Blanco Neighbourhood Watch Membership Application

Thank You very much for taking the time to register with Blanco Neighbourhood Watch.

We welcome financial donations from our neighbourhood to assist the fight in crime in our community.

It is important and to the benefit of everyone living/working in our neighbourhood. We require the information in order for us to assist and respond effectively when the need arises.

We want residents to feel safe, relaxed and our children to play peacefully in our streets and parks.

For more info visit our website www.blancowatch.co.za

(DOCS Accreditation Number 15/18/007)

First Name: *

Surname: *

Cellphone Number: *

Email Address:

Street Number: *

Street Name: *

Suburb: *

Do you give BNW permission to enter your premises in case of emergency or when suspicious activity occurs? *

Yes

Do you make use of a security company? *

Yes

If Yes. Please give Name of Security Company:

Do you make use of garden service? *

Yes

If Yes. Please give Name of your garden services:

Do you have dogs on your property? *

Yes

If Yes. How many dogs you you have?

Do you have a Gardener working for you? *

Yes

If Yes. Please provide your gardeners full name, address and ID number:

Do you have a Housekeeper working for you? *

Yes

If Yes. Please provide your Housekeeper full name, address and ID number:

If Other is selected, please let us know:

Please provide the name, number and relationship contact details in the event an emergency at your premises:

Please provide Full names and contact numbers

Would you like to become an active member of BNW? *

Are you currently on our WhatsApp groups? *

Yes

I hereby promise to help my neighbours, by always reporting/opening and seeing through a case against people whom transgress the law. *

Yes

I hereby certify that all the above information is true: *

Yes

NB! Please assist your neighbours where you can, we would like everyone to be involved in the neighbourhood watch. We also understand that not everybody has access to a computer or internet, if this is the case for you or you know someone that does need assistance, and then contact us so we can arrange an alternative solution for them Thank you for taking the time to complete the questionnaire

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Blanco Neighbourhood Watch Membership Application

Thank You very much for taking the time to register with Blanco Neighbourhood Watch.

We welcome financial donations from our neighbourhood to assist the fight in crime in our community.

It is important and to the benefit of everyone living/working in our neighbourhood. We require the information in order for us to assist and respond effectively when the need arises.

We want residents to feel safe, relaxed and our children to play peacefully in our streets and parks.