APPLICATION FOR THE RENEWAL OF A FIREARM LICENCE, …

1 SAPS 518(a)Page 1 of 6 SOUTH AFRICAN POLICE SERVICEAPPLICATION FOR THE RENEWAL OF A FIREARM LICENCE, PERMIT, CERTIFICATE OR AUTHORIZATIONS ection 24, 35, 49 and 63 of the FIREARM Control Act, 2000 (Act No 60 of 2000)OFFICIAL DATE OFFICIAL USE BY THE POLICE STATIONWHERE THE APPLICATION IS CAPTURED APPLICATION reference No1 DATE OFFICIAL USE BY POLICE STATION WHERE THE APPLICATION IS RECEIVED1 Province2 Area3 Police station4 Component code5 FIREARM applications register reference numberSAPS OF LICENCE, PERMIT, CERTIFICATE OR AUTHORIZATION (Indicate with an X)1 Licences Licence to deal in firearms and to possess a FIREARM for to manufacture firearms and to possess a restricted FIREARM for to conduct business as a to possess a FIREARM for security to possess a FIREARM for occasional huntingand to possess ammunition in a private to possess a FIREARM for dedicated huntingand dedicated to possess ammunition in a public to possess a FIREARM in a private to possess a FIREARM in a public collection(museums) to possess a FIREARM for business purposes:Business in to possess a FIREARM for business purposes.

2 Other business import and export permit2 Licence issued to particular categories import/export permit SAPS 518(a)Page 2 of 64 Details of original licence, permit, certificate or authorization Licence, permit, certificate or authorization numberDate issuedExpiry OF APPLICANT 1 NATURAL PERSON S DETAILS 2 Type of identification (Indicate with an X) IDPassportNon-SA citizen with permanent residence * Identity number of natural person---3 Passport number of natural person4 Surname Initials56 Full name78 Residential addressPostal Code9 10 Postal address Postal Code1112 Business telephone number Home( ) Work( ) number Fax( )1314E-mail address JURISTIC PERSON S DETAILS15 OTHER BODIES16 Registered company name 17 Trading as name18 FAR number19 Postal address20 Postal Code21 Business address22 Postal Code23 Business telephone number Work( ) Fax( ) E-mail address25 RESPONSIBLE PERSON S DETAILS26 Responsible person (full names and surname)27 Type of identification (Indicate with an X)

3 SA IDPassport number28 Identity number of responsible person---29 Passport number of responsible person30* Proof of permanent residence must be submitted if an applicant is not a SA citizen. SAPS 518(a)Page 3 of 6 Cellphone number31 Physical address32 PostalCode33 Postal address34 Postal Code35 36 OTHER INFORMATION (Indicate with an X) 37 WAS YOUR APPLICATION HANDED IN 90 DAYS BEFORE EXPIRY OF THE EXISTING LICENCE? IF NO, SUBMIT THE REASON (Indicate with an X)YESNOR eason(s)38 WAS YOUR APPLICATION HANDED IN AFTER THE DUE DATE, BUT BEFORE EXPIRY OF EXISTING LICENCE. IF YES, SUBMIT THEREASON (Indicate with an X)YESNOR eason(s)39 WAS YOUR APPLICATION HANDED IN AFTER THE EXPIRY OF EXISTING LICENCE.

4 IF YES, SUBMIT THE REASON (Indicate with an X)YESNOR eason(s)40 DECLARATION BY APPLICANTI am aware that it is an offence in terms of section 120 (9)(f) of the Firearms Control Act, 2000 (Act No 60 of 2000), to make a false statement inthis APPLICATION . SAPS 518(a)Page 4 of 6E. SIGNATURE OF APPLICANT (Sign only if applicable) 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 The photo must be a full front view of the head and shoulders of the The background of the photo must be The applicant may not be wearing a hat or sunglasses on the The applicant s name and identification number must be written on the back of the photograph before it is affixed on the APPLICATION The applicant must sign in black The signature may not exceed the The whole finger must be pressed down on the The fingerprint should not be rolled and must be a flat designation3 2 Signature5

5 6 Date--Name of applicant in block letters 7 Place8 PARTICULARS OF POLICE OFFICIAL DEALING WITH of police official in block letters Persal number of police official of police official in block lettersSignature of police official9 PARTICULARS OF of witness in block letters Persal number of of witness in block lettersSignature of OF INTERPRETER (This section must be completed only if the applicant cannot read or write or does not understand the content s of this form.)

6 1 Name and surname of interpreter2 Identity/Passport number of interpreter3 Residential address Postal Code45 Postal address Postal Code6 SAPS 518(a)Page 5 of 67 Telephone number Home ( ) Work( ) 8 Cellphone number Fax( )9 10E-mail address11 Interpreted from (language)to12 Date--1314 PlaceSignature of interpreter1516-Rank of police official in block letters(if applicable) Persal number of police official (if applicable) CASE OF NOMINEE/AUTHORIZED PERSON1 Name and surname of nominee/authorized person2 Identity/Passport number of nominee/authorized person 3 Date--4 5 PlaceSignature of nominee/authorized OFFICIAL USE BY THE DESIGNATED FIREARMS OFFICER/STATION COMMISSIONER1 RECOMMENDATION REGARDING THE APPLICATION (Indicate with X)

7 2 RecommendedNot regarding the regarding the physical inspection of the applicant s safeguardingfacilities34 Date--Name of Designated Firearms Officer/Station Commissioner in block letters56 PlaceRank of Designated Firearms Officer/Station Commissioner in block letters7 8-Signature of Designated Firearms Officer/Station Commissioner Persal number of Designated Firearms Officer/Station Commissioner SAPS 518(a)Page 6 of 6