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Criminal Law (Sexual Offences and Related Matters) Amendment Act, 2007 (Act No. 32 of 2007)

Regulations

Criminal Law (Sexual Offences and Related Matters) Regulations

Annexures

Annexure A : Forms: Services for victims of sexual offences and compulsory HIV testing of alleged sex offenders

Part I of Regulations: Services for Victims of Sexual Offences and Compulsory HIV Testing of Alleged Offenders

Form 2 : Application for HIV testing of alleged offender by victim or interested person

 

FORM 2

 

[Regulation 3(1)]

 

APPLICATION FOR HIV TESTING OF ALLEGED OFFENDER BY VICTIM OR INTERESTED PERSON

 

Section 30 of the Criminal Law (Sexual Offences and Related Matters) Amendment Act, 2007 (Act No. 32 of 2007) (the Act)

 

 

PLEASE READ THE NOTES BEFORE COMPLETING THE APPLICATION FORM

 

Note 1 : The investigating officer must assist the victim or interested person with the completion of the Form.

 

Note 2: If the application is brought by an interested person, this application must be brought with the written consent of the victim, unless the victim is—
▪ under the age of 14 years;
▪ a person who is mentally disabled;
▪ unconscious;
▪ a person in respect of whom a curator has been appointed in terms of an order of court;
▪ a person whom the magistrate is satisfied is unable to provide the required consent.

 

The written consent must be attached to this application form.

 

Note 3: Who is an interested person?

 

In terms of section 27 of the Act, an interested person is any person who has a material interest in the well-being of a victim, including—

• a spouse;
• a same sex or heterosexual permanent life partner;
• a parent;
• a guardian;
• a family member;
• a care giver;
• a curator;
• a counsellor;
• a medical practitioner;
• a health service provider;
• a social worker;
• teacher

of such victim.

 

Note 4: Misuse and abuse of this procedure

 

The procedure to establish an alleged offender's HIV status without obtaining his or her consent for HIV testing has been created strictly for the purpose of assisting victims of sexual offences. If you have not been the victim of a sexual offence, or act on behalf of someone who has not been the victim of a sexual offence, and abuse this procedure to establish another person's HIV status with malicious intent (for example, to disclose such person's HIV status to another person), you may be prosecuted and convicted of an offence and sentenced to a fine or to imprisonment for a period not exceeding three years.

 

Note 5: If you maliciously or grossly negligently disclose the alleged sexual offender's HIV status, you may be convicted of an offence and sentenced to a fine or to imprisonment for a period not exceeding three years.

 

 

IN THE MAGISTRATE'S COURT FOR THE DISTRICT OF ................................................................

 

HELD AT ..................................................................................................................................

 

CASE NO ............................................................................................

 

 

1. APPLICATION

 

To the clerk of the court, ................................................

Take notice that .................................................................the *victim/*interested person) makes application in terms of section 30 of the Act to this Court for an order—

(a) *that the alleged sex offender, described below, be tested for HIV; and
(b) that the HIV test results be disclosed to .................................................................(the *victim/*interested person) and to the alleged offender; or
(c) *that the test results of the alleged offender, which has already been obtained on application by an investigating officer as contemplated in section 32 of the Act, be disclosed to ................................................................... (the *victim/*interested person).

 

*Delete whichever is not applicable

 

 

PART A: DECLARATION BY VICTIM OR INTERESTED PERSON ACTING ON BEHALF OF VICTIM

 

2. PARTICULARS OF VICTIM:

 

Full names and surname: .................................................................................................

Any other surnames: ........................................................................................................

Date of birth: ...................................................................................................................

Age: .................................................................................................................................

Identity number/passport number: ..................................................................................

 

 

3. PARTICULARS OF INTERESTED PERSON, IF APPLICABLE

 

Name: .............................................................................................................................

Date of birth: ...................................................................................................................

Identity number/passport number: ..................................................................................

Relationship with victim (eg parent): ................................................................................

If interested person is not the spouse, same sex or heterosexual permanent life partner or parent of the victim, state the reason why application is made on behalf of victim:

.........................................................................................................................................

 

4. WRITTEN CONSENT OF VICTIM IF APPLICATION IS BROUGHT BY INTERESTED PERSON

 

*(a) Written consent has been obtained and is attached: Yes/No ................................
*(b) Written consent is not necessary since the victim is—
• under the age of 14 years;
• a person who is mentally disabled;
• unconscious;
• a person in respect of whom a curator has been appointed in terms of an order of court;
• unable to provide consent because: .................................................................

............................................................................................................................

 

*Delete whichever is not applicable

 

5. PARTICULARS OF ALLEGED SEXUAL OFFENCE AND POSSIBLE EXPOSURE TO OFFENDER'S BODY FLUID

(To be completed by the victim or the interested person acting on his or her behalf or by the investigating officer)

 

(a) A sexual offence was committed against the victim by the alleged offender, of which the particulars are as follows:

(i)        Date, place and time of alleged offence: ..................................................

................................................................................................................

(ii)        Description of alleged offence: ................................................................

................................................................................................................

................................................................................................................

