Regulations > Regulations relating to Sheriffs, 1990 > Annexures

Title ..................................................................................................................................................................................

Surname ...........................................................................................................................................................................

Forenames .......................................................................................................................................................................

Sex ...................................................................................................................................................................................

Date of birth .....................................................................................................................................................................

Identity number ...............................................................................................................................................................

Nationality .......................................................................................................................................................................

Residential address ..........................................................................................................................................................

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Postal code .............................................

Telephone number ..........................................................................................................................................................

10.

Business address .............................................................................................................................................................

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Postal code ............................................

11.

Telephone number .........................................................................................................................................................

12.

Postal address .................................................................................................................................................................

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Postal code ...........................................

13.

From which date will you be able to act as sheriff:

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14.

Were your previously in possession of a fidelity fund certificate? If so, give details:

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15.

Have you at any time been dismissed from a position of trust by reason of improper conduct involving a breach of such trust? If so, give details:

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16.

Have you at any time been convicted of any offence involving dishonesty, or of any other offence for which a sentence of imprisonment without the option of a fine was imposed? If so, give details:

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17.

Have you ever been declared insolvent? If so, give details"

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18.

Were you previously the holder of a fidelity fund certificate which was cancelled under sections 34(1) or 49 of the Sheriffs Act, 1986? If so, give details:

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19.

Have you passed the course of the South African Instituted for Sheriffs? If so, attach a certified copy of certificate hereto:

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20.

Have you been exempted by the board or the Minister from passing the Board's examination? If so, give details:

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21.

Have you passed the examination of the Board for Sheriffs? If so, state on which date the examination was passed:

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22.

Has the Board ever cancelled a fidelity fund certificate of a sheriff of whom you were an employee at the time of such cancellation? If so, give details:

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23.

Have you already paid over to the Fidelity Fund of the Board the interest accrued to your trust account for the previous financial year?

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I declare hereby under oath/affirmation that the above particulars given by me are in all respects true and correct.

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Sheriff

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Date

Duly executed and sworn/affirmed before me at the place and on the date herein mentioned by the deponent, who acknowledges that he/she—

•	knows and understands fully the contents of this declaration;

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Place

•	has no objection to taking the prescribed oath;

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Date

•	considers the prescribed oath/affirmation to be binding on his/her conscience.

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Commissioner of Oaths/Justice of the Peace

Sheriffs Act, 1986 (Act No. 90 of 1986)

Regulations

Regulations relating to Sheriffs, 1990

Annexures

Form 4 : Application for Fidelity Fund Certificate [Regulation 3]