Client Information | Game Trackers Africa

Game Trackers Africa

Client Information

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 provide 2x copies of each person's passport, and 6x passport photos, and mail them to PO Box 901, Bela Bela, 0480, South Africa

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