f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams...

29
f/Y ju tU 'k Gl. A Q l AtJc C{6ys-i^- ' bv ' a ^-J K l 3

Transcript of f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams...

Page 1: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

f / Y j u t U ' k

Gl. A Q l A t J c

C { 6 y s - i ^ - ' b v ' a ^ - J

K l 3

Page 2: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

MEMO

PLAINTIFF'S FULL NAMES : ^ V i 5 l/v ’l

C A SE NO. :

A D D R E S S :

SA CITIZEN OR NOT :

Nature of injuries :

Date and time of incident :

Quantum :

Eve-witnesses :

Other witnesses :

Number of visits to doctor or hospital :

Specify visits to doctor or hospital :(names and venues)

Employed or n o t :

Nature of employment : .

Income and proof thereof :

Current state of injuries :

If future loss of earnings are claimed, the relevant duration and proof that it was so claimed :

Names of assaulters :

Were criminal charges laid, if so where?

I \ I

W as an ID parade attended?

Page 3: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

Issued by

CLER k'B F THE C3UHTClerk of the Court VAll DIE HQf

■ n c I Ultl A

92

Date

No. RM2 Summons Commencing Action (Ordinary)Sued out byNicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg429 Church Street PRETORIA 0002Postal addressP.O. Box 1014 - PRETORIA - 0001

Signature of Plaintiff or his Attorney

(

In the Magistrate's Court for the District of Pretoria

0 Between PRISCILLA NOTEMBILE QAQANE

and MINISTER OF DEFENCE

held at Pretoria

Plaintiff

Defendant

To: THE MINISTER OF DEFENCE, WHO IS CITED herein in his capacity as head of the SOUTH AFRICAN DEFENCE FORCE, and as such responsible for and in control of members of the SOUTH .AFRICAN DEFENCE FORCE, c/o The State Attorney, 888 Royal St. Mary's building, 85 Eloff Street, Johannesburg.

You are hereby summoned that you do within 21 ( tw e n ty on e ) days of the service of this summonsdeliver or cause to be delivered to the CLERK OF THE AFORESAID COURT and also the PLAINTIFF OR HIS ATTORNEY, at the address specified herein,a notice in writing of your intention to defend this action and answer the claim of

PRISCILLA N0TEM3ILE QAQANE an adult female, messenger of full legal capacity resident at G 275 Phola Park, T0K0ZA.

(the plaintiff herein, particulars whereof are endorsed hereunder

(1 ) Particulars

Plaintiff s claim against defendant is for payment of the sum/balance of R

SEE ANNEXURE.

Wherefore plaintiff prays for judgment against the defendant in the said sum, with costs.

Costs if the action is undefended will be as follows: Summons JudgmentR c R c

Attorney's charges................................................................................. 150 00 125 00Court f e e s .............................................................................................. 10 00Messenger’s fees ...................................................................................Messenger's fees on re-issue..................................................................

Totals .................................................................................................... R R

Total .................................................................................................................................................. R

(See back)

Page 4: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

P A R T I C U L A R S O F C L A I M

T h e P l a i n t i f f is P R I S C I L L A N O T E M B I L E Q A O A N E a n a d u l t f e m a l e ,

m e s s e n g e r o f f u l l l e g a l c a p a c i t y r e s i d e n t at G 2 7 5 P h o l a

P a r k , T O K O Z A .

T h e D e f e n d a n t is t h e M I N I S T E R OF D E F E N C E , c i t e d h e r e i n in

h i s c a p a c i t y as h e a d Df t h e S O U T H A F R I C A N D E F E N C E F O R C E , and

as s u c h r e s p o n s i b l e f o r a n d in c o n t r o l of m e m b e r s of t h e

S O U T H A F R I C A N D E F E N C E F O R C E , c / o T h e S t a t e A t t o r n e y , 8B B

R o y a l S t . M a r y ’s B u i l d i n g , 6 5 E l o f f S t r e e t , J o h a n n e s b u r a .

3. O n or a b o u t t h e 9 t h A p r i l 1 9 9 2 and at P h o l a P a r k , T o k o z a ,

t h e P l a i n t i f f w a s u n l a w f u l l y a n d w i t h o u t l a w f u l

j u s t i f i c a t i o n a s s a u l t e d b y m e m b e r s o f t h e S O U T H A F R I C A N

D E F E N C E F o r c e , w h o at m a t e r i a l t i m e s h e r e t o w e r e a c t i n o

w i t h i n t h e c o u r s e a n d s c o p e of t h e i r e m p l o y m e n t as m e m b e r s

of t h e S O U T H A F R I C A N D E F E N C E F O R C E .

