA (i.e. NAM to ZAI)
Namibia
Botswana
Zimbabwe
Angola
Mozambique
Lesotho
Swaziland
Malawi
Zambia
Mauritius
Tanzania
Seychelles
Zaire
Rest of Africa
European Countries
Asian Countries
North American Countries
Central and South American Countries
Australia and New Zealand
Other and rest of Oceania
N/A: Institution
Unknown
Citizenship
South Africa
Other
Dual (SA plus other)
Permanent Resident
Unknown
SECTION C: HEALTH & FUNCTIONING STATUS
SECTION C: HEALTH & FUNCTIONING STATUS
SECTION C: HEALTH & FUNCTIONING STATUS
Seeing
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
6 - Cannot yet be determined
60 - Multiple difficulties
70 - May have difficulty
80 - Former difficulty, none now
Hearing
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
6 - Cannot yet be determined
60 - Multiple difficulties
70 - May have difficulty
80 - Former difficulty, none now
Communicating
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
6 - Cannot yet be determined
60 - Multiple difficulties
70 - May have difficulty
80 - Former difficulty, none now
Walking
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
6 - Cannot yet be determined
60 - Multiple difficulties
70 - May have difficulty
80 - Former difficulty, none now
Remembering
1 - No difficulty
2 - Some difficulty
3 - A lot of difficulty
4 - Cannot do at all
6 - Cannot yet be determined
60 - Multiple difficulties
70 - May have difficulty
80 - Former difficulty, none now
SECTION D: CONTACT DETAILS
SECTION D: CONTACT DETAILS
SECTION D: CONTACT DETAILS
Cell Phone Number
Alternative Contact Number
Email
SECTION E: PHYSICAL ADDRESS
SECTION E: PHYSICAL ADDRESS
SECTION E: PHYSICAL ADDRESS
House/Building/Apartment Number
Building or Estate or Apartment Block Name
Street Name
Suburb
Town/City
Postal Code
Province
Western Cape
Eastern Cape
Northern Cape
Freestate
KwaZulu-Natal
North West
Gauteng
Mpumalanga
Limpopo
Not Selected
Under which municipality does your residence fall
Abaqulusi_Local_Municipality
Aganang
Albert Luthuli
Alfred_Duma_Local_Municipality
Amahlathi_Local_Municipality
Ba-Phalaborwa_Local_Municipality
Baviaans
Beaufort_West_Local_Municipality
Bela-Bela_Local_Municipality
Benede Oranje
Bergrivier_Local_Municipality
Big_Five_Hlabisa_Local_Municipality
Bitou_Local_Municipality
Blouberg_Local_Municipality
Blue_Crane_Route_Local_Municipality
Breede River
Breede_Valley_Local_Municipality
Buffalo_City_Metropolitan_Municipality
Bushbuckridge_Local_Municipality
Camdeboo
Cape_Agulhas_Local_Municipality
Cederberg_Local_Municipality
Chief_Albert_Luthuli_Local_Municipality
City_of_Cape_Town_Metropolitan_Municipality
City_of_Johannesburg_Metropolitan_Municipality
City_of_Matlosana_Local_Municipality
City_of_Mbombela_Local_Municipality
City_of_Tshwane_Metropolitan_Municipality
Dannhauser_Local_Municipality
Dawid_Kruiper_Local_Municipality
Diamondfields
Dihlabeng_Local_Municipality
Dikgatlong_Local_Municipality
Dipaleseng_Local_Municipality
Ditsobotla_Local_Municipality
Dr_Beyers_Naude_Local_Municipality
Dr_JS_Moroka_Local_Municipality
Dr_Nkosazana_Dlamini_Zuma_Local_Municipality
Dr_Pixley_Ka_Isaka_Seme_Local_Municipality
Drakenstein_Local_Municipality
eDumbe_Local_Municipality
Ekurhuleni_Metropolitan_Municipality
Elias_Motsoaledi_Local_Municipality
Elundini_Local_Municipality
Emadlangeni_Local_Municipality
Emakhazeni_Local_Municipality
Emalahleni EC
Emalahleni_Local_Municipality
