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DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Diplomatic Immunities and Privileges Act (Act No 37 of 2001) APPLICATION TO PURCHASE / IMPORT A MOTOR VEHICLE BY A MISSION / INTERNATIONAL ORGANISATION AND TRANSFERRED REPRESENTATIVES IN SOUTH AFRICA NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN DUPLICATE, TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED NAME OF MISSION / INTERNATIONAL ORGANISATION OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE TITILE, FULL NAME AND SURNAME OF OWNER MARITAL STATUS Married Single CITIZENSHIP DESIGNATION DATE OF FIRST ENTRY INTO THE RSA (As per entry stamp in the passport) YEAR OF MANUFACTURE MAKE AND MODEL OF VEHICLE TYPE OF VEHICLE (car, station wagon, microbus, trailer, pick-up, motorcycle, etc.) CHASSIS NUMBER (VIN NUMBER) ENGINE NUMBER COLOUR OF VEHICLE PRIVATE VEHICLES REGISTERED WITH DEPARTMENT: Yes No (Provide diplomatic registration number/s) TICK APPLICABLE BOX AND ATTACH DOCUMENTATION AS INDICATED BELOW Direct import not through a dealer (Certificate A/B; LoA from SABS; 6 months proof of ownership) Local purchase from a dealer in South Africa (Not imported) (New and used vehicles: Offer to Purchase) Purchase from a customs bonded warehouse (Offer to Purchase; Certificate A/B) Local purchase from a representative in the diplomatic community (Bill of Sale / Sales Agreement; Copy of Permission to Sell Certificate) Transferred from a neighbouring country ONLY Botswana, Lesotho, Namibia, Swaziland (LoA from SABS) Local purchase from a private person / entity (Sales Agreement, NATiS Registration Certificate, Copy of the ID of the seller / proxy of the organisation) SUPPORTING DOCUMENTATION TO BE SUBMITTED WITH ALL PRIVATE VEHICLE APPLICATIONS: 1. Copy of the Officials Diplomatic Identity Certificate (front and back) 2. Copy of the approved de-registration certificate (DMV7 ) of the predecessor (where applicable) SIGNATURE OF HEAD OF MISSION OFFICIAL SEAL OF THE MISSION DMV–1 FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Permission is hereby granted for the acquisition of the above-mentioned vehicle. NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP DIRCO REF: 16/1/6/4/

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DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO PURCHASE / IMPORT A MOTOR VEHICLE BY A MISSION / INTERNATIONAL ORGANISATION AND TRANSFERRED REPRESENTATIVES IN SOUTH AFRICA

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN DUPLICATE,

TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE

TITILE, FULL NAME AND SURNAME OF OWNER

MARITAL STATUS Married Single

CITIZENSHIP

DESIGNATION

DATE OF FIRST ENTRY INTO THE RSA

(As per entry stamp in the passport)

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

TYPE OF VEHICLE (car, station wagon, microbus, trailer, pick-up, motorcycle, etc.)

CHASSIS NUMBER (VIN NUMBER)

ENGINE NUMBER

COLOUR OF VEHICLE

PRIVATE VEHICLES REGISTERED WITH DEPARTMENT: Yes No

(Provide diplomatic registration number/s)

TICK APPLICABLE BOX AND ATTACH DOCUMENTATION AS INDICATED BELOW

Direct import – not through a dealer

(Certificate A/B; LoA from SABS; 6 months proof of ownership)

Local purchase from a dealer in South Africa (Not imported)

(New and used vehicles: Offer to Purchase)

Purchase from a customs bonded warehouse

(Offer to Purchase; Certificate A/B)

Local purchase from a representative in the diplomatic community

(Bill of Sale / Sales Agreement; Copy of Permission to Sell Certificate)

Transferred from a neighbouring country ONLY Botswana, Lesotho, Namibia, Swaziland

(LoA from SABS)

Local purchase from a private person / entity

(Sales Agreement, NATiS Registration Certificate, Copy of the ID of the seller / proxy of the organisation)

