Classification

• Recommended Classification: Confidential Restricted Secret Top Secret •
• Priority: Routine Urgent •

State Department Involved

• Department Type: National Department Provincial Department •
• Department Province: Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape
• Department: •
• Department Other:

Allegation Details

• Name(s) of Perpetrator(s):
  Please seperate names with a comma (,)
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• Nature of Allegation: Complaint Concern Corruption Fraud Nepotism Procurement Irregularities Racism Theft Unethical Behaviour Other (Specify) •
• Allegation Other:
• Province: Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape •
• City: •
• Allegation Date: •
• Time of the allegation(hh:mm):
• Details of the allegation: •

Documentary Evidence / Proof of the Allegations

• I have Proof:
• Evidence Forwarding: To be forwarded by e-mail To be forwarded by fax To be forwarded by hand To be forwarded by post
• Evidence Description:

Contact Details (Optional)

• First Name:
  
• Last Name:
  
• Telephone number:
  
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• Suburb:
  
• City / Town:
  
• Postal code:
  

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