Example Semi-Auto Rifle-Carbine Motivation
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Name: ….…….. Surname …………….. ID …………..…… MOTIVATION: LICENCE APPLICATION FOR A NEW FIREARM, OR RENEWAL OF AN EXISTING FIREARM LICENCE (select from the above applicable to you application) RIFLE / CARBINE SEMI-AUTO MAKE : ……………. - SERIAL NO: …………..– CALIBRE: …….. PURPOSE: (i) DEDICATED: SEMI-AUTO RIFLE / CARBINE SHOOTING DOCUMENTS ATTACHED TO THIS MOTIVATION: - SAPS 359(a) - Dealer’s Stock Return (proof of purchase of rifle from dealer) - NHSA Endorsement of Motivation - Motivation for Purpose and Use of Firearm (content): (Update paGe numbers where applicable) 1. Personal Information …………………………………… p02 2. Proficiency traininG & Competency …………………………………… p02 3. Membership of accredited associations …………………………………… p03 4. Dedicated status …………………………………… p03 5. Membership of Sport ShootinG Clubs …………………………………… p03 6. Hunter & Sport Shooter TraininG …………………………………… p03 7. Rifles / Carine / ShotGuns / HandGuns owned ..............................……………… p03 8. Purpose of use of handgun this application refers to …………………………………… p04 9. ReloadinG of ammunition …………………………………… p06 10. Safe storaGe …………………………………… p07 11. Application for semi-auto for Dedicated Sport ShootinG …................…………………….. p07 - Annexures attached to Motivation: (Update Annexures where applicable) Annexure A1 – copy of ID of applicant Annexure A2 – copy of proof of Residential address Annexure A3 – copy of Proficiency TraininG Certificate Annexure A4 – copy of POSLEC Training Certificate (Rifles) Annexure A5 – copy of Competency Certificate Annexure A6 – copy of Proof of Life Membership of NHSA Annexure A7 – copy of NHSA Dedicated Hunter Certificate Annexure A8 – copy of Confirmation of Current Validity of NHSA Dedicated Hunter Status Annexure A9 – copy of NHSA Dedicated Sport-person Certificate Annexure A10 – copy of Confirmation of Current Validity of NHSA Dedicated Sport-person Status Annexure A11 – copy of Membership of Premier ShootinG Club. ………. (if applicable) Annexure A12 – copy of Membership of Brits ShotGun Group…………… (if applicable) 1 Annexure A13 – copy of CHASA Proficiency Award Certificate. ………….. (if applicable) Annexure A14 – copy of Brits ShotGun Group TraininG Certificate…….......(if applicable) Annexure A15 – copies of licences of rifles owned ………. (if applicable) Annexure A16 – copy of NHSA verified Activities & Scores Report ……......(if applicable) Annexure A17 – copy of NHSA Certificate of participation in 2015 National Competition…......(if applicable) Annexure A18 –copy of NHSA Certificate of participation in 2016 National Competition………. (if applicable) Annexure A19 – PhotoGraphic record of shootinG ranGe activities. ……......(if applicable) Annexure A20 – PhotoGraphic record of rifle cartridGe reloadinG. ………… (if applicable). Annexure A21 – PhotoGraphic record of safe. 2 Name: ……….. Surname …………….. ID ……………… MOTIVATION: LICENCE APPLICATION FOR A NEW FIREARM RENEWAL OF AN EXISTING FIREARM LICENCE (select from the above applicable to you application) SEMI-AUTO RIFLE /CARBINE MAKE : ……………. - SERIAL NO: …………..– CALIBRE: …….. PURPOSE: (ii) DEDICATED: SEMI AUTO RIFLE SHOOTING The motivation below refers to an application for a Section 16 Licence for a Semi-Auto Rifle /Carbine, make ………., calibre................ with serial number ………………., which will be used for Dedicated Sport Shooting exercises in the NHSA’s Target Shooting Disciplines. The Semi-Auto Rifle /Carbine I currently own is a Rim-Fire / Centre-Fire / Calibre is not set-up for the exercises I will be competing in. ………… (if applicable). ------------------ I, Name………….........…. (ID ……………. ..) (Annexure A1), live at Address , ……., ………….............. (Annexure A2) 1. PROFICIENCY TRAINING I completed my proficiency training with (providers name ……………………. and Training on (date) ………… where I qualified in following unit standards, US 190748 (handguns), US 10754 (shotguns), US 10750 (rifles) and US 119651 –(Manually Operated or Carbine). (Cert no: CT 1713) (Annexure A3). (select from the above applicable to your competency) 1.1 I received POSLEC certification for the abovementioned unit standards, on (date) .. ……… (Certificate number………..) (Annexure A4) 2. COMPETENCY 2.1 I was declared competent to leGally own handGuns, rifles, carbines and shotguns and issued with competency certificate number …………. on (date) ………., which 3 competency certificate was renewed on (date)……… with new certificate number, …………….(Annexure A5). (select from the above applicable to your competency) 3. MEMBERSHIP OF ACCREDITED ASSOCIATIONS 3.1 I am a paid up Member of the National HuntinG and ShootinG Association since (date) ……………… .Renewal Date ………………. (Annexure A6). 4. DEDICATED STATUS 4.1 I hold Dedicated Hunter status with the National HuntinG and ShootinG Association since (date)……....