82-12727 J 49 35959737

J 49 (82/12727)

G.P.-S. 02/09

A. Die Onderrekenmeester. A. The Sub-Accountant. Hierby word gesertifiseer dat This is to certify that............................................................................................................................................................................................................................................................... van...............................................................................werklik vir.............................................................................dae by die hof opgehou is in verband met Strafsaak No. of..................................................................................was actually detained at court for........................................days in connection with Criminal Case No....................................................... Staat teen....................................................................................................................................................wat op.................................................................................. verhoor is, dat hy/sy nie ’n State versus.................................................................................................................................................which was heard on.............................................................that he/she is not a public staatsamptenaar is wat geregtig is om verblyftoelae van sy/haar departement of administrasie te eis nie, en nie vir sy/haar uitgawes in verband met die bywoning van die strafsaak uit enige servant who is entitled to claim subsistence allowance from his/her department or administration and his/her expenses in connection with his/her attendance at the criminal case was not ander bron vergoed is nie, en dat die volgende op hom/haar van toepassing is: provided for from any other source and that the following is applicable: BEWYSSTUK VIR BETALING VAN GETUIEGELD: LANDDROSHOF/HOOGGEREGSHOF VOUCHER FOR PAYMENT OF WITNESS EXPENSES: MAGISTRATE’S COURT/HIGH COURT 6 REPUBLIEK VAN SUID-AFRIKA • REPUBLIC OF SOUTH AFRICA

Staatsgetuie. State witness. Getuie wat deskundige getuienis aflê. Witness giving expert evidence.

Verdedigingsgetuie ten opsigte van wie die hof gelas het dat getuiegelde aan hom betaal word. Defence witness in respect of whom the court has ordered witness expenses be paid to him. Spoorwegorder uitgereik. Rail warrant issued.

Maak ’n kruisie in die vakkie wat van toepassing is. Make a cross in the block which is applicable.

........................................................................................................... Klerk van die Hof/Staatsaanklaer/Landdros/Griffier Clerk of the Court/Public Prosecutor/Magistrate/Registrar

B. Algemene inligting/General information:

1. Private vervoer: Motorvoertuig/te voet/ander (meld eie of gehuurde vervoer) 1. Private transport: Motor vehicle/foot/other (quote own or hired transport)...................................................................................................................................................................... 2. Afstand van woonplek na hof.......................................................kilometer.................3. Openbare vervoer: Trein/bus/ander 2. Distance from residence to court.................................................kilometres...............3. Public transport: Train/bus/other............................................................................................ 4. Naaste spoorwegstasie, -halte of bushalte...................................................................3. en afstand vanaf woonplek....................................................................................kilometer. 4. Nearest railway station, halt or bus stop........................................................................3.and distance from residence................................................................................kilometres. 5. Vertrek van woonplek om............................................op.............................................6. Terug by woonplek om..................................................op 5. Depart from residence at.............................................on.............................................6. Return to residence at...................................................on....................................................

C. Klassifikasie: Maak ’n kruisie in die vakkie wat van toepassing is (kyk regulasies) C. Classification: Make a cross in the block which is applicable (see regulations)..............................................................

(a) (i)

(a) (ii)

(b) (i)

(b) (ii)

(c)

D. Die volgende bybetaling(s) word gemagtig/The following excess payment(s) is/are authorised:

1. Noodsaaklike en redelike uitgawes ten bedrae van 1. Essential and reasonable expenses to the amount of R..................................................

........................................................................................................... Regterlike beampte/Griffier Judicial officer/Registrar

2. Bedrag gelyk aan die koste van spoorkaartjie. 2. Amount equal to the cost of railway ticket.

3. Reiskoste teen..........................................sent per kilometer vir..............................................kilometer. 3. Travelling expenses at..............................cent per kilometre for.............................................kilometres.

