SOUTH AFRICAN DIAMOND AND PRECIOUS METALS REGULATOR
251 Fox Street; Doornfontein; Johannesburg 2001, South Africa
Half-year period (Half 1/2)/ Year:
Name of Approval holder:
Form
PMR 8:
EXPORT
APPROVAL
HOLDER
P. O. Box 16001, Doornfontein 2028
Tel (011)223 7000, Fax (011) 334- 8833; Email: PM_registers@sadpmr.co.za
Approval Number:
Physical Address:
I, the undersigned licensee, solemnly declare that the transactions in this register are correct and complete
Telephone Number/s:
Fax Number:
Signed: _________________________________________________
Email Address:
Registration Number/ Client Code:
Date of declaration:______________________________________________
Precious Metals Exported (unwrought and semi-fabricated)
Month of
Export
transaction
Precious Metal
Exported (1)
Nature: form & Purity in which precious metal was exported (2)
)* A true copy of this declaration of export transactions for each 6-month (half-year) period (H) of a calendar year must be
submitted to the regulator by 15 July (for H1) and by 15 January (for H2)
Origin of Precious Metals (3)
Destination (country) of
Precious Metals
Fine Mass (g/kg etc.) of
Precious Metals (4)
Value in (R) of Precious
Metals
(1): Metal (gold, platinum, palladium, rhodium, iridium, osmium, or ruthenium)
(2): Nature; Form and Purity (e.g., unwrought bars of 99.5% purity)
(3): Source of precious metals
(4): Fine mass/weight: the mass of the precious metal contained in the article/product, as determined by multiplying the gross weight of the article/product by its fineness or purity (in%)