SAPS 520

SOUTH AFRICAN POLICE SERVICE

APPLICATION FOR MULTIPLE IMPORT OR EXPORT PERMIT/ PERMANENT IMPORT OR EXPORT PERMIT/TEMPORARY IMPORT OR EXPORT PERMIT/IN-TRANSIT PERMIT FOR PERSONAL USE (Individuals and companies)
Section 73(2), 74, 76, 77, 78, 80, 81 and 82 of the F irearm s C ontrol Act, 2000 (Act N o 60 of 2000)

OFFIC IAL DAT E S T AM P

A.

FOR OFFICIAL USE BY THE POLICE STATION WHERE THE APPLICATION IS CAPTURED

Application reference N o

DAT E RECEIVED

B.
1 2 3 4 5

FOR OFFICIAL USE BY POLICE STATION WHERE APPLICATION IS RECEIVED

Province Area Police station C omponent code Firearm applications register reference num ber SAPS 86 NO YEAR

C.
1

FOR OFFICIAL USE BY THE DECIDING OFFICER

Outstanding/Additional information required

Persal number

Date

Signature of police official

N ame in block letters

Application for a permit approv ed (Indicate w ith an X)

Persal number

Date

Signature of deciding officer

10

O fficer code
13

11

N ame in block letters

12

Application for a permit refused (Indicate w ith an X)

R eason(s) for refusal

14

Persal number

15

Date

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16

Signature of deciding officer

17

O fficer code

18

N ame in block letters

D.

TYPE OF PERMIT
Multiple import or export permit
2

(Indic ate w ith an X)

Import permit

Export permit

In-transit permit

T emporary import or export permit

E.
1

PARTICULARS OF APPLICANT

NAT UR AL PER SONS DET AILS

T ype of identification (Indicate w ith an X)

2.1 3 4 5 7 8 11

SA ID

Passport -

Identity number of natural person Passport number of natural person Surnam e Full names D ate of birth R esidential address 9

Initials

Age

10

G ender

Male

Fem ale

12 13

Postal C ode

Postal address
14

Postal C ode

15 17 18

T rade or profession N ame of employer/company Business address

16

If self-employed, specify

19 20 20.3 22 20.1 20.2 21

Postal C ode

T elephone number C ellphone number E-mail address

H ome

W ork Fax

( (

) )

23

M arital status (In dica te w ith an X)

24

Single O ther (specify)

Married

D ivorced

W idow

W idower

25

PART ICULARS OF APPLICANT S SPOUSE/PART NER (If applicable)

25.1

T ype of identification (Indicate w ith an X)

25.1.1

SA ID

Passport -

25.2 25.3 25.4

Identity number of spouse/partner Passport number of spouse/partner Full N am e and S urnam e

26

JUR IST IC PER SONS DET AILS

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27 28 29 30

R egistered company name T rading as nam e FAR number Postal address

31

Postal C ode

32

Business address
33

Postal C ode

34 35

Business telephone number E-mail address

34.1

W ork

34.2

Fax

36

R ESPONSIBLE PER SONS DET AILS

37 38 39 40 41 42

R esponsible person (full name and surname) T ype of identification (Indicate w ith an X) Identity number of responsible person Passport number of responsible person C ellphone number Physical address
43

SA citizen -

N on-S A citizen with perm anent residence* -

Postal C ode

44

Postal address
45

Postal C ode

46 47

T ype of competency certificate (If applicable) D ate of issue 48

Expiry date

F.

PARTICULARS OF THE CURRENT OWNER OF THE FIREARM(S)

NAT UR AL PER SONS DET AILS

2 4 5 6 7

Surnam e Full names Identity number of natural person Passport number of natural person R esidential address
8

Initials

Postal C ode

Postal address
10

Postal C ode

11 11.3 13

T elephone number C ellphone number E-Mail address

11.1

H ome

11.2 12

W ork Fax

( (

) )

14

JUR IST IC PER SONS DET AILS

15

R egistered com pany nam e

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16 17 18 19

T rading as nam e FAR number C ompany registration or C C number Postal address

20

Postal Code

* In case of a non-SA citizen proof of permanent residence must be submitted.

