SADPMR Form PMR 8 - Export approval holder declaration of export transactions

<!-- page 1 (transcribed from the image) --> Half-year period (Half 1/2)/ Year: Name of Approval holder: Approval Number: Physical Address: Telephone Number/s: Fax Number: Email Address: Registration Number/ Client Code: SOUTH AFRICAN DIAMOND AND PRECIOUS METALS REGULATOR 251 Fox Street; Doornfontein; Johannesburg 2001, South Africa P. O. Box 16001, Doornfontein 2028 Tel (011)223 7000, Fax (011) 334- 8833; Email: PM_registers@sadpmr.co.za **Form PMR 8: EXPORT APPROVAL HOLDER** I, the undersigned licensee, solemnly declare that the transactions in this register are correct and complete Signed: 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) | 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 | |---|---|---|---|---|---|---| )\* 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) (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%)