SOUTH AFRICAN POLICE SERVICE. APPLICATION FOR A FURTHER COMPETENCY CERTIFICATE Seclion 9(6)(a) of the Firearms Control Acl (Act No 60 of 2OM))

Transcription

1 STAATSKOERANT, 6 MAART 004 No SAPS 57(a) SOUTH AFRCAN POLCE SERVCE APPLCATON FOR A FURTHER COMPETENCY CERTFCATE Seclion 9(6)(a) of the Firearms Control Acl. 000 (Act No 60 of OM)) OFFCAL DATE STAMP DATE RECENED... Name in block letters Signature of CFR officer '' Officer code " Name letters block in... l6 Signature of CFR officer " Officer code '' Name in block letters Page of 6

2 6 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 5 7(a) 3 4 :!. NATURAL PERSON S DETALS Gildentitication (ndicate with an X) i fi * Proof of permanent residence must be submitted, if an applicant is not a SA citizen. Page of 6

3 STAATSKOERANT, 6 MAART 004 No OTHERNFORMATON SAPS 57(a) , Page 3 of 6

4 :!8 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(a) f DECLARATON BY APPLCANT am aware that it is an offence in terms of section 0 (9)(f) of the Firearms Control Act, 000 (Act No 60 of 000), to make a false statement in this application. Note: The requirements of the photo: The photograph must be in colour and may not exceed the border. The photo must be the size of a standard passport photograph. The photo must be a full front view of the head and shoulders of the applicant. The background of the photo must be plain. The applicant may not be wearing a hat or sunglasses on the photograph. The applicant's name and identification number must be written on the back of the photograph before it is affixed on the application form. The applicant must sign in black ink. The signature may not exceed the border. The whole finger must be pressed down on the sheet. The fingerprint should not be rolled and must be a fiat impression.... Fingerprint designation 3 5 f i Name of applicant in block letters 8 PARTCULARS OF POLCE OFFCAL DEALNG WTH APPLCATON ' 8.7. Name of police official in block letters Persal number of police official 8.4 Rank of police official in block letters... Signature of police official 9 PARTCULARS OF WTNESS Name of witness in block letters 9. Rank of witness in block letters Persal number of witness... Signature of witness Page 4 of

5 STAATSKOERANT, 6 MAART 004 No SAPS 5 7(a)... Signature of interpreter 6 : Rank of police official in block letten(if applicable) Penal number of police ofkial(if applicable) 6... Signature of parenffguardian Page5of

6 30 NO. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(a) ,... 3 L Name of Designated Firearms Offtcer in block letters 5w Rank of Designated Firearms Officer in block letters Signature of Designated Officer Firearms B Persal number of Designated Firearms Officer Page6of 6

7 STAATSKOERANT, MAART No SAPS 5 7(b) SOUTH AFRCAN POLCE SERVCE APPLCATON FOR A DUPLCATE LCENCE, PERMT,.CERTlFlCATES OR AUTHORZATON FOR LOST, STOLEN AND DEFACED LCENCES Section 9(), 44(), 58(), 7() and 8() of the Firearms Control Act, 000 (Act No 60 of 000) DATE RECEVED i continue Page of 5

8 3: 656 No. GOVERNMENT GAZETE, 6 MARCH 004 SAPS 57(b) ti. ti. (8.3 e.4 d.l DETALS OF FREARM n case of a licence, temporary authorization to possess a firearm or an imporkxport permit the following particulars must be submitted Pageof 5

9 STAATSKOERANT, 6 MAART 004 No SAPS 57(b) Firearm component type: NATURAL PERSON S DETALS JURSTC PERSON S DETALS OTHER BODES 4 S ~~~~ RESPONSBLE P!&XN S DETALS Page 3 of 5

