IMPORT APPLICATION: SAP520

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

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

A.

1

Application reference N o

DAT E RECEIVED

FOR OFFICIAL USE BY POLICE STATION WHERE APPLICATION IS RECEIVED

B. 1 2 3 4 5

Province Area Police station C omponent code Firearm applications register reference num ber

YEAR

Outstanding/Additional information required

-

4

6

NO

FOR OFFICIAL USE BY THE DECIDING OFFICER

C. 1

SAPS 86

2

Persal number

-

-

5

Signature of police official

3

Date

8

Date

N ame in block letters

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

-

9

12

7

Persal number

10

Signature of deciding officer

O fficer code

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

-

14

-

Persal number

13

11

-

N ame in block letters

R eason(s) for refusal

-

-

15

Date

Page 1 of 10

SAPS 520

16

17

Signature of deciding officer

TYPE OF PERMIT

D.

1

2

Multiple import or export permit

2

2.1 3 4 5 7 8 11

N ame in block letters

(Indic ate w ith an X)

4

Export permit

5

In-transit permit

NAT UR AL PER SON’S DET AILS

T ype of identification (Indicate w ith an X)

SA ID

Passport

Identity number of natural person

-

-

6

Surnam e

17 18

D ate of birth

-

9

-

10

Age

20.3 22

23

G ender

Male

Fem ale

R esidential address Postal C ode

Postal address

16

T rade or profession

Postal C ode

If self-employed, specify

N ame of employer/company Business address 19

20

Initials

Full names

14 15

-

Passport number of natural person

12 13

T emporary import or export permit

PARTICULARS OF APPLICANT

E. 1

3

Import permit

18

O fficer code

20.1

T elephone number

H ome

(

20.2

)

21

C ellphone number

W ork

(

)

Fax

(

)

Postal C ode

E-mail address

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

24

Single

Married

D ivorced

W idow

W idower

O ther (specify) 25

25.1

25.1.1

25.2 25.3 25.4

26

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

T ype of identification (Indicate w ith an X)

SA ID

Passport

Identity number of spouse/partner

-

-

-

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

JUR IST IC PER SON’S DET AILS

Page 2 of 10

SAPS 520 27 28 29 30

R egistered company name T rading as nam e FAR number Postal address 31

32

Business address 33

34 35

36

37 38 39 40 41 42

Postal C ode

Business telephone number

34.1

W ork

(

34.2

)

Fax

(

Postal C ode

)

E-mail address

R ESPONSIBLE PER SON’S DET AILS

R esponsible person (full name and surname) T ype of identification (Indicate w ith an X)

SA citizen

N on-S A citizen with perm anent residence*

Identity number of responsible person

-

-

Passport number of responsible person C ellphone number Physical address 43

44

47

2 4 5 6 7

D ate of issue

-

48

-

Expiry date

-

NAT UR AL PER SON’S DET AILS

3

Surnam e

11.3 13

14

15

Initials

Full names Identity number of natural person

-

-

-

Passport number of natural person R esidential address Postal C ode

Postal address 10

11

-

PARTICULARS OF THE CURRENT OWNER OF THE FIREARM(S)

8 9

Postal C ode

T ype of competency certificate (If applicable)

F.

1

Postal C ode

Postal address 45

46

-

T elephone number C ellphone number

11.1

H ome

(

)

11.2 12

W ork

(

)

Fax

(

)

Postal C ode

E-Mail address

JUR IST IC PER SON’S DET AILS

R egistered com pany nam e

Page 3 of 10

SAPS 520 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

23 24

25

26 27 28 29 30 31

Business telephone number

23.1

23.2

W ork

Fax

E-mail address

R ESPONSIBLE PER SON’S DET AILS

R esponsible person (full name and surname) T ype of identification (Indicate w ith an X)

SA ID

Passport number

Identity number of responsible person

-

-

C ellphone number Physical address

3 4 5

6

7

8

9

9.1

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

FR O M

D ate

H. 1

Postal C ode

IMPORT AND/OR EXPORT DETAILS

G.

2

Postal C ode

Postal address 34

1

-

Passport number of responsible person

32 33

Postal C ode

-

-

TRANSPORTER’S DETAILS

TO

9.2

D ate

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

FAR number

Page 4 of 10

SAPS 520 2 3 4 5

6 7 8

T ransporter’s nam e and surnam e T ransporter’s trading nam e Method of transport T ransporter’s responsible person (name and surname) T ype of identification (Indicate w ith an X)

SA citizen

Identity number of responsible person

N on-SA citizen with permanent residence* -

-

-

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

Page 5 of 10

SAPS 520 9

10

Validity of the transporter’s perm it

2

2.1

D ate

-

-

TO

D ate

-

-

T ransport route

DETAILS OF FIREARMS

I. 1

FR O M

1.1

1.2

T ype

Action

1.3

C alibre

1.4

Model

1.5

Make

1.6

1.7

Frame or receiver serial number

Barrel serial number

DET AILS OF AM M UNIT ION

2.1.1

T ype

2.1.2

Q uantity

2.2

2.2.1

T ype

2.2.2

Q uantity

Page 6 of 10

SAPS 520 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.

4

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.

SIGNATURE OF APPLICANT (Sign only if applicable)

J. 1

2

D ate

4

Place

-

-

-

-

N ame of applicant in block letters 3

Signature of applicant

K.

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

3

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

6.1

6.2

N ame of police official in block letters 6.3

6.4

R ank of police official in block letters 7

Persal number of police official

Signature of police official

PART ICULARS OF W IT NESS

7.1

7.2

N ame of witness in block letters 7.3

Persal number of witness

7.4

R ank of witness in block letters

Signature of witness

PARTICULARS OF INTERPRETER

L.

(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

SAPS 520 3

R esidential address 4

Postal C ode

Page 8 of 10

SAPS 520 5

Postal address 6

7 8 10 11

7.1

T elephone number

Home

(

7.2

)

9

C ellphone number

W ork

(

)

Fax

(

)

Postal C ode

E-mail address Interpreted from (language)

to 12

13

14

D ate

-

-

Place

Signature of interpreter 15

16

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

PARENTAL CONSENT IN CASE OF A MINOR

M. 1

2 3 4

Persal number of police official (if applicable)

R ecommended

N ot recommended

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

5

6

7

D ate

-

-

Place

Signature of parent/guardian

Page 9 of 10

SAPS 520

IN CASE OF NOMINEE/AUTHORIZED PERSON

N. 1 2

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

3

4

5

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.

FOR OFFICIAL USE BY THE DESIGNATED FIREARMS OFFICER/STATION COMMISSIONER

1

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

2

N ot recommended

Motivation regarding the application

3

4

D ate

6

Place

-

-

N ame of D esignated Firearm s O fficer/Station C ommissioner in block letters 5

R ank of D esignated Firearms O fficer/Station C ommissioner in block letters 7

8

Signature of D esignated Firearms O fficer/Station C ommissioner

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

Page 10 of 10