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An official at this Department to find a suitable opportunity for you. PLEASE COMPLETE THE FORM IN BLOCK LETTERS. ESSA ACCESS INFORMATION Identity Number (13 Digits) * First Names Date of Birth d d m m y y y Surname PERSONAL DETAILS - PERSONAL Hard of hearing None Blindness Chronic Conditions Deafness Mental / Neurological Conditions Disability Partially Sighted Physical disability Speech Impaired Visually Impaired Gender Equity Group African Indian Coloured Not applicable Male White.

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