Your Name*

Your Surname*

Your email*

Your Contact Number*

Company Name*

VAT Number (if applicable)

Office Number*

Street Address*

Suburb*

Required Testing Date*

Area where testing is required*
---Make use of PolyStaff OfficesPretoria Close Range Midrand / CenturionPretoria CBD / other AreasJhb CBD / Surrounding AreasJHB Far Southern Side / SowetoTravelling outside Gauteng (long Distance

Type of test required*
---False allegation and prove of innocence testRelationship, Infidelity or Sexual contact testTheft and Loss Prevention TestStatement Verification ExaminationSpecific Case Incident ExaminationPeriodical Screening ExaminationPre-Employment Examination

Number of tests to be done*
---1 test2 tests3 tests4 tests5 tests6 tests7 tests8 tests9 tests10 tests11 tests12 tests13 tests14 tests15 tests16 tests17 tests18 tests19 tests20 tests21 tests22 tests23 tests24 tests25 tests26 tests27 tests28 tests29 tests30 tests31 tests32 tests33 tests34 tests35 tests36 tests37 tests38 tests39 tests40 tests41 tests42 tests43 tests44 tests45 tests46 tests47 tests48 tests49 tests50 tests

NB* We can do up to 5 tests per day. Depending on how many people need to be tested, please select amount of days we will need to travel to your premises. ex 12 people / 5 per day = 2.4 (3 days needed)

Days required to do tests*
---123456789101112131415

Optional comments

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