application for a competency certlflcatepersal number of police official (if applicable) ... to...
TRANSCRIPT
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