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DGMT Human Factor Request Form
We are happy to send you a copy of the
Human Factor
(Issue 2). Please could you provide us with a few important details.
1.
What is your name and surname?
2.
Name of your organisation (if you are associated with one)
3.
If you represent an organisation what type of organisation is it?
Government
NGO/FBO/CBO
School
Academia
Consultancy
Business sector
Other (please specify)
4.
Contact details
Email Address
Phone Number
5.
Send the copy to this address:
Street
Community or neighbourhood
City/Town (nearest)
Postal Code
6.
The address is in this province:
The Eastern Cape
The Free State
Gauteng
Kwa-Zulu Natal
Limpopo
The Northern Cape
The North West Province
Mpumalanga
The Western Cape
7.
To give us a sense of how people use the
Human Factor
, please can you briefly tell us why would like to have a copy and if you are going to use it for something for specific, what for?