IMINININGWANA YOMUNTU OZALISA UBUFAKAZI OBULIQINISO
Isibongo: ... 
Amabizo ngokupheleleko ... 
Inomboro kamazisi: ... 
Ihlangano yezepolitiki/ikoro umkhandlu/ ihlangano elwela itjhaphuluko
Isikhundla ngaphakathi kwehlangano/kwekoro/komkhandlu/kwehlangano elwela itjhaphuluko:
I-Adresi yendawo ye-ofisi yomzimkhuku wehlangano/yekoro/yomkhandlu/yehlangano elwela itjhaphuluko:
UBUFAKAZI OBULIQINISO EBUZALISWE YIHLANGANO/YIKORO MKHANDLU/YIHLANGANO ELWELA ITJHAPHULUKO
Inomboro yomtato ( ... ) ... 
Inomboro yefeksi ( ... ) ... 
ISIFUNGO
Mina ... (Amabizo ngokupheleleko) ngifunga ngokujamela ... (Ibizo lehlangano yepolotiki) kobana ... (Amabizo azeleko womenzisibawo) bengililunga lehlangano evezwe ngaphezulu/ yekoro/ yomkhandlu/yehlangano elwela itjhaphuluko ngesikhathi ngenza umlandu engifuna ukulitjalelwa ngawo njengobana kuvezwe endimaneni 2 yeforomo lesibawo, begodu umlandu wenziwa ngonobangela wokuphumelelisa leminqopho yehlangano yezepolotiki/koro/mkhandlu/ihlangano elwela itjhaphuluko ngesikhatheso:
Ngitsenge loke ilwazi elitjhiwo ngaphezulu ngalendlela elandelako isib. ukufumana ilwazi kurhelo buthelelo/ukufumana iintatimende kibofakazi abalandelako, nginelwazi ngesehlakalo njll amabizo, ama-adresi kunye neenomboro zomtato zabofakazi kufuze zithathwe:
Ihlanganwami yezepolotiki/ikoro/umkhandlu/ihlangano elwela itjhaphuluko nayo inombono wokobana
 ... (Amabizo apheleleko womenzi sibawo) angeze ngisaba litshenyo namkha ngibe nobungozi emphakathini ngonobangela waleziinzathu ezilandelako:
lendima kufuze izaliswe begodu elinye nelinye iphepha kufuze ligunyaziswe ngama-initjhiyali phambi kweJaji lezokuThula namkha uKhomitjhinara weemFungo
Mina ... 
Amagama azeleko nesibongo Ngifunga kobana koke okutjhiwo ngaphezulu kuliqiniso bekungokufaneleko
Kutlikitlwe e ... ngezi ... elangeni lika ... unyaka ... 
Umtlikitlo (umenzi sibawo)
Ipendulo: ... 
Ngabe kukhona ongavumelani nakho nawenza isifungwesi?
Ipendulo: ... 
Ngabe ubona isifungo esihlongoziweko sibophelela unembezakho?
Ipendulo: ... 
A. Ngiyavuma kobana yoke lemibuzo engibuzwe yona nokobana iimpendulo zami ezivezwe ngehla zitlolwe phambi kwami ngikhona.
Ukhomitjhinara weemfungo
Amabizo wokuthoma ngokuzeleko nesiBongo ... 
I-Adresi yebubulo ... 
I-Adresi yokuhlala kufuze ivezwe
Ilanga ... Indawo ... 
NAMKHA
Ngabe ngokweqiniso uvumelana nokumumethwe sifungwesi?
Ipendulo ... 
A. Ngiyavuma kobana yoke lemibuzo engibuzwe yona nokobana iimpendulo zami ezivezwe ngehla zitlolwe phambi kwami ngikhona.
Ukhomitjhinara weemfungo
Amagama wokuthoma nesibongo ... 
I-Adresi yebubulo ... 
I-Adresi yokuhlala kufuze ivezwe
Ilanga ... Indawo ... 
