~~ forms: new saps - gov

25
100 No. 261 56 GOVERNMENT GAZETFE, 26 MARCH 2004 ANNEXURE “A“ FORMS: ~~ New SAPS numbers ~ ~~~~~ 1 SAPS !517(a) Application for a further competency certificate 3 SAPS 517 Application for a competency certificate 2 SAPS 271 Application for licence to possess a firearm 4 Application for a duplicate licence, permit, certificate or authorization SAPS 517(b) for lost, stolen and defaced licences 5 Application for licence issued to particular categories of persons - dealers, manufacturers and aunsmiths 1 SAPS !517(c) 6 SAPS !S17(f) Application to declare premises a firearm free zone 8 SAPS 517(e) Application for renewal of licence(s) in terms of the previous Act 7 SAPS 517(d) Application to manufacture a new firearm or ammunition type 9 Application for a temporary authorization to possess a firearm SAPS 518 10 Application for the renewal of a iicenc:e, permit or authorization SAPS S18(b) Application for a temporary authorization to trade in firearms and 11 SAPS 518(a) - ammunition, to conduct business as a gunsmith and to display firearms and ammunition on premises other than those specified in dealer’s, manufacturer’s or gunsmith’s licence 12 SAPS 520 Application for a multiple import or export permit/permanent import or 15 SAPS 519(b) Application for accreditation for official institutions 14 SAPS 519(a) Application for a accreditation for business purposes 13 SAPS 519 Application for accreditation as an association export permit/temporary import or export permit/In-transit permit for personal use (Individuals and Companies) 16 SAPS 5’20(a) Application for a multiple import or export permit/permanent import or export permit/temporary import or ex.port permit/In-transit permit for dealers, manufacturers and gunsmiths 17 SAPS 520(b) Application for permit to transport firearms and ammunition

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Page 1: ~~ FORMS: New SAPS - Gov

100 No. 261 56 GOVERNMENT GAZETFE, 26 MARCH 2004

ANNEXURE “A“

FORMS: ~~

New SAPS

numbers ~ ~~~~~

1

SAPS !517(a) Application for a further competency certificate 3

SAPS 517 Application for a competency certificate 2

SAPS 271 Application for licence to possess a firearm

4 Application for a duplicate licence, permit, certificate or authorization SAPS 517(b) for lost, stolen and defaced licences

5 Application for licence issued to particular categories of persons - dealers, manufacturers and aunsmiths

1 SAPS !517(c)

6

SAPS !S17(f) Application to declare premises a firearm free zone 8

SAPS 517(e) Application for renewal of licence(s) in terms of the previous Act 7

SAPS 517(d) Application to manufacture a new firearm or ammunition type

9 Application for a temporary authorization to possess a firearm SAPS 518

10 Application for the renewal of a iicenc:e, permit or authorization

SAPS S18(b) Application for a temporary authorization to trade in firearms and 11

SAPS 518(a)

-

ammunition, to conduct business as a gunsmith and to display firearms and ammunition on premises other than those specified in dealer’s, manufacturer’s or gunsmith’s licence

12

SAPS 520 Application for a multiple import or export permit/permanent import or 15

SAPS 519(b) Application for accreditation for official institutions 14

SAPS 519(a) Application for a accreditation for business purposes 13

SAPS 519 Application for accreditation as an association

export permit/temporary import or export permit/In-transit permit for personal use (Individuals and Companies)

16 SAPS 5’20(a) Application for a multiple import or export permit/permanent import or export permit/temporary import or ex.port permit/In-transit permit for dealers, manufacturers and gunsmiths

17 SAPS 520(b) Application for permit to transport firearms and ammunition

Page 2: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 26156 101

18

SAPS 520(d) Application for compensation 19

SAPS 520(c) Application for a permit to collect ammunition

E 24

27

Notification of lost or stolen licences, permits, certificates or I SAPS 521 I authorizations

Notification of ceasing to carry on business

SAPS 521(e) Notification on assignment of a new responsible person for juristic

SAPS 521(d) Notification of change of commercial agent premises

SAPS 52 1 (c) Notification of change of circumstances

SAPS 52 1 (b) Notification of change of address

SAPS 521(a)

person

Notification of lost/stolen/found firearms SAPS 521(f)