Emfuleni_Local_Municipality
Emthanjeni_Local_Municipality
Endumeni_Local_Municipality
Engcobo_Local_Municipality
Enoch_Mgijima_Local_Municipality
Ephraim_Mogale_Local_Municipality
Ethekwini_Metropolitan_Municipality
Fetakgomo_Tubatse_Local_Municipality
Gaints Game Reserve
Gamagara_Local_Municipality
Gariep
Ga-Segonyana_Local_Municipality
George_Local_Municipality
Govan_Mbeki_Local_Municipality
Great_Kei_Local_Municipality
Greater Tubatse
Greater_Giyani_Local_Municipality
Greater_Kokstad_Local_Municipality
Greater_Letaba_Local_Municipality
Greater_Taung_Local_Municipality
Greater_Tzaneen_Local_Municipality
Hantam
Hessequa_Local_Municipality
Hibiscus Coast
Hlabisa
Ikwezi
Imbabazane
Impendle_Local_Municipality
Indaka
Ingquza_Hill_Local_Municipality
Inkosi_Langalibalele_Local_Municipality
Inkwanca
Intsika_Yethu_Local_Municipality
Inxuba_Yethemba_Local_Municipality
JB_Marks_Local_Municipality
Joe_Morolong_Local_Municipality
Jozini_Local_Municipality
Kagisano_Molopo_Local_Municipality
Kai_Garib_Local_Municipality
Kalahari
Kamiesberg_Local_Municipality
Kannaland_Local_Municipality
Kareeberg_Local_Municipality
Karoo_Hoogland_Local_Municipality
Kgatelopele_Local_Municipality
Kgetlengrivier_Local_Municipality
Khâi-Ma_Local_Municipality
Khara Hais
Kheis_Local_Municipality
King_Sabata_Dalindyebo_Local_Municipality
Knysna_Local_Municipality
Kopanong_Local_Municipality
Kouga_Local_Municipality
Kou-Kamma_Local_Municipality
Kruger National Park
Kungwini
Kwa Sani
KwaDukuza_Local_Municipality
Laingsburg_Local_Municipality
Langeberg_Local_Municipality
Lekwa_Local_Municipality
Lekwa-Teemane_Local_Municipality
Lepele-Nkumpi_Local_Municipality
Lephalale_Local_Municipality
Lesedi_Local_Municipality
Letsemeng_Local_Municipality
Local_Municipality_of_Madibeng
Lowveld
Lukanji
Mafikeng_Local_Municipality
Mafube_Local_Municipality
Magareng_Local_Municipality
Makana_Local_Municipality
Makhado_Local_Municipality
Makhuduthamaga_Local_Municipality
Maluti_a_Phofung_Local_Municipality
Mamusa_Local_Municipality
Mandeni_Local_Municipality
Mangaung_Metropolitan_Municipality
Mantsopa_Local_Municipality
Maphumulo_Local_Municipality
Maquassi_Hills_Local_Municipality
Maruleng_Local_Municipality
Masilonyana_Local_Municipality
Matatiele_Local_Municipality
Matjhabeng_Local_Municipality
Matzikama_Local_Municipality
Mbhashe_Local_Municipality
Mbizana_Local_Municipality
Merafong_City_Local_Municipality
Metsimaholo_Local_Municipality
Mfolozi_Local_Municipality
Mhlontlo_Local_Municipality
Midvaal_Local_Municipality
Mkhambathini_Local_Municipality
Mkhomazi Wilderness Area
Mkhondo_Local_Municipality
Mnquma_Local_Municipality
Modimolle-Mookgophong_Local_Municipality
Mogalakwena_Local_Municipality
Mogale_City_Local_Municipality
Mohokare_Local_Municipality
Molemole_Local_Municipality
Molopo
Mooi Mpofana
Mookgopong
Moqhaka_Local_Municipality
Moretele_Local_Municipality
Moses_Kotane_Local_Municipality
Mossel_Bay_Local_Municipality
Msinga_Local_Municipality
Msukaligwa_Local_Municipality
Msunduzi
Mthonjaneni_Local_Municipality
Mtubatuba_Local_Municipality
Musina_Local_Municipality
Mutale
Nala_Local_Municipality
Naledi NW
Naledi_Local_Municipality
Nama_Khoi_Local_Municipality
Ndlambe_Local_Municipality
Ndwedwe_Local_Municipality
Nelson_Mandela_Bay_Metropolitan_Municipality
Newcastle_Local_Municipality
Ngqushwa_Local_Municipality
Ngwathe_Local_Municipality
