1A ddret* of employment i

67/09 92 13:58 2 016337814 UN IFORMTfiK UDPK. S E P 0 2 '92 09*'43 DEFT VAN JUSTISIE (012) 3122094 P.16/20 1 2 GOVERNMENT G A Z ETTE. 31 JULV 1992 \ C 1J196 17 p0 4Cv n o N r s t - a v * -w e 'p ^ e o truly ana to tn# oe$t o' w y acwitiee correctly n -e ^tio n :c -*? contents gi ii-us statem ent ano arw question put to t-e cepor-ent &y the m emoer, **t... " jh i [Designation i Panto! 1A ddret* of employment i S. I... hereby certify that before the deponent affixed 'his/her mark. thumbprint pr signature to this form. ' 'e&d the statement to 'him hef and informed bnvner that it is an o*fence wilfully to furnish ^formation or make a statement Ahieh it false or misleading. Signature ofofficiiii (Pull nam ) ideaifination iftank/j R *m a rk $ : " State name ano surname of witness'prospective w itn en, bl S lat* name ana surname o' members of the family/household in "eipec! of whom protective custody >s required a State relationship. -l Stata particulars of the person,persons who tftreateniflhreaten the safety of ihe person persons m respect of whom protective custody n required (if known) * State the circumstances as a result of which protective custody is required (e.g. death threat) " State date of trial i if knowni» hl '* State place of inai df knowni, State name of person who committed trie offence (if known). Slat# offence referred ;o in Schedule 1 to the Criminal Procedure Act. 1977. or me on<jnce o' oritery. extortion, defeating tn# endi of justice or penury, Delete whichever is noi applicable

07/e? 92 13:58 2 016337814 UNIFORMTRK UDPK 13 * &EP 0 2 '9 2 0 9 : 4 4 DEPT VAN J U S T IS IE ( 0 1 2 ) 3 1 2 2 0 5 4 P. 1 9 /2 0 H No 1 J 1 Q 6 9 T A A T S K O E R A N T. 31 JU L IE 1S92 F O R M B A UTH O RIZA TIO N BY W ITNESS OR p r o s p e c t i v e W ITNESS TO BE DETAINED IN OR P L A C ED UNDER PR O TEC TIV E CUSTO DY I I iii A llie s * oroam Ctive.vitness. hereby give authorization that I - c e o e ri ngc rtprctectiv*cunoay. Or 'M i oe placed jn aer protective custody. 2. I have the following physical in ju ry : a. 1. hereby declare that the aoov*-ment;oned information is. 1o the best c* my knowledge, true, complete ano Correct ar c that 1a n aware of the 'act that it an offence If I wilfully (urman information or make a itaiem en t wnicn is faise or m ii'm ding. (Siflnature'mark/thumopnnt of deponent) 4. I...... Darent'Quardian of the above-mentioned witness, hereby give authontatioh for the above-m enfonec person to oe so protected. 1Signature/mark, thumbprint of parenl'guarcjitn) hereby certify that I have " 'terpretea truly ana to the best of my abilities correctly in relation to the echl#nt* of t*.i» statement ano any quesiion put to the deponent by the member. (Signature of Interpreter! (C o g n a tio n (Rank/J

SEP 02 '92 09:44 DEPT VAN J USTI51E (012) 3122094 P. 20/ 20 GO VCFW ISn t GAZETTE. 31 JULY 19E2 No 1-186 19 6. I,... -------------------- s l t l e m» n t ' hisner m ark' ' hl,mtiprin«or Signature to this form. I read the which is false or misieaci-hfl * ' ^ ' ' <& f<ence Wll,ul!y 1urnish in!6,rr,«tl0n or a statement < " a t. (Signature cf official) (Designation (Rank)] (Addre$6 of em ploym ent R tm tr k e : 1 Attach medical certificate (if available 1, Delete whichever is not applicable. F O R M C s p e c t o e w it n e s s ' o r Mo ^ s u c h a J S S r i S K?? nh U S E H 0LD * d e f e n d a n t o f a w it n e s s o r f r o. O F SUCH A M EM BER TO EE D ETA IN E D IN OR P LACED UNDER P R O TEC TIV E C USTO DY 1. I............»> a...............»> o f...... hereby give authorization that -......... " '(i) '(il) be detained in protective custody; o r be placed under protective custody. 2, I have (he following physical Injuries: O) misleading, 6 w "fu"y Ornish information or make a statement which is false or (Slgnature/mark/thumbprlnt of deponent) 4. I... P ^ a r. a n o f t h e a b. v a. i e n t ' o - e d p. s o ^ e ; ^ ; ' - (Signaiure/merk/thumbprint of parem/guardian)

, SEP 0 2 '92 05: 45 DEPT VAN JUSTISIE (012) 3122094 P.21/ 20 5. I... STA A TSK O ESifvT 51 ji^uie 1 S>92 hereby te m fy the! I have interpreted truly and to '<$ best of my ability* correctly in relation to the contents Of th s statement end any question put to the Deponent t>.he member, (Signature of interpreter).... [Designation (Rank;) 6. I... hereby '.erl fy that before the deponent sttxeo.kiis he' nark, thumbprint or signature to this fern, t teao the statement to 'hlm'her end Informed 'him,her that :,s an o*ence wilfully to furnish information or make a statement which i* false or misleading. (Signature Of Officer) (Fdl1name) [D e fin itio n ifiank) R e m a rks: )»> C) d! Slate name of the member of the family or household of the witness or prospective witness.'.ho recuires protection. State relationship to witness 0' p'ospect've witness. State name of witness or prospective witnesb AHacn m e d ia l certificate (if available), delete wnithever is not applicable. F O R M D A PPLICATIO N FOR DISCHARG E PROM D ETE N TlO N /W A IVER O F PR O TEC TIO N W hereas I...... i( gave authorization on... Z Z '''Z Z Z Z Z ''.. [. '. Z ', Z... 1 0...»>a't... proiectfve^custody tjnc*er Prc)t c'lve custody, I now make appi:ostion to be 'discharged from detention/ released from (Signeture/m ark/thum bprlnt) (S ignature/m erldhum bprint of perenvguardien" of ab o ve-m en tioned person) R tm B r k i! ** State name end Eurname of detainee/protected person, b State data of authorization for protective custody. * State plaoe where the authorljatlcn was given. Delete whichever Is not applicable

Collection Number: AK2672 Goldstone Commission BOIPATONG ENQUIRY Records 1990-1999 PUBLISHER: Publisher:- Historical Papers, University of the Witwatersrand Location:- Johannesburg 2012 LEGAL NOTICES: Copyright Notice: All materials on the Historical Papers website are protected by South African copyright law and may not be reproduced, distributed, transmitted, displayed, or otherwise published in any format, without the prior written permission of the copyright owner. Disclaimer and Terms of Use: Provided that you maintain all copyright and other notices contained therein, you may download material (one machine readable copy and one print copy per page) for your personal and/or educational non-commercial use only. People using these records relating to the archives of Historical Papers, The Library, University of the Witwatersrand, Johannesburg, are reminded that such records sometimes contain material which is uncorroborated, inaccurate, distorted or untrue. While these digital records are true facsimiles of the collection records and the information contained herein is obtained from sources believed to be accurate and reliable, Historical Papers, University of the Witwatersrand has not independently verified their content. Consequently, the University is not responsible for any errors or omissions and excludes any and all liability for any errors in or omissions from the information on the website or any related information on third party websites accessible from this website. This document is part of a private collection deposited with Historical Papers at The University of the Witwatersrand.