4. A s a c o n s e q u e n c e o f t h e a f o r e s a i d a s s a u l t , t h e P l a i n t i f f

s u f f e r e d b o d i l y i n j u r i e s .

5. In c o n s e q u e n c e t h e r e o f , t h e P l a i n t i f f h a s s u f f e r e d d a m a g e s

in t h e a m o u n t of T W E N T Y T H O U S A N D R A N D (R 2 0 0 0 0 . 0 0 ) in

r e s p e c t of c o n t u m e l i a , p a i n a n d s u f f e r i n g , l o s s of a m e n i t i e s

of l i f e a n d d i s a b i l i t y .

Page 5: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

- E -

6 . T h e P l a i n t i f f h a s g i v e n n o t i c e in t e r m s o f S e c t i o n 113 of

t h e D e f e n c e A c t .

7. N o t w i t h s t a n d i n g d e m a n d ? t h e D e f e n d a n t h a s f a i l e d a n d / o r

n e g l e c t e d to p a y t h e a f o r e s a i d s u m a s c l a i m e d .

W H E R E F O R E t h e P l a i n t i f f c l a i m s : —

a. P a y m e n t o f t h e s u m of R E O 0 0 0 . 0 0 ;

b. I n t e r e s t o n t h e a f o r e s a i d s u m at t h e r a t e o f I B . 5*/. per

a n n u m f r o m d a t e of j u d g e m e n t to d a t e o f p a y m e n t ;

c . C o s t s o f s u i t ;

d. F u r t h e r a n d / o r a l t e r n a t i v e r e l i e f .

D A T E D at J O H A N N E S B U R G o n t h i s t h e S~ d a y o f 199E.

N I C H O L L S , C A M B A N I S , K O O P A S A M M Y A N D P I L L A Y P L A I N T I F F ’S A T T O R N E Y S E 3 R D F L O O R , K I N E C E N T R E 141 C O M M I S S I O N E R S T R E E T J O H A N N E S B U R G R E F : V S / P P / 3 7

c/o Adams & Adams Shorburg^29 Church StreetP.O.Box 101*1PRETORIATel: 320-8500Ref; M. BEDHESI/mvd P138/92

Page 6: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

NOTIFICATION IN ACCORDANCE WITH THE PROVISIONS OF - RULE 8(4) - of the - MAGISTRATE'S COURTS ACT 32 of 1944

DEPUTY : F. A. RUSSOUW ACC No.: NICHOLL050

IN THE MAGISTRATE'S COURT FOR THE DISTRICT PRETORIA HELD AT PRETORIA

BETWEENPRISCILLA NOTEMEILE QAQANE Plaintiff

ANDTHE MINISTER OF DEFENCE DefendantSTATE ATTORNEYADDRESS : 4THF FEDLIFE FORUM BUILDING

VAN DER WALT STREET PRETORIA 0 000

NATURE OF PROCESS:- SUMMONS COMMENCING ACTION (Ordinary)

ON 9 2/09/2 8 AT 15h40 THE ABOVEMENTIONED DOCUMENT WAS HANDLED IN THE MANNER INDICATED BELOW:

RETURN OF SERVICE : STATE ATTORNEY.

RULE 9(3)(g) : THIS IS TO CERTIFY THE A COPY OF THE ABOVE MENTIONED PROCESS WAS SERVED ON M BESTER A PERSON APPARENTLY NOT LESS THAN (16) SIXTEEN YEARS OF AGE AND DESIGNATED IN THE STATE ATTORNEY’S OFFICE FOR THIS PURPOSE, BY HANDING A COPY THEREOF TO SAID PERSON.

