Namibia Client Info Sheet - Game Trackers Africa

Namibia

Namibia Client Information / Hunting & Firearms Import License

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Fax
Passport Number
Passport Expiration Date
MM slash DD slash YYYY
Passport Issuing Authority
DOB
Occupation
Allergies
Medications
Blood Type
Next of Kin
First Last
Next of Kin Phone#
Observer(s) Name(s)
Observer(s) Blood Type(s)
Dietary Constraints
Dietary Preferences
Alcoholic and Soft Drink Preferences
Shirt Size
Member of
Have you been to Africa before?
- Yes
- No
Firearm Details
Make
Model
Caliber
Serial Number
Ammunition Qty
Other Rifles
Fill out the rifle information in the same manner as above for each additional rifle
Clearing Agent Details
Clearing Agent Name
First Last
Clearing Agent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Clearing Agent Email Address
Clearing Agent Phone Number
Shipping Address
Shipping Address - Name
First Last
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address - Email
Shipping Address - Phone Number
List of Priority Animals
Priority Animals
Additional Info
Country
Date of Hunt
Type of Hunt
Area
Duration
License Type
Charter Dates
Airline
Flight #
Comments
PLEASE INCLUDE: copy of your passport & proof of ownership, completed SAPS 520 temporary import application available on the "Preparations Page", signed and mail with the above mentioned info. On the SAPS 520 you must only complete: Section E (2.1-25.4), Section F (2-13), Section G ( 1-9.2), Section I (1-5), Section J (1-4)

ON ARRIVAL: Proof of export from country of origin (completed US Customs form 4457- USA only)

Mail items to
Game Trackers Africa cc
P.O. Box 24
Swakopmund
Namibia

Namibia

Namibia Client Information / Hunting & Firearms Import License

Firearm Details

Clearing Agent Details

Shipping Address

List of Priority Animals

Additional Info

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