otocyon Karoo

KAROO VIOLATION REPORT

Please complete the fields below
Notice number:
Date of alleged offence *
Exact Time of alleged offence *

: Hour Minutes AM/PM Option
Vehicle registration *
All CAPS & No spaces.
Upload photo of the offence *
Alleged Offence *

Alighting from a motor vehicle Consuming alcohol in a public area Feeding wildlife with a fire arm Littering or polluting Off-road driving with a pet (dogs, cats, or other) Poaching Removing Fauna & Flora Using a drone Driving recklessly Using a no entry road
Nearest Camp *
Mark exact location of alleged offence *
Record brief audio details of incident (Optional)
Upload video (Optional)
Format: mpg, flv and avi only.
REPORTED BY:

Please enter your details below
Name & Surname *

First Name Surname
Email Address *
example@example.com
Phone Number *

Area Code Phone Number
South African ID *
I voluntarily submit this online report and the accompanied auto generated electronic confirmation and hereby consent that copies be provided to Mr Riaan Nel and or any other relevant law enforcement officials and the court. I am willing to provide an additional manually submitted affidavit and to testify in Court if needed. This electronic document serves to confirm that I personally witnessed and filmed the person or people associated with the vehicle listed in this document, violating the rules of the park, I know and understand the contents of this declaration, have no objection to taking the prescribed oath and I considers the prescribed oath to be binding on my conscience. I further swear that the contents of this declaration are true, so help me God. In addition I consent to receiving notifications in regard to this report and for my data to be kept on file. *

Yes
Signature *

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KAROO VIOLATION REPORT

REPORTED BY: