Work with gautrans

Consulting Services Form

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Address

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City

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I am interested in...

Civil Engineering Services

Wayleave Services

Feasibility Studies/ Desktop Studies

Network Development Services

Project Management Services

Performance Management Services

Building Plan Support Services

In-Service Training

Other

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1. Applicant Information

Company Name *

Contact Person *

Phone *

Contact Email *

Applicant Type * CityPrivateExternal Service Agency

Municipality * Brakpan MunicipalityCity of Johannesburg MunicipalityEkurhuleni MunicipalityEmfuleni MunicipalityMidvaal MunicipalityMogale MunicipalityTshwane MunicipalityOther Municipality

2. Project Details

Location Coordinates

Project Number

Drawing Number(s)

Street Name

From Street

To Street

House/Erf Numbers

Suburb

3. Wayleave Needed For

Wayleave Needed For *

Fiber Optic Cable Installation

Water Pipelines

Sewer Pipelines

Stormwater Pipelines

Gas Pipelines

Electricity Cables and Power Lines

Trenching and Ducting

Bridge Access or Modification

Road or Lane Closures

Billboard or Signage Installation

CCTV Installation

Smart Pole Installation

5G or Cellular Tower Installation

Public Wi-Fi Infrastructure

Surveying and Mapping

Boreholes or Soil Testing

Construction Access Over Public Land

Tree Removal or Landscaping

Temporary Structures (Scaffolding, Cranes, Hoarding)

Environmental or Archaeological Assessments

Irrigation System Installation

Tunnel or Subway Infrastructure

Street Furniture (Benches, Kiosks, Shelters)

Sidewalk Occupation or Encroachment

Temporary Occupation for Events or Maintenance

4. Excavation & Surface Details

Length of Excavation (m²)

Riding Surface Affected (m²)

Unpaved Footway (m²)

Block Pavement (m²)

5. Work Description & Method

Start Date

End Date

Method Statement

6. Service Agency Acknowledgements

Agency Confirmations

Attach stamped approvals where applicable.

File Upload

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Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

7. Declaration & Indemnity

By signing below, you agree to the terms in the JRA Code of Practice.

Signature (Typed Full Name) *

Date Signed *

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Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

File Upload

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

Additional Information/ Notes

Signature *

Clear

Name of Applicant *

Applicant's Email *

Applicant's Phone Number *

Name of Entity Making the Application *

Role of Applicant * ConsultantOwnerBoth

Project Location (Address) *

Project Location (Address)

Project Location (Address)

Project Location (Address)

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Country

Project Location (Address)

Project Coordinates

Title Deed Number

Provide a copy of the Title Deed

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Title Deed Holder *

Local Municipality * Brakpan MunicipalityCity of Johannesburg MunicipalityEkurhuleni MunicipalityMidvaal MunicipalityMogale MunicipalityTshwane MunicipalityEmfuleni Municipality

Description of support required from Gautrans: *

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