Municipal Problem Statement Submission Form
Please fill in all required fields marked with *
1
Organization
2
Contact Details
3
Problem Details
4
Additional Info
1
Organization Information
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Province
-- Select Province --
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Municipality Name
-- Select Municipality --
Department/Division
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2
Contact Information
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Contact Person
E-mail Address
Contact Number
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3
Problem Details
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Problem Type
-- Select a Problem Type --
Energy Data
Indigent Customer Data
System Error
Data Report Request
Other
Please specify the problem type
Problem Statement
Clearly describe the problem you're trying to solve
Challenges
Describe the specific challenges you're facing
Requirements
What specific requirements would help solve this problem?
Data Sources
List available data sources that could be utilized
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4
Additional Information
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Priority Level
Low
Medium
High
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