Nkandla_Local_Municipality
Nketoana_Local_Municipality
Nkomazi_Local_Municipality
Nokeng tsa Taemane
Nongoma_Local_Municipality
Nqutu_Local_Municipality
Ntabankulu_Local_Municipality
Ntambanana
Nxuba
Nyandeni_Local_Municipality
Okhahlamba_Local_Municipality
Oudtshoorn_Local_Municipality
Overstrand
Overstrand_Local_Municipality
Phokwane_Local_Municipality
Phumelela_Local_Municipality
Polokwane_Local_Municipality
Port_St_Johns_Local_Municipality
Prince_Albert_Local_Municipality
Ramotshere_Moiloa_Local_Municipality
Rand_West_City_Local_Municipality
Ratlou_Local_Municipality
Ray_Nkonyeni_Local_Municipality
Raymond_Mhlaba_Local_Municipality
Renosterberg_Local_Municipality
Richmond_Local_Municipality
Richtersveld_Local_Municipality
Rustenburg_Local_Municipality
Sakhisizwe_Local_Municipality
Saldanha_Bay_Local_Municipality
Senqu_Local_Municipality
Setsoto_Local_Municipality
Siyancuma_Local_Municipality
Siyathemba_Local_Municipality
Sol_Plaatje_Local_Municipality
South Cape
St Lucia Park
Stellenbosch_Local_Municipality
Steve_Tshwete_Local_Municipality
Sundays_River_Valley_Local_Municipality
Swartland_Local_Municipality
Swellendam_Local_Municipality
Thaba_Chweu_Local_Municipality
Thabazimbi_Local_Municipality
Theewaterskloof_Local_Municipality
Thembelihle_Local_Municipality
Thembisile_Hani_Local_Municipality
Thulamela_Local_Municipality
Tokologo_Local_Municipality
Tsantsabane_Local_Municipality
Tswaing_Local_Municipality
Tswelopele_Local_Municipality
Ubuhlebezwe_Local_Municipality
Ubuntu_Local_Municipality
Ulundi_Local_Municipality
Umdoni_Local_Municipality
Umhlabuyalingana_Local_Municipality
uMhlathuze_Local_Municipality
Umjindi
uMlalazi_Local_Municipality
uMngeni_Local_Municipality
uMshwathi_Local_Municipality
Umsobomvu_Local_Municipality
UMuziwabantu_Local_Municipality
Umvoti_Local_Municipality
Umzimkhulu_Local_Municipality
Umzimvubu_Local_Municipality
Umzumbe_Local_Municipality
UPhongolo_Local_Municipality
Ventersdorp
Victor_Khanye_Local_Municipality
Vulamehlo
Walter_Sisulu_Local_Municipality
West Coast
Westonaria
Witzenberg_Local_Municipality
Unknown
Not Selected
Residential Area Type
Rural
Urban
Not Selected
SECTION F: POSTAL ADDRESS
SECTION F: POSTAL ADDRESS
SECTION F: POSTAL ADDRESS
Postal Address
Postal Suburb
Postal Town/City
Postal Code
Province
Western Cape
Eastern Cape
Northern Cape
Freestate
KwaZulu-Natal
North West
Gauteng
Mpumalanga
Limpopo
Not Selected
Under which municipality does your postal address fall
Abaqulusi_Local_Municipality
Aganang
Albert Luthuli
Alfred_Duma_Local_Municipality
Amahlathi_Local_Municipality
Ba-Phalaborwa_Local_Municipality
Baviaans
Beaufort_West_Local_Municipality
Bela-Bela_Local_Municipality
Benede Oranje
Bergrivier_Local_Municipality
Big_Five_Hlabisa_Local_Municipality
Bitou_Local_Municipality
Blouberg_Local_Municipality
Blue_Crane_Route_Local_Municipality
Breede River
Breede_Valley_Local_Municipality
Buffalo_City_Metropolitan_Municipality
Bushbuckridge_Local_Municipality
Camdeboo
Cape_Agulhas_Local_Municipality
Cederberg_Local_Municipality
Chief_Albert_Luthuli_Local_Municipality
City_of_Cape_Town_Metropolitan_Municipality
City_of_Johannesburg_Metropolitan_Municipality
City_of_Matlosana_Local_Municipality
City_of_Mbombela_Local_Municipality
City_of_Tshwane_Metropolitan_Municipality
Dannhauser_Local_Municipality
Dawid_Kruiper_Local_Municipality
Diamondfields