(b) The victim may have been exposed to the risk of being infected with HIV as a result of the alleged sexual offence, because the victim was exposed to body fluids (semen, blood, vaginal fluid) of the alleged sex offender.

(Attach copy of J88 or medical report if available):

.................................................................................................................

.................................................................................................................

.................................................................................................................

(c) The alleged offence has been reported to the South African Police Service.
(d) Less than 90 days have elapsed from the date on which it is alleged that the offence took place.

 

*6. PARTICULARS OF APPLICATION ALREADY BROUGHT BY INVESTIGATING OFFICER IN TERMS OF SECTION 32 OF THE ACT

 

Reference number: .........................................................................................................

Date of application: .........................................................................................................

Name of Magistrate's Office where application was granted: ...........................................

Where is extra test result kept? .......................................................................................

 

* Delete if not applicable

 

 

..................................................................................................

SIGNATURE/THUMB PRINT/MARK OF VICTIM OR INTERESTED PERSON

 

.......................................................

DATE

 

.......................................................

PLACE

 

7. AFFIDAVIT/SOLEMN DECLARATION BY VICTIM OR INTERESTED PERSON ACTING ON HIS OR HER BEHALF

(To be completed by a Justice of the Peace or Commissioner of Oaths)

 

I, .....................................................................................................................................

(the *victim/*interested person), declare under oath or solemn declaration that the particulars and information given in this application are to the best of my knowledge true and correct.

 

 

..................................................................................................

SIGNATURE/THUMB PRINT/MARK OF VICTIM OR INTERESTED PERSON

 

.......................................................

DATE

 

.......................................................

PLACE

 

I hereby certify that before administering the *oath/taking the affirmation I asked the deponent the following questions and noted *his/her answers in *his/her presence as indicated below:—

 

(a) Do you know and understand the contents of the above declaration?

Answer— ........................... .. .............................................................................

(b) Do you have any objection to taking the prescribed oath?

Answer— ...........................................................................................................

(c) Do you consider the prescribed oath to be binding on your conscience?

Answer— ...........................................................................................................

 

I hereby certify that the deponent has acknowledged that *he/she knows and understands the contents of this declaration which was sworn to/affirmed before me, and the deponent's *signature/thumb print/mark was placed thereafter in my presence.

 

 

Dated at ........................................ this ...........day of ...........................................20 .........

 

 

SIGNED: Justice of the Peace/Commissioner of Oaths

 

Full names: ...................................................................................................................

Designation: .................................................................................................................

Area for which appointed: .............................................................................................

Business address: ..........................................................................................................

......................................................................................................................................

*Delete whichever is not applicable

 

 

PART B: ALLEGED OFFENDER

 

1. PARTICULARS OF ALLEGED OFFENDER CHARGED WITH COMMITTING ALLEGED SEXUAL OFFENCE

 

(To be completed by the investigating officer)

 

A charge in respect of an alleged sexual offence has been laid against the alleged sex offender whose particulars appear below by the victim whose particulars appear in PART A.

 

Name: ..........................................................................................................................

Date of birth: ................................................................................................................

Age: .............................................................................................................................

Identity number/passport number ...............................................................................

Home address/temporary address: ..............................................................................

Telephone number: .....................................................................................................

Cell number: .......................... .. ..................................................................................

Case No (or SAPS reference no): ..................................................................................

Offence charged with: .................................................................................................

....................................................................................................................................

In custody/On bail:(Delete if not applicable)

• If in custody: Place: ..................................................................................................
• On bail: Bail conditions: .............................................................................................

..................................................................................................................................

..................................................................................................................................

..................................................................................................................................

 

 

..................................................................................................

SIGNATURE OF INVESTIGATING OFFICER

 

.......................................................

DATE

 

.......................................................

PLACE

 

2.        AFFIDAVIT/SOLEMN DECLARATION BY INVESTIGATING OFFICER

 

I, ................................................................................................... (investigating officer) with force number ....................................... hereby declare that the above information is to the best of my knowledge true and correct.

 

 

..................................................................................................

SIGNATURE OF INVESTIGATING OFFICER

 

.......................................................

DATE

 

.......................................................

PLACE

 

(To be completed by a Justice of the Peace or Commissioner of Oaths)

I hereby certify that before administering the *oath/taking the affirmation I asked the deponent the following questions and noted *his/her answers in *his/her presence as indicated below:—

(a) Do you know and understand the contents of the above declaration?

Answer— .............................................................................................................

(b) Do you have any objection to taking the prescribed oath?

Answer— .............................................................................................................

(c) Do you consider the prescribed oath to be binding on your conscience?

Answer— .............................................................................................................

 

I hereby certify that the deponent has acknowledged that *he/she knows and understands the contents of this declaration which was sworn to/affirmed before me, and the deponent's signature was placed thereafter in my presence.

 

Dated at ........................................ this ...........day of ...........................................20 .........

 

 

SIGNED: Justice of the Peace/Commissioner of Oaths

 

Full names: ...................................................................................................................

Designation: .................................................................................................................

Area for which appointed: .............................................................................................

Business address: ..........................................................................................................

......................................................................................................................................

 

*Delete whichever is not applicable