SADPMR Form PMR 1 - Precious metals producer register

3. Form and gross mass in grams or kilograms of precious metal bought/received (e.g. 2g of L8ct white gold wire, 3g of 9ct gold bar, 6g of scrap etc.) Important: Read the guidelines before completing this form Page of  <!-- Transcription of page 1 checked against the page image (pdftoppm 110 dpi) on 2026-09-29. The OCR above is kept unchanged; where they differ, this transcription follows the image. --> ## Transcription checked against the page image SOUTH AFRICAN DIAMOND AND PRECIOUS METALS REGULATOR 251 Fox Street, Johannesburg, 2001, South Africa Entrance: Cnr Greene & Main Streets (Jewel City) P. O. Box 16001, Doornfontein, 2028 Tel: (011)223 7000 Fax: (011) 334-8833; Email: PM_Registers@sadpmr.co.za **FORM PMR 1** Quarter/Year\*: | Name of Producer: | Right/Permit number: | Physical address: | Telephone number/s: | Fax number: | E-mail address: | Registration Number/Client code: I, the undersigned licensee, solemnly declare that the transactions in this register are correct and complete Signed: | Date of declaration: **PRECIOUS METALS PRODUCER** Register of precious metals (won or recovered) disposed of, pursuant to section 15 of the Precious Metals Act, 2005 and Regulation 27B made under the act Instructions, guidelines on how to fill the register can be found at www.sadpmr.co.za Precious Metal (won or recovered) disposed of/sold (unwrought and semi-fabricated) | Date | Metal | Nature of Precious Metal¹: Form and Purity | Fine mass/Weight³(kg) | Price(R)(If any) | Name of Buyer/Purchaser/Receipient² | Registration or Licence/Permit/Certificate number of Buyer/Purchaser/Recipient | |---|---|---|---|---|---|---| | Total per Quarter | | | | | | | \* A true copy of this register for each quarter (Q) of a calendar year must be submitted to the Regulator by 15 April(for Q1), by 15 July (for Q2), by 15 October (for Q3), and by 15 January (for Q4) Important: Read the guidelines before completing this form

1. Metal(gold, platinum, palladium, rhodium, iridium, osmium or ruthenium),Form and Purity (e.g., bar of 99.9% purity)

2. Name of Licensee, permit/certificate holder. If exported, state so

3. Form and gross mass in grams or kilograms of precious metal bought/received (e.g. 2g of 18ct white gold wire, 3g of 9ct gold bar, 6g of scrap etc.) Page [ ] of [ ]