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