Department of Nature Conservation

Permits Office

11 Diagonal Street, Johannesburg

Postal Address: P. O. Box 8769, Johannesburg 2000

Tel (011) 240 3043 & Fax 086 420 2203/ 011 240 3044


Department of Nature Conservation

Permits Office

11 Diagonal Street, Johannesburg

Postal Address: P. O. Box 8769, Johannesburg 2000

Tel (011) 240 3043 & Fax 086 420 2203/ 011 240 3044

APPLICATION FOR HUNTING OUTFITTERS LICENSE - GAUTENG

FULL NAMES & SURNAME …….…….…………………………………………………………………

ID NUMBER…….…………………………………………………………………………

POSTAL ADDRESS …………………………………… TEL. (H) ……………………………………..

……………………………………. TEL. (W) …………………………………….

……………………………………. FAX …………………………………….

CELL …………………………………….

E-MAIL …………………………………….

WEBSITE …………………………………..

RESIDENTIAL ADDRESS ……………………………………

……………………………………

……………………………………

PROF. HUNTING SCHOOL ………………………………… DATE OF COURSE ………………………..

IN WHICH PROVINCES ARE YOU LICENCED:

N. PROV. / NW PROV. / MPUMALANGA / FREE STATE / KWA
ZULU
NATAL / N CAPE / E CAPE / W CAPE

ARE YOU THE OWNER OF THE PROPERTY ON WHICH YOU HUNT?YES / NO

IF NOT, ARE YOU IN POSSESSION OF HUNTING RIGHTS?YES / NO

HAVE YOUR ADVERTISEMENT AND SPECIES LIST BEEN APPROVED?YES / NO

ARE YOU IN POSSESSION OF A PROFESSIONAL HUNTING REGISTER?YES / NO

SERIAL NUMBER ………………..

NAME OF SAFARI COMPANY ……………………………………………

ARE YOU MAKING USE OF AN AGENT? YES / NO

IF YES, NAME OF AGENT………………………………………………….

…………………………………………. ….. / ….. / …..

SIGNATURE DATE

BANKING DETAILS

Bank: First National BankAccount number: 62567280939

Account Name: AGRIC&RURAL DEV-CONS.SERVBranch Name: Commercial Account Services

Reference code: CLMAmount:R640.00Branch Code:210554

COLLECT YOU PERMIT / RECEIVE IT BY POST (Please provide postal address)

Referencing Rule to be used for the above Bank Account (CONS):

Consists of Minimum six (6) - Maximum of twenty (20) Alpha and Numeric Characters - First four (4) Characters should be CONS (Alpha) - (Fixed), followed by one (1) Character P/J (Alpha) - (Fixed), followed by a Minimum of any one (1) Character (Alpha) - Maximum of any Fifteen (15) Characters (Alpha).