KPS Safety Plan Intervention Name & SurnameEmployee NumberDepartmentContact NumberYour Child's NamePOPI ActI acknowledge that Seriti is committed to protecting and promoting the privacy of my Personal Information including that of its employees or any other individuals or organisation and to give effect to the constitutional right to privacy and to fulfil its obligations under the Protection of Personal Information Act No 4 of 2013 (Hereinafter ‘POPI’).Consent I understand and provide my consent I do not provide my consent Δ