RETURN No.: 92/0,044,154.00 CASE No. : 72648/92

R £ c & V £0 - ,6 °C T K S2

CODE DESCRIPTION_________________PRICE_____________ QTY_____ AMOUNT_________VAT______ TOTALADB SERVICE (0-6km) 11.00/SERVICE 001 11.00 1.10 12.10PST POSTAGE 2.60/ACTUAL 001 2.60 0.26 2.86

14 .96

To THE CLERK OF THE COURT PRETORIACopy to (Your Ref. )

NICHOLLS, CAMBANIS, KOOPASAMMY & PILLAY P O BOX 8694 JOHANNESBURG

2000 PRETORIA - 0001TEL: (012)320-8482/3/4/5

CENTRAL

(EMP 1 1 of 3 )You may require this PRO FORMA statement to be taxed and vouched before payment.

Page 7: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

IN T H E M A G I S T R A T E ' S C O U R T F O R T H E D I S T R I C T OF P R E T O R I A H E L D A T P R E T O R I ft C A S E N O s 72fc*»B/9g

In the m a t t e r b e t w e e n i -

P R I S C I L L A N O T E M B I L E Q A Q A N E P l a i n t i f f

a n d

M I N I S T E R O F D E F E N C E D e f e n d a n t

F I L I N G S H E E T

P R E S E N T E D F O R F I L I N G E Y : -

N I C H O L L S , C A M B A N I S A N D

S U D A N OP L A I N T I F F ’S A T T O R N E Y S

c / o A D A M S & A D A M S S H O R B U R G<+E9 C H U R C H S T R E E T

P R E T O R I A

R E F :

T O : T H E C L E R K OF T H E C O U R T P R E T O R I A

A N D T O : T H E S T A T E A T T O R N E YD E F E N D A N T ’S A T T O R N E Y SV T H F L O O R , F E D L 1 F E F O R U M B U I L D I N G

V A N D E R W A L T S T R E E TP R E T O R I A

R e c e i v e d c o p y h e r e o f o n t h i s t h e d a y o f A P R I L 1993.

F O R : D E F E N D A N T ’S A T T O R N E Y

Page 8: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

IN T H E M A G I S T R A T E S C O U R T F O R T H E D I S T R I C T O F P R E T O R I A H E L D A T P R E T O R I A C A S E N O t 72fc<*B/92

In the m a t t e r b e t w e e n t -

P R I S C I L L A N O T E M F I L E P A P A N E

and

T H E M I N I S T E R OF D E F E N C E

P l a i n t i f f

D e f e n d a n t

A F F I D A V I T IN T E R M S OF R U L E 10

I > the u n d e r s i g n e d ,

C A R O L I N E H E A T O N - N I C H O L L S

do h e r e b y m a k e o a t h a n d s a y that : -

1. I a m a n a t t o r n e y o f t h e S u p r e m e C o u r t o f S o u t h A f r i c a

( T r a n s v a a l P r o v i n c i a l D i v i s i o n ) , d u l y a d m i t t e d and

p r a c t i s i n g as s u c h in p a r t n e r s h i p u n d e r t h e n a m e and s t y l e

o f N I C H O L L S , C A M B A N I S A N D S U D A N O , at 2 3 r d F l o o r , K i n e

C e n t r e , 1 1 C o m m i s s i o n e r S t r e e t , J o h a n n e s b u r g .

2. T h e f a c t s h e r e i n c o n t a i n e d a r e w i t h i n m y p e r s o n a l k n o w l e d g e

a n d b e l i e f a n d a r e b o t h t r u e a n d c o r r e c t .

3. 1 a m a c t i n g f o r t h e P l a i n t i f f in t h i s m a t t e r . S u m m o n s

h e r e i n w e r e i s s u e d at t h e A b o v e H o n o u r a b l e C o u r t o n t h e 2 2 n d

S e p t e m b e r 1992. At t h e r e q u e s t o f t h e D e f e n d a n t , P l a i n t i f f

g r a n t e d a n e x t e n s i o n f o r t h e e n t e r i n g o f a n A p p e a r a n c e to

D e f e n d b y D e f e n d a n t .

Page 9: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

2

A. O n t h e 1 5 t h D e c e m b e r 1 9 9 2 D e f e n d a n t ’s a t t o r n e y s r e q u e s t e d

t h a t t h e f u r t h e r e x c h a n g e of p l e a d i n g s in t h e a b o v e m a t t e r

b e h e l d in a b e y a n c e p e n d i n g t h e o u t c o m e o f S u p r e m e C o u r t

a c t i o n s r e l a t i n g to t h e s a m e f a c t s as t h i s m a t t e r . A t t a c h e d

h e r e t o is a c o p y of a l e t t e r f r o m t h e D e f e n d a n t ’s a t t o r n e y s

m a r k e d " A ” c o n t a i n i n g s u c h r e q u e s t .

