Amendment to the Union Section Joint Venture's ... - SRK Consulting

C o m m e n t s / Re s p o n s e F o r mAMENDMENT TO THE ANGLO PLATINUM RUSTENBURG PLATINUM MINE (RPM) – UNION SECTION ENVIRONMENTAL MANAGEMENTPROGRAMME (EMPR) TO INCLUDE PROPOSED SPUD SHAFT (SOUTH MINE) PROJECT VENTILATION SHAFT, NORTH WEST PROVINCESTAKEHOLDER REGISTRATION / COMMENT FORMDATE:FULL NAMEORGANISATION AND ROLEPOSTAL ADDRESSWORK / DAY TEL NO.CELL PHONE NO.POSTAL CODE:WORK/DAY FAX NO.E-MAIL ADDRESSI would like to receive further information and notifications during this process and request that you pleaseregister me on your database as an interested and affected party.YESNOI would like to receive notifications by: EMAIL FAX POST TELEPHONEPlease let us have your comments on the Proposed Amendment to the RPM EMPR to include the Proposed VentilationShaft:(please feel free to attach additional sheets if required)In terms of EIA process regulations, I hereby disclose any direct business, financial, personal or other interests I may have inthe approval or denial of this application:NAME: _______________________________________DATE: ___________________SIGNATURE: _______________________THANK YOU FOR TAKING THE TIME TO EXPRESS YOUR VIEWS. YOUR CONTRIBUTION IS APPRECIATED.