10 34 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(b) Note: The requirements of the photo: The photograph must be in colour and may not exceed the border. The photo must be the she of a standard passport photograph. The photo must be a full front view of the head and shoulders of the applicant. The background of the photo must be plain. The applicant may not be wearing a hat or sunglasses on the photograph. The applicant's name and identification number must be written on the back of the photograph before is it affuted on the application form. The applicant must sign in black ink. The signature may not exceed the border. The whole finger must be pressed down on the sheet. The fingerprint should not be rolled and must be a flat impression. PHOTO Fingerprint designation...,,..,^... ~, ,,...,... Signature ( Name of applicant in block letters G R S OF POLCE OFFCAL DEALNG WTH APPLCATON *.' d Name of police official in block letters Rank of police official in block letters Persal number of police official... Signature of police official E A R S OF WTNESS % Name of witness in block letters 9. Rank of witness in block letters Persal number of witness Signature of witness Paye4of 5

11 STAATSKOERANT, 6 MAART 004 No SAPS 57(b) 7 e Signature of interpreter Rank of police official in block letters (if applicable) 6 Persal number of police official (if applicable) Name of police official in block letters e Rank of police official in block letters n : j:j_ :f (.:,:.:,:,:,~.... <<~[~~@j.!...x Signature of police official number Persal official police Page 5 of 5

12 36 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(c) SOUTH AFRCAN POLCE SERVCE APPLCATON FOR LCENCE SSUED TO PARTCULAR CATEGORES OF PERSONS DEALERS, MANUFACTURERS OR GUNSMTHS Section and 6 of the Firearms Control Act. 000 (Act No 60 of 000) L. DATE RECEVED ' Application reference No [ t... ' Sianature of miice official ' ' Name in block letters... ' Signature of CFR officer '' Officer code l Name in block letters l6 Signature of CFR officer ' Officer code '* Name in block letters Page of 6

13 STAATSKOERANT, 6 MAART 004 No :SAPS 57(c) ' Details of competency certificate FSpecify;ype of licence which is being applied for (ndicate with an X) ' EL PERSON'S DETALS 9 '4 PERSON'S DETALS o RESPONSlBLE PERSON'S DETALS 3.4!5 Page of 6

14 7 38 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(c) F N A T T U R E S OF RESPONSBLE PERSON Signature of responsible person , Signature of responsible person Page3of 6

15 STAATSKOERANT, 6 MAART 004 No SAPS 57(c) 4 4 L Date of commencement of business 43 DECLARATON BY APPLCANT am aware that it is an offence in terms of Section 0 (9)(f) of the Firearms Control Act, 000 (Act No 60 of 000), to make a false statement in this application. Note: The requirements of the photo: The photograph must be in colour and may not exceed the border. The photo must be the size of a standard passport photograph. The photo must be a full front view of the head and shoulders of the applicant. The background of the photo must be plain. The applicant may not be wearing a hat or sunglasses on the photograph. The applicant's name and identification number must be written on the back of the photograph before it is affixed on the application form. The applicant must sign in black ink. The signature may not exceed the border. The whole finger must be pressed down on the sheet. The fingerprint should not be rolled and must be a flat impression Fingerprint designation Name of applicant in block letters Page 4 of 6

16 40 No. 6 GOVERNMENT 56 GAZETTE, 6 MARCH i F i OF POLCE OFFCAL DEALNG WTH APPLCATON 8. Name of police official number Persai in letters block of police official SAPS Eil7(c) Rank of police official in block letters... Signature of police official 9 PARTCULARS OF WTNESS 9. Name of witness m block letters 9. J Persal number of witness 9.3 Rank of witness ir; block ietters Signature of witness li c,:::w...:.:,y..: *,&&gg... z:.:....:.:...<.:.:*:::<; 4... Signature of interpreter Rank of police official in block letters(if applicable) 5 Persal number of police official (if applicable) Ptge 5 of 6

