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Voluntary Association against Vaccine Mandates: Membership Form

This is a voluntary association of people that are against being forced to be injected COVID-19 ‘vaccines’.

It has been created for the possible interdiction of employers who are forcing their staff to be vaccinated with COVID-19 ‘vaccines’. 

This association is open to all people in South Africa who wish to support the people of South Africa being affected by ‘vaccine’ mandates via the above initiative.

To become a member of this Voluntary Association, please fill out the form below.

Please provide the required personal information, followed by any extra information pertaining to any opened claims and/or cases opened with the SAHRC and/or CCMA, as well as your employer’s information.

Privacy Notice: Please note that the information you submit through this form is kept safe and secure at all times. We will never share your personal information with a third party, unless you request that we do so on your behalf.

Please provide as much information as you can.. * indicates a required field.
For the purposes of legal correspondence, your ID or passport number is required. Please select which one you would like to use:
The next two sections are both optional. Leaving them blank does not stop you from becoming a member of our association. Claims and Cases
Employer Information This information is optional, as you have not declared any claims or cases above.
Acknowledgement and Confirmation By submitting this form, you acknowledge that all the information provided is, to the best of your knowledge, accurate and truthful.
You also acknowledge that you have read, understand the contents of, and agree to our Privacy Policy.
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