REPUBLIC OF SOUTH AFRICA BUREAU OF HERALDRY by c50xYhbn

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									                                           REPUBLIC OF SOUTH AFRICA


                                              BUREAU OF HERALDRY


             APPLICATION FOR REGISTRATION OF A PERSONAL HERALDIC REPRESENTATION


                       The State Herald
                       Private Bag X236
                       PRETORIA
                       0001




                       I, ………………………………………………………………………………………………..….. (full names)
                       of (address) ……………………………………………………………………..……………………………….
                       ………………………………………………………………………………………………..……………………
                       born at ……………………………………………………….. on ………………………..…………………….
1) Delete items not
                       hereby make application under Section 7 of the Heraldry Act, (Act 18 of 1962, as amended), for the
   required.
                       registration (1) the coat of arms/badge/other emblem (2) which the Bureau of Heraldry is requested
2) See footnotes (a)
                       to devise for me or of which I attach a pictorial representation and furnish the following description:
   to (c).
                       ……………………………………………………………………………………………………………………
                       ……………………………………………………………………………………………………………………
                       ……………………………………………………………………………………………………………………
                       ……………………………………………………………………………………………………………………
                       ………………………………………………………………
3) Delete word not
                       The certificate of registration is to be issued in English/Afrikaans (3)
   applicable.



                       Signed ……………………………………………….
                       Date …………………………………………………..                               Place …………………………………..…………

NOTE: 1.               In terms of section 1 of the Act –

               (a)     “Coat of arms” means any object or figure, being a symbolic representation displayed in colours on a
                       shield in conformity with the principles and rules of heraldry with or without a crown, helmet, crest,
                       mantling, supporters, motto or other accessories;

               (b)     “Badge” means any object or figure, being a symbolic representation, but not displayed on a shield,
                       used for official or municipal purposes or by any association, institution or person as a mark of
                       recognition or as a distinguishing token;

               (c)     “Other emblem” means any flag, pennant, gonfalon, decoration, medal, seal, insignia of rank, any
                       office or order or other kindred symbolic representation, but does not include a coat of arms or
                       badge.

        2.             A copy of the applicant’s birth certificate (or first page of the identity document) is required, and in
                       the case of heraldic heirs/heiresses proof of descent from the armigerous ancestor must also be
                       submitted.

        3.             This application form is also available in Afrikaans.



                                                                                                                       (hm02)

								
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