CENTRAL OFFICE

Postnet Suite #59 • Private Bag x2449 • Mokopane 0600 • C/o Totius & Hooge Streets
Tel: 015 – 492 9000/9007 • Fax: 015 – 492 9042
www.waterbergcollege.co.za • hq@waterbergcollege.co.za

DECLARATION OF INTEREST FORM and CONFIDENTIALITY STATEMENT FOR COUNCIL MEMBERS

MEETING: PLANNING AND RESOURCE COMMITTEE MEETING – Q1

DATE: 01 MARCH 2023

TIME: 15H00

In order to enhance confidentiality of information during meetings, it is expected from

Council and Committee members inclusive of the Secretariat to commit themselves to the
following declaration of Interest and Confidentiality statement in the execution of their
duties by signing it

IENGINEERING
Mr MC Phasha as a member of the HOTEL
AND SKILLS TRAINING CENTRE
Council,
SCHOOL
do declare that:
BUSINESS STUDIES CENTRE IT AND COMPUTER SCIENCE CENTRE
Tel: 015 - 633 6772/0 Tel: 015 – 491 8139/4216 Tel: 015 – 483 2441/5 Tel: 015 – 483 0090/1
Fax: 015 - 633 6589 Fax: 015 – 491 8969 Fax: 015 – 483 1555 Fax: 015 – 483 0066
lebowakgomo@waterbergcollege.co.za hotelschool@waterbergcollege.co.za mahwelereng@waterbergcollege.co.za mokopane@waterbergcollege.co.za
 I do not have any financial or other interest in any business, or other
undertaking, of whatsoever nature, either directly or indirectly, in terms of
which I may improperly benefit or be advantaged from a decision to be made by
this Committee

I have the following interests, in terms of which I could potentially benefit or

be advantaged as a result of a decision by the __________________________
Committee/Council

Nature of interest:
Agenda Item:

I will be responsible for ensuring that the resolutions of this meeting and any other
confidential information are not disclosed to any unauthorized recipient or third party, whether
deliberately or through carelessness by me.

APPLICABLE TO EXTERNAL MEMBERS OF COUNCIL ONLY/TO BE COMPLETED BY THE ADMINISTRATOR

SUMMARY OF PAYMENTS AMOUNTS

SITTING ALLOWANCE
PREPARATION TIME
TRAVELLING COSTS
GRAND TOTAL

________________________ ____________________
SIGNATURE DATE