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)
S e c tion 73(2), 74, 76, 77, 78, 80, 81 and 82 of the Firearm s C ontrol Act, 2000 (Act No 60 of 2000)
OFFICIAL DATE STAM PA.FOR OFFICIAL USE BY THE POLICE STATION
WHERE THE APPLICATION IS CAPTURED
1
Application reference N o
DATE RECEIVED
B. |
FOR OFFICIAL USE BY POLICE STATION WHERE APPLICATION IS RECEIVED |
1
Province
2
Area
3
Police station
4
Component code
5
Firearm applications register reference num berSAPS 86 N OYEAR
C .FOR OFFICIAL USE BY THE DECIDING OFFICER
1 Outstanding/Additional information required
4 Signature of police official |
5 Name in block letters |
6Application for a permit approved (Indicate w ith an X)
9 Signature of deciding officer |
1 0 O fficer code |
1 1 Name in block letters |
1 2 Application for a permit refused (Indicate w ith an X) |
1 3 Reason(s) for refusal |
- |
1 4 Persal number |
- |
- |
1 5 Date |
|
|
|
|
|
|
|
|
SAPS 520 |
1 6 Signature of deciding officer |
|
1 7 O fficer code |
1 8 |
Name in block letters |
|
|
D. |
|
|
TYPE OF PERMIT (In dic a te w ith an X) |
|
|
|
|
1 |
2 |
|
3 |
4 |
|
5 |
|
|
Multiple import or |
Import permit |
Export |
In-transit |
Temporary import |
export permit |
|
|
permit |
permit |
or export permit |
|
E. |
|
|
PARTICULARS OF APPLICANT |
|
|
|
|
1 |
|
|
|
|
|
|
|
|
NATURAL PERSON’S DETAILS |
|
|
|
|
|
|
|
2 |
|
|
|
|
|
|
|
|
Type of identification (Indicate w ith an X) |
|
|
|
|
|
|
|
2.1 |
Passport |
|
|
|
|
|
|
|
SA ID |
|
|
|
|
|
|
|
3 |
|
|
|
- |
|
|
- |
- |
Identity number of natural person |
|
|
|
|
4 |
|
|
|
|
|
|
|
|
Passport number of natural person |
|
|
|
|
|
|
|
5 |
|
|
|
|
|
6 |
|
|
Surname |
|
|
|
|
|
Initials |
|
|
7 |
|
|
|
|
|
|
|
|
Full names |
|
|
|
|
|
|
|
|
8 |
- |
|
- |
9 |
|
10 |
Male |
Female |
Date of birth |
|
Age |
|
G ender |
11 |
|
|
|
|
|
|
|
|
Residential address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12 |
|
|
|
|
|
|
|
|
Postal Code |
|
|
13 |
|
|
|
|
|
|
|
|
Postal address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14 Postal Code |
|
|
15 |
|
|
16 |
|
|
|
|
|
T rade or profession |
|
|
If self-employed, specify |
|
|
|
17 |
|
|
|
|
|
|
|
|
Name of employer/company |
|
|
|
|
|
|
|
18 |
|
|
|
|
|
|
|
|
Business address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19 |
|
|
|
|
|
|
|
|
Postal Code |
|
|
20 |
20.1 |
( |
) |
20.2 |
( |
) |
|
|
T elephone number |
Home |
W ork |
|
|
20.3 |
|
|
|
21 |
( |
) |
|
|
Cellphone number |
|
|
|
Fax |
|
|
22 |
|
|
|
|
|
|
|
|
E-mail address |
|
|
|
|
|
|
|
|
23
M arital status (Indicate w ith an X)
24
Single |
Married |
Divorced |
W idow |
W idower |
O ther (specify)
25
PART ICULARS OF APPLICANT’S SPOUSE/PART NER (If applicable)
25.1
Type of identification (Indicate w ith an X)
25.1.1 |
Passport |
|
|
|
SA ID |
|
|
|
25.2 |
|
- |
- |
- |
Identity number of spouse/partner |
25.3
Passport number of spouse/partner
25.4
Full Name and Surname
26
JURISTIC PERSON’S DETAILS
SAPS 520
2
Transporter’s name and surname
3
Transporter’s trading name
4
Method of transport
5
T ransporter’s responsible person (name and surname)
6 |
SA citizen |
Non-SA citizen with permanent residence* |
|
T ype of identification (In dic a te w ith an X) |
|
7 |
|
- |
- |
- |
Identity number of responsible person |
|
8 |
|
|
|
|
Cellphone number |
|
|
|
|
* In case of a non-SA citizen proof of permanent residence must be submitted.
SAPS 520
3
DECLARATION BY PERSON W HO IS LAW FULLY IN POSSESSION OF THE 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 permit(s) has/have been obtained and that the particulars of the firearm(s) are correct and accurate.
4
SIGNATURE OF PERSON CURRENTLY IN POSSESSION
4.1 |
4.2 |
- |
- |
|
Date |
|
Name of person currently in possession in block letters |
|
|
4.3 |
4.4 |
|
|
|
Place |
|
|
Signature of person currently in possession
5
DECLARATION OF APPLICANT
I 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 in this application.
J.
1
Name of applicant in block letters
3
Signature of applicant
K .
1
2
SIGNATURE OF APPLICANT (Sign only if applicable) |
|
|
2 |
Date |
- |
- |
4 |
Place |
|
|
(T his section must be completed only if the applicant cannot read or write) |
|
|
3 |
Date |
- |
- |
|
Fingerprint designation
4
Name of applicant in block letters
5
Place
Right index fingerprint of applicant
6
PARTICULARS OF POLICE OFFICIAL DEALING W ITH APPLICATION
6.1 |
6.2 |
|
- |
Name of police official in block letters |
Persal number of police official |
6.3 |
6.4 |
Rank of police official in block letters |
Signature of police official |
7 |
|
PART ICULARS OF W ITNESS |
|
7.1 |
7.2 |
|
- |
Name of witness in block letters |
Persal number of witness |
7.3 |
7.4 |
Rank 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
Name and surname of interpreter
2
Identity/Passport number of interpreter
SAPS 520
N. |
IN CASE OF NOMINEE/AUTHORIZED PERSON |
1
Name and surname of nominee/authorized person
2
Identity/Passport number of nominee/authorized person
3
Place
Signature of nominee/authorized person
*** NOTIFICAT ION OF CHANG E OF ADDRESS ***
T he Registrar 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
|
RECO MMENDAT IO N REG ARDING T HE APPLICAT IO N |
Recommended |
Not recommended |
2 |
|
Motivation regarding the application |
|
3
Name of D esignated Firearms O fficer/Station C ommissioner in block letters
5
6 Place
Rank of Designated Firearms O fficer/Station C ommissioner in block letters
-
Signature of Designated Firearms O fficer/Station CommissionerPersal number of Designated Firearms O fficer/Station Commissioner