Dihlabeng_Local_Municipality
Dikgatlong_Local_Municipality
Dipaleseng_Local_Municipality
Ditsobotla_Local_Municipality
Dr_Beyers_Naude_Local_Municipality
Dr_JS_Moroka_Local_Municipality
Dr_Nkosazana_Dlamini_Zuma_Local_Municipality
Dr_Pixley_Ka_Isaka_Seme_Local_Municipality
Drakenstein_Local_Municipality
eDumbe_Local_Municipality
Ekurhuleni_Metropolitan_Municipality
Elias_Motsoaledi_Local_Municipality
Elundini_Local_Municipality
Emadlangeni_Local_Municipality
Emakhazeni_Local_Municipality
Emalahleni EC
Emalahleni_Local_Municipality
Emfuleni_Local_Municipality
Emthanjeni_Local_Municipality
Endumeni_Local_Municipality
Engcobo_Local_Municipality
Enoch_Mgijima_Local_Municipality
Ephraim_Mogale_Local_Municipality
Ethekwini_Metropolitan_Municipality
Fetakgomo_Tubatse_Local_Municipality
Gaints Game Reserve
Gamagara_Local_Municipality
Gariep
Ga-Segonyana_Local_Municipality
George_Local_Municipality
Govan_Mbeki_Local_Municipality
Great_Kei_Local_Municipality
Greater Tubatse
Greater_Giyani_Local_Municipality
Greater_Kokstad_Local_Municipality
Greater_Letaba_Local_Municipality
Greater_Taung_Local_Municipality
Greater_Tzaneen_Local_Municipality
Hantam
Hessequa_Local_Municipality
Hibiscus Coast
Hlabisa
Ikwezi
Imbabazane
Impendle_Local_Municipality
Indaka
Ingquza_Hill_Local_Municipality
Inkosi_Langalibalele_Local_Municipality
Inkwanca
Intsika_Yethu_Local_Municipality
Inxuba_Yethemba_Local_Municipality
JB_Marks_Local_Municipality
Joe_Morolong_Local_Municipality
Jozini_Local_Municipality
Kagisano_Molopo_Local_Municipality
Kai_Garib_Local_Municipality
Kalahari
Kamiesberg_Local_Municipality
Kannaland_Local_Municipality
Kareeberg_Local_Municipality
Karoo_Hoogland_Local_Municipality
Kgatelopele_Local_Municipality
Kgetlengrivier_Local_Municipality
Khâi-Ma_Local_Municipality
Khara Hais
Kheis_Local_Municipality
King_Sabata_Dalindyebo_Local_Municipality
Knysna_Local_Municipality
Kopanong_Local_Municipality
Kouga_Local_Municipality
Kou-Kamma_Local_Municipality
Kruger National Park
Kungwini
Kwa Sani
KwaDukuza_Local_Municipality
Laingsburg_Local_Municipality
Langeberg_Local_Municipality
Lekwa_Local_Municipality
Lekwa-Teemane_Local_Municipality
Lepele-Nkumpi_Local_Municipality
Lephalale_Local_Municipality
Lesedi_Local_Municipality
Letsemeng_Local_Municipality
Local_Municipality_of_Madibeng
Lowveld
Lukanji
Mafikeng_Local_Municipality
Mafube_Local_Municipality
Magareng_Local_Municipality
Makana_Local_Municipality
Makhado_Local_Municipality
Makhuduthamaga_Local_Municipality
Maluti_a_Phofung_Local_Municipality
Mamusa_Local_Municipality
Mandeni_Local_Municipality
Mangaung_Metropolitan_Municipality
Mantsopa_Local_Municipality
Maphumulo_Local_Municipality
Maquassi_Hills_Local_Municipality
Maruleng_Local_Municipality
Masilonyana_Local_Municipality
Matatiele_Local_Municipality
Matjhabeng_Local_Municipality
Matzikama_Local_Municipality
Mbhashe_Local_Municipality
Mbizana_Local_Municipality
Merafong_City_Local_Municipality
Metsimaholo_Local_Municipality
Mfolozi_Local_Municipality
Mhlontlo_Local_Municipality
Midvaal_Local_Municipality
Mkhambathini_Local_Municipality
Mkhomazi Wilderness Area
Mkhondo_Local_Municipality
Mnquma_Local_Municipality
Modimolle-Mookgophong_Local_Municipality
Mogalakwena_Local_Municipality
Mogale_City_Local_Municipality
Mohokare_Local_Municipality
Molemole_Local_Municipality
Molopo
Mooi Mpofana
Mookgopong
Moqhaka_Local_Municipality