4. Reiskoste gelyk aan koste van lugkaartjie. 4. Travelling expenses equal to cost of air ticket.

........................................................................................................... Landdros / Griffier Magistrate/Registrar

* Skrap wat nie van toepassing is nie/Delete whichever is not applicable. E. Berekening van bedrag betaalbaar soos per keersy hiervan. E. Calculation of amount payable as per reverse side hereof. F. Betaling van...................................................................goedgekeur deur........................................................................................Ampstitel F. Payment of R .................................................................approved by...............................................................................................Official designation............................................................... G. Ek, die ondergetekende, erken ontvangs van die bedrag van........................................................................................................Rand..............................................................................sent G. I, the undersigned, acknowledge the receipt of the amount of........................................................................................................Rand..............................................................................cent G.

........................................................................................................... Handtekening/Signature

Datumstempel Date stamp

............................................................................................................. Getuie van kwitering deur merk, duimafdruk of vreemde letterteken Witness to acquittance by mark, thumb print or foreign characters

ADRES ADDRESS: .................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................................

J 49 (82/12727)

BEREKENING VAN BEDRAG BETAALBAAR CALCULATION OF AMOUNT PAYABLE

Verblyftoelae/Subsistence allowance 1. .............................dae teen........................................per dag 1. .............................days at R.......................................per day [(a) (i) en/and (b) (i) alleen/only]........................................................ R ......................................... 2. Noodsaaklike en redelike uitgawes/Essential and reasonable expenses: (a) Hotel, ens....................................................dae teen................................................per dag (a) Hotel, etc.....................................................days at R...............................................per day............................................. R ......................................... (b) Ontbyt.........................................................teen.......................................................per ete (a) Breakfast.....................................................at R........................................................per meal........................................... R ......................................... (c) Middagete...................................................teen.......................................................per ete (a) Lunch..........................................................at R........................................................per meal........................................... R ......................................... (d) Aandete......................................................teen.......................................................per ete (a) Dinner.........................................................at R........................................................per meal........................................... R ......................................... (e) Tee..............................................................teen.......................................................per tee (a) Tea..............................................................at R........................................................per tea.............................................. R ......................................... (f) Beddegoed.................................................teen.......................................................per kaartjie (f) Bedding.......................................................at R........................................................per ticket........................................... R ......................................... R .......................................... Werklike uitgawes/Actual expenses ........................................... R ......................................... Reistoelae/Travelling expenses: 1. Koste van spoorkaartjie en/of buskaartjie 1. Cost of railway ticket and/or bus ticket............................................................................................................................................... R ......................................... 2. Koste van lugkaartjie 2. Cost of air ticket.................................................................................................................................................................................. R ......................................... 3. .........................kilometer vanaf woonplek na hof en terug teen.........................................sent per kilometer 3. .........................kilometres from residence to court and back at.........................................cent per kilometre R.............................. R ......................................... 4. .........................kilometer vanaf woning * na stasie/bushalte en terug teen........................sent per kilometer 4. .........................kilometres from residence * to station/bus stop and back at......................cent per kilometre R.............................. R ......................................... 5. Taxi vanaf woning na * stasie/bushalte/hof en terug teen 5. Taxi from residence to * station/bus stop/court and back at R........................................................................................................... R ......................................... Ander (spesifiseer)/Other (specify): 6. ............................................................................................................................................................................................................ R ......................................... 7. ............................................................................................................................................................................................................ R ......................................... 8. ............................................................................................................................................................................................................ R ......................................... R .......................................... ........................................................................................................ Totaal/Total ................................................................................................................................. R .......................................... * Skrap wat nie van toepassing is nie. * Delete whichever is not applicable. LW: Indien ’n spoorwegorder uitgereik is, mag geen terugbetaling van reisgeld gemaak word nie, tensy die ongebruikte spoorwegorder of kaartjie aangeheg word. (Bedrag toegelaat Amount permitted)

NB: If a rail warrant was issued expenses on transport may not be refunded, unless the unused rail warrant is attached. Indien die reisgeld van ’n getuie die verskaffing van voedsel en slaapgeriewe insluit word geen verblyftoelae betaal nie. If the travelling expenses of a witness includes the supply of meals and sleeping accommodation, no subsistence allowance is paid.