KAROO VIOLATION REPORT
Please complete the fields below
Notice number:
Date of alleged offence
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Exact Time of alleged offence
*
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Minutes
AM
PM
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
*
Jack's Picnic
Main Camp
Matyholweni
Spekboom
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
*
Clear
Enter the message as it's shown
*
Submit
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