~~ forms: new saps - gov
TRANSCRIPT
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
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)
~ _ _ _ _
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
11 8 No. 261 56 GOVERNMENT GAZETTE, 26 MARCH 2004 - SAPS 517
Page 5 of 11
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
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
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
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
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
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