GAUTENG EAST DISTRICT EMPLOYEE HEALTH AND WELLNESS SPORTS REGISTRATION FORM

Circuit
Sporting Code
Gender
Teamleader
Contact Details Cell No: Email:

Surname Names School/Unit/Sub- Contact Details

directorate Cell No. Email Address

Making education a societal priority

------------------------------___________________________------------------------------Making education a societal priority
Office of the District Director: Gauteng East
Cnr 7th Street & 5th Avenue, Telkom Building, Springs, 1560
Private Bag X09, Springs, 1560. Tel.: (011) 736-0887: Fax: (011) 736-0805
E-mail: Somikazi.Chabalala@gauteng.gov.za
Website: www.education.gpg.gov.za
 Surname Names School/Unit/Sub- Contact Details
directorate Cell No. Email Address

___________________
Team leader Signature:
Date: ______________

Making education a societal priority

------------------------------___________________________------------------------------Making education a societal priority
Office of the District Director: Gauteng East
Cnr 7th Street & 5th Avenue, Telkom Building, Springs, 1560
Private Bag X09, Springs, 1560. Tel.: (011) 736-0887: Fax: (011) 736-0805
E-mail: Somikazi.Chabalala@gauteng.gov.za
Website: www.education.gpg.gov.za