Mooirivier Beskerming Please complete this form if you intend to leave the premises for 24 hours or longer Leave Intent form Name:(Required) Surname:(Required) Email Physical AddressPlease choose one(Required) Home Complex Address(Required) Arrangements during time of absence Time of absenceAbsent from:(Required) DD slash MM slash YYYY Time of departure: Hours : Minutes AM PM Date return:(Required) DD slash MM slash YYYY Time of return: Hours : Minutes AM PM KeyholderWill you be leaving your keys with a keyholder?(Required) Yes No Name and Surname of keyholder and contact number(Required) Will the premises be occupied in your absence?(Required) Yes No Name and Surname of occupant and contact number(Required) In Case of EmergencyDoes the above stated keyholder have permission to make decisions with regards to the property in your absence? Yes No Other people/Service providers allowed on premises(Required)Family MembersGarden ServicesDomestic WorkerOtherPlease specify which other people is allowed on premises Any dogs on premises?(Required) Yes No Would you like to receive an SMS everytime your alarm is activated and deactivated while you are on holiday? (SMS’s are free of charge)(Required) Yes No Please supply number to which notification must be sent to receive sms.