SUPPORTING DOCUMENTATION TO BE SUBMITTED WITH ALL PRIVATE VEHICLE APPLICATIONS: 1. Copy of the Official’s Diplomatic Identity Certificate (front and back) 2. Copy of the approved de-registration certificate (DMV–7 ) of the predecessor (where applicable)

SIGNATURE OF HEAD OF MISSION OFFICIAL SEAL OF THE MISSION

DMV–1

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Permission is hereby granted for the acquisition of the above-mentioned vehicle. NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DIRCO REF: 16/1/6/4/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION FOR DIPLOMATIC REGISTRATION (D, C, S, X)

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT AND SUBMIT TOGETHER WITH A NOTE

VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE

TITLE, FULL NAME AND SURNAME OF OWNER

MARITAL STATUS Married Single

CITIZENSHIP

DESIGNATION

PROPELLED BY Unleaded Petrol Leaded Petrol Diesel

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

CHASSIS / VIN NUMBER

ENGINE NUMBER

COLOUR OF VEHICLE

PLEASE SELECT THE APPLICABLE BOX AND ATTACH SUPPORTING DOCUMENTATION AS INDICATED BELOW

TRANSACTION SUPPORTING DOCUMENTATION REQUIRED

Direct import – Not through a dealer (2nd hand vehicles)

Copy of LoA from SABS and Bill of Entry (direct)

Copy of registration documents from country of origin

Copy of Request for Police Inspection Certificate

Direct import – Not through a dealer (New vehicles)

Copy of LoA from SABS and Bill of Entry (direct)

Copy of manufacturer’s certificate / delivery note / tax invoice from

country of origin

Copy of Request for Police Inspection Certificate

Proof of payment

Purchase from a custom bonded warehouse

Copy of Bill of entry (Ex-warehouse)

Copy of Zero Tax Invoice

Proof of payment (Returned cheque, receipt)

Transferred from neighbouring country (ONLY: Botswana, Lesotho, Namibia, Swaziland)

Copy of LoA from SABS

Copy of bill of entry (*SAD500 form)

Copy of SARPCCO clearance certificate

Copy of registration documents from country of origin

Local purchase from a dealer in South Africa (New & Used) – NOT IMPORTED

Copy of tax invoice

Proof of payment (Returned cheque, receipt)

Local purchase from a Diplomatic Representative

Copy of Sales Agreement / Bill of Sale

Copy of approved Permission to Sell Certificate (DMV–6) and

Permission to De-register Certificate (DMV-7) of seller

Copy of seller’s NaTIS registration certificate and Diplomatic ID

Local purchase from a private person / entity Copy of Sales Agreement / Bill of Sale

Copy of seller’s NaTIS registration certificate and ID / Passport

Vehicles financed through a South African Financial Institution

Copy of tax invoice

Certified Copy of NaTIS registration certificate (2nd hand vehicles)

Copy of letter from bank or financial institution stating that a diplomatic number may be allocated (new vehicles)

Copy of Instalment Sales Agreement / Contract

FOR ALL VEHICLE APPLICATIONS

Proof of valid insurance (with policy; engine and chassis number)

Copy of Diplomatic Identity Certificate

Copy of a Valid Driver’s License (with an English translation where applicable)

Copy of the approved DMV–1 Certificate (incl. Certificate A / B

where applicable)

DMV–4

DIRCO REF: 16/1/6/5/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO EXPORT A VEHICLE (Export Clearance)

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN DUPLICATE,

TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

APPLICATION TO BE SUBMITTED ONE MONTH IN ADVANCE

COPY OF TAX INVOICE AND PROOF OF PAYMENT

LETTER OF FINAL PAYMENT FROM THE FINANCIAL INSTITUTION IN RSA (IF VEHICLE WAS FINANCED)

COPY OF CURRENT NATIS REGISTRATION CERTIFICATE

COPY OF REQUEST FOR THE POLICE CLEARANCE CERTIFICATE (RPC)

