Client Info Sheet - Game Trackers Africa

Client Info Sheet

Client Information / Hunting & Firearms Import Licence

Client's Full Names :*
Physical Address*
Email :*
City :
State :
Zip :
Phone :
Fax :
DOB :
Age :
Occupation :
Passport # :
Nationality :
Country of Orgin :
Date of expiry :
Issued at :
Date of Issue :
Physical Condition :
Allergies :
Medication :
Blood Type :
Next of Kin :
Phone :
Observers :
Blood Types :
Dietary Constraints :
Dietary Preferences :
Alcoholic & Soft Drink Preferences :
Member of
Have you been to Africa Before :

Firearm Details

Rifle Details :
Type of Hunt :
Rifles :
Make :
Model :
Caliber :
Serial Number :
Ammunition Qty. :
Other rifles
Fill out the rifle information in the same manner as above for each additional rifle

List of Priority Animals

Additional Info

Country :
Area :
License type :
Date of Hunt :
Duration :
Charter Dates :
Airline :
Flight no. :
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 - Ondjamba Safaris
P.O. Box 24
Swakopmund
Namibia

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