21

Business address
22

Postal C ode

23 24

Business telephone number E-mail address

23.1

W ork

23.2

Fax

25

R ESPONSIBLE PER SONS DET AILS

26 27 28 29 30 31

R esponsible person (full name and surname) T ype of identification (Indicate w ith an X) Identity number of responsible person Passport number of responsible person C ellphone number Physical address
32

SA ID -

Passport number -

Postal C ode

33

Postal address
34

Postal C ode

G.
1 2 3 4 5

IMPORT AND/OR EXPORT DETAILS

C ountry of origin C ountry of destination Port of entry Port of exit R eason for permit

In case of a permanent import/export permit, submit the date on which the import/export will take place

D ate on which the import/export will take place

D ate

In case of a multiple import or export permit/temporary import or export permit/in-transit permit, submit the following

Period for which perm it is required

9.1

FR O M

D ate

TO

9.2

D ate

H.
1

TRANSPORTERS DETAILS

(C om plete only in the c as e of an in-trans it perm it for bus ines s purpos es )

FAR number

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2 3 4 5

T ransporters nam e and surnam e T ransporters trading nam e Method of transport T ransporters responsible person (name and surname) T ype of identification (Indicate w ith an X) Identity number of responsible person C ellphone number * In case of a non-SA citizen proof of permanent residence must be submitted. SA citizen N on-SA citizen with permanent residence* -

6 7 8

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9

Validity of the transporters perm it

FR O M

D ate

TO
10

D ate

T ransport route

I.
1

DETAILS OF FIREARMS
T ype
1.2

1.1

Action

1.3

C alibre

1.4

Model

1.5

Make

1.6

Frame or receiver serial number

1.7

Barrel serial number

DET AILS OF AM M UNIT ION

2.2

2.1

2.1.1

T ype

2.1.2

Q uantity

2.2.1

T ype

2.2.2

Q uantity

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3

DECLARATION BY PERSON W HO IS LAW FULLY IN POSSESSION OF T HE FIREARM (S) I hereby declare that the above firearm(s) is/are legally in my possession and that I propose to supply it to the applicant once the necessary perm it(s) has/have been obtained and that the particulars of the firearm(s) are correct and accurate.

SIG NAT UR E OF PER SON CURR ENT LY IN POSSES SION

4.1

4.2

D ate

N ame of person currently in possession in block letters

4.3 4.4

Place

Signature of person currently in possession

5

DEC LAR AT ION OF APPLIC ANT I am aware that it is an offence in terms of section 120 (9)(f) of the Firearms C ontrol Act, 2000 (Act N o 60 of 2000), to make a false statem ent in this application.

J.
1

SIGNATURE OF APPLICANT (Sign only if applicable)

2

D ate

N ame of applicant in block letters

3

Place

Signature of applicant

K.

(T his section must be completed only if the applicant cannot read or write)

1 2

D ate

Fingerprint designation
4

N ame of applicant in block letters

5

Place R ight index fingerprint of applicant

6

PART IC ULARS OF POLIC E OFFIC IAL DEALING W IT H APPLIC AT ION

6.2

6.1

Persal number of police official

N ame of police official in block letters

6.3 6.4

R ank of police official in block letters

7

Signature of police official

PART ICULARS OF W IT NESS

7.2

7.1

Persal number of witness

N ame of witness in block letters

7.3 7.4

R ank of witness in block letters

Signature of witness

L.

PARTICULARS OF INTERPRETER
(T his section must be completed only if the applicant cannot read or write or does not understand the content of this form .)

1 2

N ame and surname of interpreter Identity/Passport number of interpreter Page 7 of 10

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3

R esidential address
4

Postal C ode

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5

Postal address
6

Postal C ode

7 8 10 11

T elephone number C ellphone number E-mail address Interpreted from (language)

7.1

Home

7.2 9

W ork Fax

( (

) )

to
12

D ate

13

14

Place

Signature of interpreter
15 16

Persal number of police official (if applicable)

R ank of police official in block letters ( if applicable)

M.
1

PARENTAL CONSENT IN CASE OF A MINOR

R ecommended N ot recommended

2 3 4

N ame and surname of parent/guardian Identity/Passport number of parent/guardian C omments of parent/guardian

D ate

Place

Signature of parent/guardian

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1 2

IN CASE OF NOMINEE/AUTHORIZED PERSON

N ame and surname of nominee/authorized person Identity/Passport number of nominee/authorized person

D ate

Place

Signature of nominee/authorized person *** NOT IFIC AT ION OF CHANG E OF ADDR ESS *** T he R egistrar must be informed of all changes of address/circumstances within 30 days of such changes occurring

O.
1

FOR OFFICIAL USE BY THE DESIGNATED FIREARMS OFFICER/STATION COMMISSIONER

R EC O MMEN D AT IO N R EG ARD IN G T HE APPLIC AT IO N R ecommended N ot recommended

Motivation regarding the application

D ate

N ame of D esignated Firearm s O fficer/Station C ommissioner in block letters

5 6

Place

R ank of D esignated Firearms O fficer/Station C ommissioner in block letters

7 8

Persal number of D esignated Firearms O fficer/Station C ommissioner

Signature of D esignated Firearms O fficer/Station C ommissioner

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