SAPS 523
SOUTH AFRICAN POLICE SERVICE
ACKNOWLEDGEMENT OF RECEIPT OF FIREARM DOCUMENTATION
A. PARTICULARS OF POLICE STATION
1
Police station where documentation was
captured
2 3
Telephone number ( ) Fax ( )
4
Reference No
B. TYPE OF ACKNOWLEDGEMENT OF RECEIPT OF FIREARM DOCUMENTATION
1
Type of firearm documentation received:
C. PARTICULARS OF THE PERSON FROM WHOM THE FIREARM DOCUMENTATION IS RECEIVED
(Fill in if applicable)
1
NATURAL PERSON’S DETAILS
2
Identity number - - -
3
Passport number
4 5
Surname Initials
6
JURISTIC PERSON’S DETAILS
7
Registered name
8
FAR number
9
RESPONSIBLE PERSON’S DETAILS
10
Responsible person (full names and surname)
11
Type of identification (Indicate with an X) SA ID Passport number
12
Identity number of responsible person - - -
13
Passport number of responsible person
14
GOVERNMENT INSTITUTION’S DETAILS
15
Institution name
16
Institution FAR number
SAPS 523
17
RESPONSIBLE PERSON’S DETAILS
18
Responsible person (full names and surname)
19
Type of identification (Indicate with an X) SA ID Passport number
20
Identity number of responsible person - - -
21
Passport number of responsible person
D. PARTICULARS OF DESIGNATED FIREARMS OFFICER
1 2 5
Name of Designated Firearms Officer in block Rank of Designated Firearms Officer in
letters block letters
OFFICIAL DATE STAMP
3 4
-
Persal number of Designated Firearms Officer Signature of Designated Firearms Officer