Notification of incorrect information SAPS 521(g)

I 28 I Notification of requirement to deactivate a firearm I SAPS 521(h) I Cancellation of an application for a licence, permit, certificate or authorization

1 SAPS 522 I I 30 Surrendering of firearm item(s) I SAPS 522(a) I I 31

E

~~~ ~ ~~ ~

Forfeiture of firearm item(s)

Acknowledgement of receipt of firearm documentation

SAPS 522( b)

SAPS 530 Notice of Aweal

SAPS 523(a) Remittance advice for firearm applications

SAPS 523

35

36

37

38

- - -

Request to alter a firearm by a gunsmith

Infringement Notice

SAPS 531

SAPS 533 Request to cancel a licence, permit, certificate or authorization

SAPS 532(a) Response to infringement notice

SAPS 532

I 39 Request to suspend a licence, permit, certificate or authorization I SAPS 533(a) I 40

41

42

- -

43

44

45

Transfer of firearm ownership

Forwarding schedule

SAPS 534

SAPS 349 List of firearms in possession of government departments and other

SAPS 536 Application for authorization to possess more than 2 400 primers

SAPS 535

bodies which are exempt from licensing

Dealer's return: stock received SAPS 350(a)

Dealer's return: stock supplied I SAPS 350(b)

46 ~ ~ ~ ~ _ _ _ _ ~~~~~ ~

Manufacturer's return: stock manufactured SAPS 3 50 (c)

Manufacturer's return: stock supplied

SAPS 350(f) Gunsmith return: stock supplied

SAPS 350(e) Gunsmith return: stock received

SAPS 350(d)

~ _ _ _ _

Page 3: ~~ FORMS: New SAPS - Gov

102 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004

SOUTH AFRICAN POLICE SERVICE

APPLICATION FOR LICENCE TO POSSESS A FIREARM Section 12, 13, 14.15, 16, q7, 19 and 20 of the Act, 2000 (Act no 60 of 2000)

OFFICIAL DATE STAMP

I DATE RECEIVED

SAPS 271

' Application reference No

* Number of application of

... I Name In block letters I

................................................................. Signature of CFR officer l o Officer code '' Name in block letters

" Officer code '' Name in bock letters

Page 1 of 12

Page 4: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 261 56 103

3

3.1

3.2

3.3

3.4

3.5

3. 6

3.7

3.8

3. 9

3.10

3.1 1

3.12

i

1 .I

1.2

1.3

1.5

1.6

1 .7

1.9

1.11

i

1.2

2

13 Licence to possess a firearm for self-defence

Licence to possess a restricted firearm for selfdefence 14

Five years

Two years

15 Licence to possess a firearm for occasional hunting and/or sport-shooting Ten years

16 Licence to possess a firearm for dedicated hurlting and/or dedicated sport-shooting Ten years

17 Licence to possess a firearm in a private collection Ten years

-

- - - -

19 Licence to possess a firearm, in a public collection Ten years ~~ ~

- I I 20 I Licence to possess a firearm for business purposes: Business in hunting Five years

Two years

20

20

Two years Licence to possess a firearm for business purposes: For use in theatrical, film and N productions

Two years Licence to possess a firearm for business purposes: As a game rancher 20

Two years Licence to possess a firearm for business purposes: For training purposes 20

Two years Licence to possess a firearm for business purposes: As a securii business

- 20 Licence to possess a firearm for business purposes: Other business purposes -

- - - -

TYPE OF FIREARM

DETAILS OF FIREARM (Indicate with an x)

Action

Firearm component type:

Tvoe of owner (Indicate with an X)

I NATURAL PERSON'S DETAILS I Page2of 12

Page 5: ~~ FORMS: New SAPS - Gov

104 No. 261 56 GOVERNMENT GAZETTE, 26 MARCH 2004

3 TYPE A (Private owner)

SAPS 271

4

6

7

8

10

12

12.3

14

15

16

17

18

19

20

21

23

25

26

27

28

29

30

31

33

35

36

37

38

39

JURISTIC PERSON'S DETAILS

TYPE B (Firearm dealer) 1

SAP 350 (A) DETAILS Firearm received from

. .... . ,. ..,.........,.. ./ ..: .. .. .. .....,..A . . . . .... . .. . ... . ..... .. . .... .... ........... . . .. ...,..,........ ..... ....:...... ..,... ... ....... ... .......... . ........ ... ..., : .. ,.:.:.. .... ..... !,> ..., ...................... :;.: ...,.... . ...../ : .:<.:..:...:. ...........

- ~ ~ ~ ~ l : ~ ~ ~ : , ~ : , : ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ : , , . : , , .$3;:;?;:;

. ... ... ......I. ... .... .. ................................. :.::/..,,.:.:I :. .'. ..:.40i:' ....\. :.: ...:.:.....,.:,:.! .,,,.,. ..: -.:.: ..., .:(.:' .......... D.at~~i:recEllved:.~~~~~::.:j;:

. .... ........... . / I ..:. .... .... ..... ..., + In case of a non-SA citizen proof of permanent residence mist be submitted.

Page 3 of 12

Page 6: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 261 56 105

SAPS 271 41

TYPE C (Companies)

47

49

50

51

52

53

54

55

57

63 TYPE E (Estate)

€4 Type of estate (indicate with an X )

66

68

69

70

71

72

73

73.3

75

71

Page 4 of 12

Page 7: ~~ FORMS: New SAPS - Gov

106 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004