COPY OF POLICE CLEARANCE CERTIFICATE

COPY OF SARPCCO CERTIFICATE (IF EXPORTING TO THE SADC REGION)

PROOF OF MICRODOT CERTIFICATE

COPY OF DIPLOMATIC IDENTITY CERTIFICATE

NAME OF MISSION / INTERNATIONAL ORGANISATION

TITILE FULL NAME AND SURNAME OF OWNER

MARITAL STATUS Married Single

DESIGNATION OF OWNER

DIPLOMATIC ID NUMBER

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

DIPLOMATIC VEHICLE REGISTRATION NUMBER

ENGINE NUMBER

CHASSIS NUMBER (VIN NUMBER)

COLOUR OF VEHICLE

COUNTRY TO WHICH THE VEHICLE WILL BE EXPORTED

PLACE OF PURCHASE / IMPORT IN SOUTH AFRICA

ESTIMATED DATE OF EXPORT

MISSION’S TELEPHONE NUMBER

MISSION’S FAX NUMBER

SIGNATURE OF HEAD OF MISSION OFFICIAL SEAL OF THE MISSION

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Permission to export the above-mentioned vehicle is hereby granted NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DMV–5

DIRCO REF: 16/1/6/9/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION FOR PERMISSION TO SELL / TRADE IN / LOCAL REGISTRATION / WRITTEN-OFF IN AN ACCIDENT/ THEFT/ REPOSSESSION/ DESTRUCTION / OF A MOTOR VEHICLE

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN DUPLICATE, TOGETHER WITH A NOTE VERBALE. SUPPORTING DOCUMENTS TO BE ATTACHED TO THE APPLICATION

COPY OF DIPLOMATIC IDENTITY CERTIFICATE

COPY OF APPROVED PERMISSION TO PURCHASE (DMV-1) CERTIFICATE

COPY OF CURRENT NATIS REGISTRATION CERTIFICATE

COPY OF TAX INVOICE

COPY OF BILL OF ENTRY & RELEASE NOTIFICATION (ISSUED BY SARS)

COPY OF LETTER OF AUTHORITY (LoA) FROM SABS

LETTER OF FINAL PAYMENT FROM THE FINANCIAL INSTITUTION IN RSA (IF VEHICLE WAS FINANCED)

AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE

TITILE, FULL NAME AND SURNAME OF OWNER

MARITAL STATUS Married Single

DESIGNATION OF OWNER

DIPLOMATIC VEHICLE REGISTRATION NUMBER

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

CHASSIS NUMBER (VIN NUMBER)

ENGINE NUMBER

SALE TRADE-IN LOCAL REGISTRATION WRITTEN-OFF IN AN ACCIDENT THEFT REPOSSESSION DESTRUCTION (as per restrictions on the LoA)

ESTIMATED DATE (as per the above option)

TO OBTAIN THE ORIGINAL NATIS REGISTRATION CERTIFICATE, THE PERMISSION TO SELL CERTIFICATE AS WELL AS AN ORIGINAL CHANGE OF OWNERSHIP FORM (NCO) SHOULD BE HANDED IN AT THE DIPLOMATIC LICENSING AND REGISTRATION SERVICES DESK: TSHWANE METROPOLITAN POLICE DEPARTMENT HEADQUARTERS ROOM A19; C/O D F MALAN & CHURCH STREET; PRETORIA WEST

CONTACT PERSON: MS. DORCAS RAMOROLA : (012) 358-5667

EMAIL: [email protected]

CHANGE OF OWNERSHIP FORMS (NCO)

1 X Original to new owner 1 x Original to Tshwane Metropolitan Department Headquarters 1 X copy to attached DMV–7 for de-registration purposes

DMV–6

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Permission is hereby granted for the sale of the above-mentioned vehicle and is valid for three (3) months from the date of issue NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DIRCO REF: 16/1/6/6/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO DE-REGISTER A DIPLOMATIC MOTOR VEHICLE

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN TRIPLICATE,

TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE

TITILE, FULL NAME AND SURNAME OF OWNER

MARITAL STATUS Married Single

DESIGNATION OF OWNER

DIPLOMATIC VEHICLE REGISTRATION NUMBER

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

CHASSIS NUMBER (VIN NUMBER)

SALE TRADE-IN EXPORT LOCAL REGISTRATION WRITTEN-OFF IN AN ACCIDENT THEFT REPOSSESSION DESTRUCTION (as per restrictions on the LoA)

DATE (as per the above option)

SUPPORTING DOCUMENTATION TO BE SUBMITTED IN TRIPLICATE (all private vehicle applications to be submitted with a copy of the official’s diplomatic ID certificate)

SALE: copy of NCO form; copy of approved DMV–6

TRADE-IN: copy of new vehicle’s tax-invoice; copy of NCO form; copy of approved DMV–6

EXPORT: copy of approved export clearance certificate (DMV–5)

LOCAL REGISTRATION: copy of local NATiS Registration Certificate (RC1); copy of approved DMV–6

WRITTEN-OFF IN AN ACCIDENT: letter from the South African Police Service (SAPS); letter from the insurance company; copy of

approved DMV–6

THEFT: letter from the South African Police Service (SAPS); letter from the insurance company; copy of approved DMV–6

REPOSSESSION: letter from financial institution, copy of approved DMV–6

DESTRUCTION (as per restrictions on the LoA): Certificate / proof of destruction, copy of approved DMV – 6

RETURN OF NUMBER PLATES: APPLICABLE TO ALL APPLICATIONS RETURNED TO ARGA PLATES & SIGNS LOST / STOLEN (Attach receipt from ARGA Plates & Signs) (Attach SAPS Case Number)

DMV–7

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION It is hereby certified that the above-mentioned vehicle has been de-registered from the Department’s records and cancelled from the petrol rebate scheme with effect from the date of sale/trade-in/export/accident/theft/local registration as indicated above.

NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DIRCO REF: 16/1/6/8/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO REGISTER A MISSION / INTERNATIONAL ORGANISATION IN THE FUEL LEVY REBATE SCHEME

NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN TRIPLICATE,

TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

POSTAL ADDRESS OF MISSION / ORGANISATION

PHYSICAL ADDRESS OF MISSION / ORGANISATION

FULL NAME OF CONTACT PERSON AT MISSION / ORGANISATION

DESIGNATION OF CONTACT PERSON

MISSION’S TELEPHONE NUMBER

MISSION’S FAX NUMBER

BANKING DETAILS OF MISSION / ORGANISATION

SIGNATURE OF HEAD OF MISSION OFFICIAL SEAL OF THE MISSION

DMV–9

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION It is hereby recommended that the above-mentioned mission be registered by the South African Revenue Service (Customs & Excise) to participate in the fuel levy scheme.

NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DIRCO REF: 16/1/6/10/

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO REGISTER A DIPLOMATIC VEHICLE IN THE FUEL LEVY REBATE SCHEME NB: PLEASE COMPLETE THE COMPUTER VERSION OF THE APPLICATION, PRINT, SIGN AND SUBMIT, IN TRIPLICATE,

TOGETHER WITH A NOTE VERBALE. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

NAME OF MISSION / INTERNATIONAL ORGANISATION

OFFICIAL VEHICLE FOR THE HEAD OF MISSION OFFICIAL VEHICLE FOR THE MISSION PRIVATE VEHICLE

TITILE; FULL NAME AND SURNAME OF OWNER

DESIGNATION

DIPLOMATIC ID NUMBER (attach a copy)

MARITAL STATUS Married Single

PROPELLED BY (Mark with X) Unleaded Petrol Leaded Petrol Diesel

YEAR OF MANUFACTURE

MAKE AND MODEL OF VEHICLE

DIPLOMATIC VEHICLE REGISTRATION NUMBER

FUEL TANK CAPACITY Litres

DATE REGISTERED ON NATiS

SUPPORTING DOCUMENTATION TO BE SUBMITTED (in triplicate) 1. 1 X Copy of the NATiS registration certificate 2. 1 X Copy of Licensing Certificate 3. Copy of Diplomatic ID Certificate

