SADPMR Form PMR 4 - Jeweller's permit declaration form

1. Name, address and license, permit, certificate or registration number of the seller /recipient/refinery. If metal is exported/imported please state so

2. Form of precious metal bought/received (e.g. 2g of 18 ct white gold wire, 3g of 9ct gold bar, 6g of scrap etc.)

3. Total mass of the specific type of metal bought in the month ( e.g. 20g (for all the 9ct gold alloy bought in Jan)) NB Not fine mass

4. Delete whichever unit that are not applicable (i.e. units not used)

5. List the type and number of articles manufactured in the month (e.g. 7, 18ct gold rings). The column does not have to correspond with entries on the left (precious metal bought) or right column (precious metals sold). Use additional pages of this form if required

6. The form of precious metals sold/disposed and the gross mass in grams or kilograms (e.g. 2g of 18ct white gold wire, 10g of scrap etc.)

7. 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 caratage divided by 24 or fineness divided by a thousand. e.g. for an 18 ct gold alloy weighing 1gram , the fine mass of gold in the alloy is calculated like this: 1g × 18/24 = 0.75g

8. Average number of employees employed during the financial year Page [ ] of [ ]