73

81

82

83

84

86

1

1 .1

1.2

1.3

1.4

1.5

1.6

2

2.1

SAPS 371

1 DECLARATION BY PERSON WHO IS LAWFULLY IN POSSESSION OF THE FIREARME) I I hereby deciare that the above firearm(s) isiare legally in my possession and that I propose to sell or supply it to the applicant once the necessary licence(s) haslhave been obtained and that the particulars of the firearm(s) are correct and accurate.

I am aware that it is an offence in terms of section 120 (9)(f) o'the Firearms Control Act, 2000 (Act No 60 of 2000), to make a false statement in this application.

85 ~ , : ~ ~ , ~ ~ ~ ~ ~ : . : . : ~ : , . : . , . ,Da$$,:y.r; :.x .................. : ......... ..:..(.............

...................................................................... Signature of current owneriauthorized person

I PARTICULARS OF EXISTING COMPETENCY CERTIFICATE (Indicate with an X) I ~~ ~

-1

Page 5 of 12

Page 8: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 M A A R T 2004 No. 261 56 107

3

4

5

5.1

6

7

9

10

I 3

15

17

18

20

21

23

23.3

25

26

27

SAPS 271

..............-.- ........... - .................. -----.--- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................... .......______________.____.________ ....................................

......- .... .........-...-..- ............ - ............ -.. ..-- .......................... ................................... .__________....___..__.......____ ______.__..__.........__..,...,.._

...... ...................... .......I - ...... - ............ .- ..............................................................

-- ....... --..- .... -.---- .... .......... - ................. ............................. ..........................................................................................................

......... - - ........ - ...... -. .............. -...- ......... ........................................................................................................................................

..-. ....... - ................ ...- ........................ ............................. ................................

.-..................__._____ .................................... - ..................... ................................... .................................... ..~~.~~~~_~.~.......~~.._.__.____.

...-..-. ............... -..-. ............................ .........................................................................................................................................

..- ...... - ................. - ............................. - -

............................ ............................ ...........................................................................

............................ ..............................

NATURAL PERSON’S DETAILS

PRIVATE PERSON

Type of identification (Indicatewith an x)

Marital status (Indicate with an x)

Psge6of 12

Page 9: ~~ FORMS: New SAPS - Gov

108 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004

SAPS 271

28

29

29 1

30

3f

32

33

34

35

36

37

38

40

42

43

44

45

46

47

48

49

50

52

54

55

56

57

58

61

PARTICULARS OF APPLICANT'S SPOUSElPARTNER

I Type of identification (Indicate with an X ) I

OTHER BODIES (eg body corporate, close corporation or company) 1

i .... ~ ..............................................................................................................................................................................................

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

Page 7 of 12

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STAATSKOERANT, 26 MAART 2004 No. 26156 109

SAPS 271

63

63.1

63.3

63.4

63.6

64

64.1

64.3

64.7

64.5

64.7

64.8

65

65.1

65.3

65.5

65.7

66

66.1

66.3

66.4

66.6

66.8

66.9

67

67.1

67.3 ~~

Page 8 of 12

Page 11: ~~ FORMS: New SAPS - Gov

110 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004

SAPS 271

70 DECLARATION BY 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.

2

Note:

The requirements of the photo:

- The photograph must be in colour and may not exceed the border.

- The photo must be a full front view of the head and shoulders of the - The photo must be the sue of a standard passport pholograph.

- The background of the photo must be plain. - The applicant may not be wearing a hat or sungiasses on the

- The applicant's name and identification number must be written

applicant.

photograph.

on the back of the photograph before it is aftixed on the application form.

- The applicant must sign in black ink. - The signature may not exceed the border.

- The fingerprint should not be rolled and must be a flat impression. - The whole finger must be pressed down on the sheet.

Signature

5w Name of applicant in block letters

. , , , , , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PHOTO

1

Fingerprint desisnation

3

Page 9 of 12

Page 12: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 261 56 11 1

SAPS 271

8

6.i

8.3

9

3.1

9.3

1

2

3

5

7

8

10

11

13

15

1

2

3

4

1 PARTICULARS OF POLICE OFFICIAL DEALING WITH A P P L I C A ~ I O N l

I 1

I 1 Name of police official in block letters

r , , I I I . . .

8.2

Persai number of police official

fl Rank of police official in block letters

~~ ~

I PARTICULARS OF WITNESS

~~

- -1

7 Name of witness in block letters

fl Rank of witness in block letters

Signature of police official ................. . ...............................................

1 Persal number of witness

Signature of witness

12 ll~.:: ..... :.:.:.".:.:.:.,.: .. ..... . .... :... .... . ../. :.:. .:.:.&$$y; :.I: .... . ..... -;..., ......_

Page 10 of 12

Page 13: ~~ FORMS: New SAPS - Gov

112 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004

SAPS 271

6

1

2

3

3.1

3.2

4

5

6

6.1

7

7.1

, >;$y:.: ...... :.: ...... 7::p,ft&&;::; ........... ............. :.\. .... ..:. . . . :::.: ..................................................................

Signature of parenuguardian

*** NOTIFICATICIN OF CHANGE OF ADDRESS ***

The Registrar must be informed of all changes of addresslcircumstances within 30 days of such changes occurring

metrekilometre

metrelkilometre

I .................................................................................................................................................................................................. I

..................................................................................................................................................................................................

.................................................................................................................................................................................................

Page 11 of 12

Page 14: ~~ FORMS: New SAPS - Gov

STAATSKCIERANT, 26 MAART 2004 No. 261 56 1 1 3 - SAPS 271

*I Name of Designated Firearms OfficerlStation Commissioner in Mock letters

......................... ~~.~~~~~~ ........ .....................

Rank of Designated Firearms OfficerlStation Commissioner in block letters

12 ................................................................. Signature of Designated Firearms OfficerlStation Commissioner

13

Persal number of Designated Firearms Officer/Station Commissioner

Page 120f 12

Page 15: ~~ FORMS: New SAPS - Gov

1 1 4 NO. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517

SOUTH AFRICAN POLICE SERVICE

APPLICATION FOR A COMPETENCY CERTlFlCATE Section 9 of the Fil-earms Control Act. 2000 (Act No 60 of 2000)

DATE RECEIVED

I I 1 I ................................................................

Signature of police official I

Name in black letters

................................................................. I I

................................................................. ’‘ Slgnattlre of CFR otncer ” Officer code ” Name in block letters

L

Page 1 of 11

Page 16: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 26156 115

1

2

3

1

1

1.1

2

3

5

6

8

9

1 'I

13

1 'I

11;

f i'

111

1Em.3

21

22

22.1

23

23.1

23.1 .I

23.12

23.3

SAPS 517

I TYPE OF CITIZENSHIP (Indicate with an X) ]

Marital status (Indicate with an X)

Type of identification (Indicate with an X ) 1

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

Page 2 of 11

Page 17: ~~ FORMS: New SAPS - Gov

116 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 51 7

1

2

3

1

2

3

4

2

3

4

5

5.f

5.3

5.4

5.5

5.7

5.8

Page 3 of 11

Page 18: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 26156 117

. .

6

6.1

6.3

6.4

6.6

7

7 1

73

7.7

7.5

7.7

7.8

8

at

8.3

8.5

8.7

9

9. I

9.3

9.4

9.1;

9.0

9.9

10

10.1

10.3

10.5

10.7

11

SAPS 517

Page4of 11

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11 8 No. 261 56 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517

Page 5 of 11

Page 20: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 261 56 11 9

:SAPS 51 7

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

- The applicant may not bo wearing a hat or sunglasses on the - The background of the photo must be plain.

- The applicant's name and identification number must be written

appiicant.

photograph.

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.

......

2 :

..... Signature

5' Name of applicant in block letters

PHOTO

Fingerprint designation

, I - - i

. . , . . . . . 3 : : , .

.............. :... ...................................................

I PARTICULARS OF POLICE OFFICIAL DEALING WITH APPLICATION * Name of police official in block letters 6.2

Persal number of police official

6.4

