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SAPS 81 (a)
‘South Arrican PoLice SERVICE
TO BE COMPLETED IN BLOCK LETTERS ENQUIRY
OFFICE USE ONLY
Full name and surname,
Identity number LI FIMS Enq. No. t
‘Town and country of birth Barcode No.
pon Received verity
fay | rims Validate
Date of bith, Race:[B[C] | [W] Gender [F] | Scan ‘SRE
Have you ever bean convicted of any offence? Iso, state place, date and sentence:
“Signature of applicant
"erty thatthe above applicant's signature was placed on this form in my presence and his/her fingerprints taken by me
‘Sigmatire of oticialresponsibie
tls and era Darian,
ures ites (Seo ares)
ate aco |
‘Reason for enauty : |
2 | Require AFISWITCH / FINGER PRINT 3 |
e CLEARANCE FROM GLOBAL INTELLIGENCE & |
3 a |
Fold i |
Thumb Fortnger wie tinge Ting tiger Lite tiger
7 2 3 a 5 |
g 3
3 | 8
2 | |
Fors | |
é \7 @ ® 0 |
z | 2)
rot |
Left hand (Plain impressions of four Fingers taken simultaneously)
Right hand (Piain impressions of four tngers taken simutaneously) |