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

SARS APPROVAL LETTER ATTACHED MISSION NOTE VERBALE NUMBER:

MISSION NOTE VERBALE DATE: DATE STAMP

FOR OFFICIAL USE OF THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION It is hereby recommended that the above-mentioned vehicle be registered by the South African Revenue Service (Customs & Excise) in the fuel levy rebate scheme with effect from date of registration on NATiS:

NAME OF OFFICIAL SIGNATURE SEAL & DATE STAMP

DMV–10

DIRCO REF: 16/1/6/7/

DA 90

CLAIM IN RESPECT OF EXCISE DUTY AND FUEL LEVY ON MOTOR FUEL USED BY DIPLOMATIC AND OTHER FOREIGN REPRESENTATIVES IN TERMS OF ITEMS 602.01, 602.02 AND 640.01 OF SCHEDULE NO. 6 TO THE

CUSTOMS AND EXCISE ACT, NO. 91 OF 1964.

FOR COMPLETION BY CLAIMANT

NAME AND ADDRESS OF CLAIMANT

REF. NUMBER:

The Commissioner for Customs and Excise Private Bag X47 PRETORIA 0001 A refund of the following amount is claimed:

Excise duty

R

C

Fuel levy

Total amount claimed R

Further particulars relative to the claim to be shown on the reverse side hereof

FOR OFFICIAL USE

DATE OF RECEIPT

AUDITED BY

CHEQUE NO. AND DATE

. . . . . . . . . . . . . . . . . . . . . . . Signature

Date: . . . . . . . . . . . . . . . . .

No. . . . . . . . . . . . . . . . .

Date . . . . . . . . . . . . . . .

APPROVED BY

ALLOCATION

Number Amount

. . . . . . . . . . . . . . . . . . . . . . . Signature

R

C

Date: . . . . . . . . . . . . . . . . . .

CLAIM NO.

Total R

Page 1/2

N.B.: TO BE COMPLETED IN PRINT BY OR FOR THE USER OF THE FUEL AND CERTIFIED BY HEADS OF MISSIONS AND THE

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION OF THE REPUBLIC OF SOUTH AFRICA TO BE CORRECT. COPIES OF PURCHASING SLIPS/INVOICES OR ANY OTHER PROOF TO SUPPORT THE CLAIM MUST BE

RETAINED BY THE MISSION AND KEPT FOR AT LEAST TWO YEARS.

User: Designation:

Reg. No. of Vehicle

Name and address of supplier Date

Y/M/D Litres

(Leaded) Litres

(Unleaded) Litres

(Diesel) Amount

Totals

I hereby certify that the person whose name appears above is a citizen of . . . . . . . . . . . . . . . . . . . . . . . . . . . . , holds the title stated, enjoys diplomatic and/or other foreign privileges and has used the fuel in the vehicle(s) indicated.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature: Head of Mission Date Official seal of the Mission

It is hereby certified that the above-mentioned person is entitled to the privileges and is listed in the register maintained by this Department in accordance with the provisions of the Diplomatic Immunities and Privileges Act, (Act 37 of 2001).

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature Date Official seal of the Department of International Relations and Cooperation of the Republic of South Africa

Page 2/2

DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION

Diplomatic Immunities and Privileges Act (Act No 37 of 2001)

APPLICATION TO FOR REFUND OF EXCISE DUTY & FUEL LEVY MOTOR VEHICLES DIPLOMATIC COMMUNITY / INTERNATIONAL ORGANISATIONS

SUMMARY OF CLAIM

NB: THE APPLICATION MUST BE COMPLETED ELECTRONICALLY. AN INCOMPLETE APPLICATION WILL BE REJECTED AND RETURNED

REG. NO.

NV

DATE

NAME OF CLAIMANT

PERIOD

FOR OFFICIAL USE DEPT OF

INTERNATIONAL RELATONS AND COOPERATION

DMV–11