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Endorsement Application Form
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ENDORSEMENT APPLICATION FORM
Vereeniging Naam/Association Name:
Lid Nommer/Member Number:
Toegewyde Jagters No./Dedicated Hunter Nr.:
Toegewyde Sportskut No./Dedicated Sport Shooter Nr.:
Volle Name en Van/Full Names and Surname:
ID Nommer/ID Number:
Tipe Endorsement Verlang (Merk Met X)/Type of Endorsement Required (Mark with X):
Jag/Hunting
Sportskiet/Sport Shooting
Tipe Vuurwapen (Merk met X)/Type of Firearm (Mark with X)
Renewal
Geweer/Rifle
Haelgeweer/Shotgun
Pistool/Pistol
Revolver/Revolver
Ander/Other
Tipe Aksie (Merk met X)/Type of Action (Mark with X)
Grendelaksie/Bolt Action
Hefboomaksie/Lever Action
Breeknek/Break Neck
Pompaksie/Pump Action
Half Outomaties/Semi-Automatic
Enkelaksie/Single Action
Dubbelaksie/Double Action
Fabrikaat/Make:
Reeksnommer/Serial Number:
Kaliber/Calibre:
Nota : In die geval van semi-outomatiese vuurwapens word ‘n duidelike en presiese verduideliking verlang, aangesien dit in terme van die wet, ‘n “Beperkte Vuurwapens” is. Jag met semi-outomatiese vuurwapens word beperk tot baie spesifieke omstandighede en mag onderhewig wees aan sekere provinsiale wetlike beperkings
Note : In the case of a semi-automatic firearm a very clear and detailed description of the use is required as these are “Restricted Firearms” in terms of the act and hunting with them is limited to very specific circumstances and subject to certain provincial legislative conditions.
Kort Motivering (Hoe, Wat, Waar) / Short Motivation (How, What, When):
Ek bevestig dat die bogenoemde inligting waar en juis is / I confirm the above information to be true and correct.
Naam/Name:
Datum/Date: [datepicker myFirstDatepicker id:myFirstDatepicker format:dd/mm/yy]
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