…… (Annexure A7 & A8). 5. MEMBERSHIP OF SPORT SHOOTING CLUBS 5.1 I am a paid-up member of The Premier ShootinG Club since (date) ………….11. ……… If applicable (Annexure A11). ............ (if applicable). 5.2 I am a paid-up member of (other firearm related organisation). ………………...If applicable (Annexure A12)............. (if applicable). 6. SPORT SHOOTING, HUNTER & WINGSHOOTING TRAINING 6.1 I successfully completed the theoretical and practical Sport shootinG sections with (organisations name) …………..………….(Annexure A13)……………. (if applicable). 6.2 I have successfully completed the extensive HuntinG and Wingshooting training course presented by (organisations name) ………………….( (Annexure A14)….. (if applicable). 7. FIREARMS I CURRENTLY OWN. (Battery). (Describe the Firearm’s you own and this application) 7.1 I leGally own a (make)…………., in the ……..calibre with serial number ………… (Annexure A15). This handgun is a Section 13 for Self-protection. To compact and have an undesirable recoil for precision sport shooting. 7.2 I leGally own a (make)………... in the ……… calibre with serial number ..…….. and licence number …….….. (Annexure A15). This handgun is a Section 16 hunting handgun that I use as a back-up firearm when hunting, to use for a humane kill shot if the animal is wounded, and to be used for the same reason to safe my trophy. 4 7.3 I leGally own an (make) in the ……….. calibre with serial number 2268 and licence number 6385520 (Annexure A15). I use this rifle for the hunting of medium sized game from Impala to Reedbuck & Red Hartebeest in both the Bushveld and for Blesbok in the open flats of the Karoo and Free State. The hand loaded hunting cartridges (bullet weiGht – 165gr Peregrine VRG4) I use in this rifle is purposely formulated for the set-up of the rifle to ascertain accurate shots up to 300m to ensure a one-shot-kill, and is not suited for lonG-ranGe sport shooting up to 1,000m for which the rifle this application refers to, is meant for. I do use this rifle for lonG ranGe shooting with 155gr Nosler Competition bullets, but it just does not have the capacity to shot accurately over 350m. 7.4 I leGally own a Semi-Auto Rifle /Carbine (make)…..……..in the ……… calibre with serial number …..…..and licence number ……… (Annexure A16). I use this rifle /carbine for the hunting of specifically springbok and mountain reedbuck in the hills and on the open flats of the Free State, Karoo and Kalahari. The hand loaded huntinG cartridGes (bullet weiGht - 87gr Peregrine VRG4) I use. 7.5 I leGally own a (make)…………., in a 12ga Side by Side with serial number ………… (Annexure A15). I use this semi-auto rifle /carbine ... explain fir which exercises 7.6 I leGally own a (make)…………., in a 12ga Over /Under with serial number ………… (Annexure A15). I use this shotgun for Clay shooting. 7.7 I leGally own a (make) in the .22 calibre with serial number …..……… and licence number ……..…. (Annexure A16). I use this rifle for sport shooting to keep my eye in and to teach my grandchildren to handle firearms safely and to learn them shoot. This rifle is definitely not suited for long-ranGe sport shootinG up to 1,000m for which the rifle this application refers to, is meant for. 8. PURPOSE OF USE OF NEW (make) ………………….–(calibre)…………….., with serial number............ 8.1 As can be seen from the content of paraGraph 7 above, I do not own any semi-auto rifle / carbine that can for fill the need of and which has the capable and accurate for rapid shooting for the sport shootinG cateGories that I would like to compete or part take in. That then also forms the basis for this application to acquire this semi-auto rifle //carbine, which is specifically built for rapid fire aGainst time. 8.3 Short description and capabilities of this firearm (not multiple pages of history and data) 5 ........................................................................................................................................................ ........................................................................................................................................................ ........................................................................................................................................................ ........................................................................................................................................................ ........................................................................................................................................................ 8.5 I am a member of the National HuntinG and ShootinG Association and owninG this semi-auto for sport shooting will allow me to also participate in their annual Postal ShootinG Competitions on a more reGular basis with this semi- auto Rifle