Rank of police officiai in block letters

I PARTICULARS OF WITNESS .1 ................................................................. Signature of police official

9.' II Name of witness in block letters 9.2

Persal number of witness

3A I2 Rank of witness in block letters

3.4 ................................................................ Signature of witness

5

7

Page6of 11

Page 21: ~~ FORMS: New SAPS - Gov

120 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517

E

10

I I

13

i!i

1

2

3

4

.................................................................. Signature of interpreter

I

8 Rank of police ofkial in block letters (if applicable)

I 16

Persal number of police official (if applicable)

...............................................................................................................................................................................................

...............................................................................................................................................................................................

...............................................................................................................................................................................................

...............................................................................................................................................................................................

...............................................................................................................................................................................................

...............................................................................................................................................................................................

................................................................................................................................................................................................

...............................................................................................................................................................................................

...............................................................................................................................................................................................

6 ................................................................. Signature of parenuguardian

Page '7 of 1 1

Page 22: ~~ FORMS: New SAPS - Gov

STAATSKOERANT, 26 MAART 2004 No. 26156 121 - SAPS 517

1

1.1

2

3

4

6

7

9

11

11.3

13

14

15

17

18

19

21

23

25

25.1

26

27

28

30

31

33

35

I INTERVIEW 1 (With a person other than the applicant's spouse or partner) 1

11 Name of police official in block letters

Rank of police official In block letters

22

Persal number of police official

24 .................................................. - .............. Signature of police official

INTERVIEW 2 (With a person other than the applicant's spouse or partner)

Page8of 11

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122 No. 26156 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517

35.3

37

38

39

41

42

43

15

47

.I9

49.1

!io

$1

:i2

?,4

:5

57

59

59.3

61

6:!

64

11 Name of police official in block letters

46

Persal number of police official - Rank of police official in block letters

INTERVIEW WITH APPLICANT’S SPOUSElPARTNER (If applicable)

48

Signature of police official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

page 9 of 11

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STAATSKOERANT, 26 MAART 2004 No. 26156 123 - SAPS 51 7

6!8

66

67

63

71

72

73

74

75

76

77

Name of police ofticial in block letters

I7 I 1 Rank of police official in block letters

I OTHER DETAILS n o be comoleted bvihe Desionated Firearms Oflicer) I

68

Persal number of police official

70

Signature of police ofticial . -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page 10 of 11

Page 25: ~~ FORMS: New SAPS - Gov

124 No. 261!56 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517

79

TO OBTAIN A COMPETENCY CERTIFICATE. IF THE APPLICANT IS UNDER THE AGE OF 21 YEARS, CONFIRM IF COMPELLING REASONS EXIST WHICH REQUIRE THE APPLICANT

79.1

79.2

I 1

............................ J :~:~-:;.~::::.:.!.,~:~:: %fi@g.;g;

Name of Deslgnated Firearms Officer/Station Commissioner in block letters

Lank of Designated Firearms Officer/Station Commissioner in block letters

..................

4 1 6

................................................................. Signature of Llesignated Firearms OfficerlStation Commissioner

7

Persal number of Designated Firearms OfficedStation Commissioner

Page 11 of 11