OF APPLICANT (Sign in presence of a member of s \ P O L. id01,0 I( re • 0 1 / 0 -9 204 0- ____PLEcaRC-L*_____..-. _-(- (Family Name) (WINN (Signehire) _ . (ONO , SAPOL USE ONLY * Drivers Licence No. • Proof of identity of applicant is required and signature mtt be witnessed by a member of SAPO