17 STAATSKOERANT, 6 MAART 004 No SAPS 5 7(c) :::$B&g$;:,:$ 5 ~;;;~:;::*>*~.~$:.:..:...?...:(.:<.:... :.:. Name of Designated Firearms Officer/Staiion Commissioner in block letters 7. 9 Rank of Designated Firearms OfficerMation Commissioner in block letters... Signature of Designated Firearms Officer/Station Commissioner 0 Penal number of Designated Firearms Officer/Station Commissioner Page 6 of 6

18 4 No. 656 GOVERNMENT GAZETTE, 6 MARCH 004 SAPS 57(d) SOUTH AFRCAN POLCE SERVCE APPLCATON TO MANUFACTURE A NEW FREARM OR AMM UNlTlON TYPE OFFCAL DATE STAMP Application reference ND DATE RECEVED :... ::9:*:.,.,:.:.:.: $$:;s3;.:.:.'....:.:.: :'(.,.:.:'....'.':L,:,:,._,... $@???;: NO..._ < x.:.:. YEAR Name letters in block... ' Signature of CFR officer lo Name Officer code in letters block... l6 Signature of CFR officer '' Name Ofticer code in block letters Page of 6

19 STAATSKOERANT, 6 MAART 004 No SAF S 5 7(d) [NATURALRERSON S DETALS O 0. 3 JURSTC PERSON S DETALS s RESPONSBLE PERSON S DETALS Proof of permanent residence must be submitted. if an applicant is not a SA citizen PageZof 6

20 44 No. 656 GOVERNMENT GAZETE, 6 MARCH 004 SAPS 57(d) i E PROPOSED TYPE OF FREARM ~ 7 8 Page3of

21 ~~ ~ STAATSKOERANT, 6 MAART 004 No G O ; PROPOSED N PE OF AMMUNTON SAPS 57(d) DECLARATON BY APPLCANT am aware that it is an offence in terms of section 0 (9)(fJ of the Firearms Control Act, 000 (Act No 60 of000), to make a false statement in this application. d Name of applicant in block letters 3... Signature of applicant Page4of

22 46 No. 656 GOVERNMENT GAZETTE, 6 MARCH Fingerprint deslgnation Right index fingerprint of applicant PARTCWARS OF POLCE OFFCAL DEALNG WTH APPLCATON ~ F Name of applicant in block letters 6. Name of police official in block letters Persal number of Dolice official 6.3 Rank of police official in block letters Signature of police official 7 7. ("LARS OF WTNESS Name of witness in block letters 7. Persal number of witness Rank of witrless in block letters Signature of witness Signature of interpreter 6 l5 L Rank of police official in block letters (if applicable) Persal number of police official (if applicable) Page5of 6

23 STAATSKOERANT, 6 MAART 004 No Name of Desigllated Firearms Officer/Station Commissioner in block letters Rank of Designated Firearms Officer/Station Commissioner in block letters, ~ ~ : l i i l ~. ~ ~ ~ ~ r.p,&g33 >.....,..._, Signature of Designated Firearms OfficdStation Commissioner 9 Persal number of Dwianated Firearms Officer/Station Commissioner Page 6 of 6

24 48 No. 656 GOVERNMENT GAZElTE, 6 MARCH 004 SAPS 57(e) SOUTH AFRCAN POLCE SERVCE APPLCATON FOR RENEWAL OF LCENCE(S) N TERMS OF THE PREVOUS ACT (Transitional provisions) DATE RECEVED 3WA..... :..,... ] t ~~~~~~~~~,~~...,....,.$.:.:.'.:. i Name in block letters... Sionature of decidina officer 'O Officer code " Name in block letters DJ '......, ~ ~. ~ ~ ~... Bli..< l6 Signature of deciding officer " Officer code '' Name in block letters Page of 6

25 STAATSKOERANT, 6 MAART 004 No SAPS 57(e) ' NATURAL PERSON'S DETALS ? 9 ii OTHER BODES F B L E PERSON'S DETALS Page of 6