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National Environmental Management: Biodiversity Act, 2004 (Act No. 10 of 2004)

Regulations

Threatened or Protected Marine Species Regulations, 2017

Annexures

Annexure 1 : Permit application form

 

ANNEXURE 1

 

PERMIT APPLICATION FORM

 

A. Applicant details:

NAME OF APPLICANT:

 

NAME OF PERSON WHO WILL CARRY OUT THE RESTRICTED ACTIVITY: (if not the same as the applicant):

 

IDENTITY OR PASSPORT NO:

APPLICANT:

 

PERSON WHO WILL CARRY OUT THE RESTRICTED ACTIVITY: (if not the same)

 

TEL NO:

CELLULAR NO:

FAX NO:

E-MAIL:

POSTAL ADDRESS:

PHYSICAL ADDRESS:










 

B. Facility details:

NAME OF FACILITY:

KIND OF FACILITY:

DATE OF ESTABLISHMENT OF FACILITY:

PHYSICAL ADDRESS OF FACILITY:




 

C. Kind of Permit Applied for (Tick off)

ORDINARY

STANDING

PERMANENT POSSESSION

NEW

RENEWAL

AMENDMENT

 

D. If the Application applies to a Standing Permit (Tick off)

CAPTIVE BREEDING OPERATION

SANCTUARY

TEMPORARY HOLDING FACILITY

SCIENTIFIC INSTITUTION

COMMERCIAL EXHIBITION FACILITY

NURSERY

GAME FARM

WILDLIFE TRADER

REHABILITATION FACILITY

TAXIDERMIST

WILDLIFE TRANSLOCATOR

FREIGHT AGENT

 

E. Kind of restricted activity applied for (see section G in the case of a hunt)

E.g. Possession / Hunt / Catch / Capture / Gather / growing / Breeding / Other Applicable Restricted Activity:

HUNT

CATCH

KILL

GATHER

COLLECT

PLUCK

PICK

CUT

CHOP OFF

UPROOT

DAMAGE

DESTROY

IMPORT

EXPORT

RE-EXPORT

INTRODUCE FROM THE SEA

POSSESSION / EXERCISE PHYSICAL CONTROL

GROW

BREED

PROPAGATE

CONVEY/MOVE/TRANSLOCATE

SELL

BUY

RECEIVE

GIVE

DONATE

ACCEPT AS A GIFT

RELEASE

ANGLING

DART

 

F. Property where restricted activity will take place

(if not the same as provided in B):

PHYSICAL ADDRESS:

POSTAL ADDRESS:








 

G. In the case of transport/export/import/sell/purchase:

NAME OF SELLER:

NAME OF PURCHASER:

PHYSICAL ADDRESS

(SELLER/TRANSPORT FROM OR EXPORT FROM);

PHYSICAL ADDRESS (PURCHASER/TRANSPORT TO):






 

H. Species involved:

SCIENTIFIC NAME

COMMON NAME

QUANTITY

PARTICULARS OF SPECIMEN (Such as sex, size, age, markings, derivatives etc)
























 

I. Additional Information for Hunt:

 

(i) Hunting client and Applicant Details: (If applicable)

HUNTING CLIENT AND NAME:

PASSPORT HUMBER:

PHYSICAL ADDRESS:




 

(ii) Hunting Outfitter and Professional Hunting Details: (If applicable)

HUNTING OUTFITTER

PROFESSIONAL HUNTER

NAME:

NAME:

TEL NO:

TEL NO:

 

(iii) Duration of Hunting Trip

ARRIVAL DATE: (dd/mm/year)

DEPARTURE DATE: (dd/mm/year)


 

(iv) Weapon and Method of Hunt

WEAPON

METHOD


 

J.        Additional Information for Standing Permits

REGISTRATION NUMBER:

 

 

 

................................................. ........................
Signature of applicant Date

 

K. Official Use

NAME OF INSPECTION OFFICIAL

SIGNATURE OF INSPECTION OFFICIAL

DATE

APPROVED/REFUSED




REASONS FOR REFUSAL:

 

L. Period of Validity of Permit

NAME OF INSPECTION OFFICIAL

SIGNATURE OF INSPECTION OFFICIAL

DATE

APPROVED/REFUSED




REASONS FOR REFUSAL: