Name of Department*:
Name of Requestor*:
Email Address of Requestor*:
Name of Event / Purpuse of Request*:
On- / Off-Campus Event*:
Collection Date/Time*:
Return Date/Time*:
Equipment Requested:
Table Clothes Requested:
Faculty Banner:
School Banners:
POPIA statement Nelson Mandela University
The Protection of Personal Information Act, 2013 (POPI Act) has been promulgated and implemented on 1 July 2020. All personal identifiable information provided by you shall be treated in accordance with this statute and only used for academic and academic administration purposes, as indicated in the University Privacy Policy. I hereby provide consent of all my personal identifiable information provided to the University for the aforesaid purposes.