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POTCHEFSTROOM FIRE PROTECTION ASSOCIATION
DAFF Reg. 1003/01, NPO 155-602, NPC 2013/008141/08, CSD MAAA012
@potchfire
067 375 0901
admin@potchfpa.co.za
Home
About Us
History and Background
Managers and Committee
Groups
Services
Working on Fire
Strategic Firebreaks
Training
Firebreaks Calendar
Contact Us
Membership Information
Membership Fees
Online Application
Application Forms – Downloadable
Application Afrikaans – Individual
Application – Individual
Application – Institutions
Application Afrikaans – Institutions
Gallery
Video’s
Menu
Home
About Us
History and Background
Managers and Committee
Groups
Services
Working on Fire
Strategic Firebreaks
Training
Firebreaks Calendar
Contact Us
Membership Information
Membership Fees
Online Application
Application Forms – Downloadable
Application Afrikaans – Individual
Application – Individual
Application – Institutions
Application Afrikaans – Institutions
Gallery
Video’s
Membership - Individual
Company
PERSONAL INFORMATION
Name and Surname
*
ID Number
*
PO Box
Physical Address
Telephone Number
Fax Number
Cellphone Number
Email Address
Mark if Applicable
Owner
Lessee
AVAILABILTY
Mark if Applicable
Permanent
After Hours
LANGUAGE
Mark if Applicalbe
Afrikaans
English
GENERAL INFORMATION
Do you have a two-way radio?
Yes
No
Call Sign / Other information
Do you have any firefighting experience?
Yes
No
Specify
Do you have any firefighting equipment?
Yes
No
Specify
Do you have any medical experience?
Specify
Do you have any police experience?
Yes
No
Specify
Any medical problems?
Specify