Moretele_Local_Municipality
Moses_Kotane_Local_Municipality
Mossel_Bay_Local_Municipality
Msinga_Local_Municipality
Msukaligwa_Local_Municipality
Msunduzi
Mthonjaneni_Local_Municipality
Mtubatuba_Local_Municipality
Musina_Local_Municipality
Mutale
Nala_Local_Municipality
Naledi NW
Naledi_Local_Municipality
Nama_Khoi_Local_Municipality
Ndlambe_Local_Municipality
Ndwedwe_Local_Municipality
Nelson_Mandela_Bay_Metropolitan_Municipality
Newcastle_Local_Municipality
Ngqushwa_Local_Municipality
Ngwathe_Local_Municipality
Nkandla_Local_Municipality
Nketoana_Local_Municipality
Nkomazi_Local_Municipality
Nokeng tsa Taemane
Nongoma_Local_Municipality
Nqutu_Local_Municipality
Ntabankulu_Local_Municipality
Ntambanana
Nxuba
Nyandeni_Local_Municipality
Okhahlamba_Local_Municipality
Oudtshoorn_Local_Municipality
Overstrand
Overstrand_Local_Municipality
Phokwane_Local_Municipality
Phumelela_Local_Municipality
Polokwane_Local_Municipality
Port_St_Johns_Local_Municipality
Prince_Albert_Local_Municipality
Ramotshere_Moiloa_Local_Municipality
Rand_West_City_Local_Municipality
Ratlou_Local_Municipality
Ray_Nkonyeni_Local_Municipality
Raymond_Mhlaba_Local_Municipality
Renosterberg_Local_Municipality
Richmond_Local_Municipality
Richtersveld_Local_Municipality
Rustenburg_Local_Municipality
Sakhisizwe_Local_Municipality
Saldanha_Bay_Local_Municipality
Senqu_Local_Municipality
Setsoto_Local_Municipality
Siyancuma_Local_Municipality
Siyathemba_Local_Municipality
Sol_Plaatje_Local_Municipality
South Cape
St Lucia Park
Stellenbosch_Local_Municipality
Steve_Tshwete_Local_Municipality
Sundays_River_Valley_Local_Municipality
Swartland_Local_Municipality
Swellendam_Local_Municipality
Thaba_Chweu_Local_Municipality
Thabazimbi_Local_Municipality
Theewaterskloof_Local_Municipality
Thembelihle_Local_Municipality
Thembisile_Hani_Local_Municipality
Thulamela_Local_Municipality
Tokologo_Local_Municipality
Tsantsabane_Local_Municipality
Tswaing_Local_Municipality
Tswelopele_Local_Municipality
Ubuhlebezwe_Local_Municipality
Ubuntu_Local_Municipality
Ulundi_Local_Municipality
Umdoni_Local_Municipality
Umhlabuyalingana_Local_Municipality
uMhlathuze_Local_Municipality
Umjindi
uMlalazi_Local_Municipality
uMngeni_Local_Municipality
uMshwathi_Local_Municipality
Umsobomvu_Local_Municipality
UMuziwabantu_Local_Municipality
Umvoti_Local_Municipality
Umzimkhulu_Local_Municipality
Umzimvubu_Local_Municipality
Umzumbe_Local_Municipality
UPhongolo_Local_Municipality
Ventersdorp
Victor_Khanye_Local_Municipality
Vulamehlo
Walter_Sisulu_Local_Municipality
West Coast
Westonaria
Witzenberg_Local_Municipality
Unknown
Not Selected
Postal Area Type
Rural
Urban
Not Selected
SECTION G: SOCIO ECONOMIC STATUS
SECTION G: SOCIO ECONOMIC STATUS
SECTION G: SOCIO ECONOMIC STATUS
Socio Economic Status
Employed
Unemployed
Not Selected
SECTION H: HISTORICAL INFORMATION
SECTION H: HISTORICAL INFORMATION
SECTION H: HISTORICAL INFORMATION
Please list the High School you matriculated from/ last High School attended
What year did you matriculate/Leave High School?
What year did you matriculate/Leave High School?
Enable
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If you had access to Higher/Tertiary Education, please state the name of the Institute and the highest academic level achieved (Certificate, Diploma, N levels, Degree, Post-Graduate, Occupational, etc. )
Required