Farm Name *	Select ValueNot ApplicableBhalamitiBHALAMITIBhulubesiBHULUBESICoalmineCOALMINEColterCOLTERDanyelaDANYELADenderspruitDikweniDIKWENIDISA FARMSDondorspruitDONDORSPRUITDumaneniDUMANENIDumezuluDUMEZULU FARMHoestInalaHOESTHousereekHOUSEREEKINALA FARMSInhlumiINHLUMIKaalrugKAALRUG FARMKakhamisaKAKHAMISAKalomshikaKALOMSHIKAKamaketaneKAMAKETANEKankosanaKLEINDOORNKOP FARMLaughing waterLAUGHING WATERS FARMLaughingwaterLetubiLETUBILomatiLOMATILozokoLOZOKOMadakeniMadonelaMADONELAMakhunduMAKHUNDUMangculwiniMANGCULWINIMarrullahMARRULLAHMarullaMatibetibeMATIBETIBEMATSAMO FARMSMaurecedaleMAURECEDALEMkolotiMKOLOTIMnguniMNGUNIMpanziMPANZINeosNEOSNot ListedNOT LISTEDONETHREEHILLOnetreehillRICHERSHOEKRichterhoekSbhojwaneSBHOJWANESingertonSINGERTONSkipasSKIPASTenbushTENBUSHTomahawkVanroosVANROOSWillie
Sequence Number *
ODI ID Number *
ODI Name
ID_Number *
Last Name *
First Name
Applicant Registered?	Select ValueYESNO
Is the Applicant an ODI	Select ValueYesNo
Relationship to ODI	Select ValueSPOUSECHILDGRANDCHILD
Registration on Master Data(ODI or Rep)	Select ValueODIRepresentativeBeneficiary
Documents Submitted	Application FormID CopiesAffidavitPower of AttorneyOthers
Verification Stage	Select ValueRegisteredPresentApplication Captured - Next VerificationRecalledAwaiting InterviewInterview ConcludedApprovedRejectedUndecidedProvisional Approval
Reason for Rejection or Approval
Date of Verification	(yyyy-mm-dd)
Comments
Captured By
Application Form with Verdicts