ActionSA Candidate Information Form

Please answer the following questions about your ActionSA Candidate Manifesto

First Name

Surname

Email address (for public distribution)

Contact number (for public distribution)

Ward or PR candidate?

Ward PR

If you are a Ward Candidate, which ward are you standing in?

What are your top 4 priorites as a Candidate? (Please list specific priorities in your ward or municipality that you want to address / solve)?

Please upload a profile picture of yourself (for use on social media)