5. Or. t h e 1 5 t h D e c e m b e r 1 9 9 2 t h e P l a i n t i f f a g r e e d to s u c h

e x t e n s i o n s a s r e q u e s t e d b y t h e D e f e n d a n t .

6 . 1 t h e r e f o r e p r a y t h a t t h e S u m m o n s s h a l l n o t l a p s e u n t i l 12

m o n t h s a f t e r t h e e x p i r a t i o n of c o n c l u s i o n o f t h e S u p r e m e

C o u r t a c t i o n s .

T H U S D O N E , S I G N E D A N D S W O R N T O B E F O R E M E A T J O H A N N E S B U R G o n t h i s

k n o w s a n d u n d e r s t a n d s t h e c o n t e n t s of t h i s a f f i d a v i t , s h e h a s no

o b j e c t i o n s to t a k i n g t h i s o a t h a n d c o n s i d e r s t h i s o a t h b i n d i n g on

h e r c o n s c i e n c e .

D E P O N E N T

the d a y o f A P R I L 1 9 9 3 . D e p o n e n t h a v i n g a f f i r m e d th a t s h e

C O M M I S S I O N E R OF O A T H S

V Vxrx'-r K— cc=r\K^ 1^,1 Cci ' - ■ . -SVt-x -cv. V c . ^

Page 10: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

r ■ 3 2 2 -0 9 0 0 '1 £ „*- 322-8522 X235

• t • 'GO VAT’

FA X 322 0 177

FED U FE f o r u m S U ID T O R IN G • S O U T H T O W E R Van der Waftstraat Vfcn (ter WaJi Street PR E TO R IA

TWGE/MS

REp<*vl£K VAN SUI ATOIKA • ft£>l*VJC Of COUTH AFRICA

M y V * r * .M y R « f. ...U V *rw . Your Ref.

9875/92/C13

Mr Bithole

Nevr*eEnquiries;

T V G BESTER

D IE STAATSPROKUREUR t h e s t a t e a t t o r n e yPrrv»a!«k; ¥0 PnvKe Bag AS1 PRETORIA 0001

IS* December 1992

Messrs Nicholls, Cambanis end Sudano P 0 Box 8694 JOHANNESBURG 2000

Sirs

JACKIE HERBST AND THIRTY-THREE OTHERS

The telephonic discussion between December 1992 refers.

/ MINISTER OF DEFENCE

writer and your Mr Sithole on 15

I confirm that the further exchange of pleadings in the above matters will be held in abeyance pending the outcome of the various Supreme Court actions instituted in respect of the alleged assaults by members of the South African Defence Force at Phola Park, Tokoza on/or about 9 April 1992. Defendant does not, accordingly, require Plaintiff to take further steps in the prosecution of the above actions within twelve months of the date of service of the summonses commencing such actions. The deteils of tne actions governed by this agreement appear in the annexure hereto marked "A".

Yours faithfully

ATTORNEY (PRETORIA)

Page 11: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

- ------------— — w . ^ w , . . , v x c : 3 7 1 1 3 3 1 6 6 9 1 ; 8 3

'92 15:31 STGTE ATTORNEY PTA 012 32200177, p.3/4

ANNEXURE "A"

Case No:Plaintiff

1. 72637/92Jackie Herbst

2. 72634/92Joseph Keni

3. 72654/92Lennox Bhedi

4. 72661/92Steven Zali

5. 72652/92Richard Roger

6. 72653/92Malibongwe Kkhatyana

7. 72643/92Koekie Kofokeng

j6. 72651/92

Colledge Nkwenkwezi

9. 72650/92I

Nceba Somakile

10. 72663/92Nelson Tsotetsi

11. 72659/92Zwelinlangene George

12. 72658/92 Sizwe Arosi

13. 72646/92Portia Rawu

14. 72649/92 Fumanekile Zweli

15. 72655/92Ben Khesa

16. 72660/92Ndudumo Kayekiso

17. 72662/92Larrington Nogaroia

18. 72638/92Kxoleli Bambeta

19. 72639/92 Lungile Gabhayi

20. 72640/92 Zolani Dina

22. 72665/92Matthews Mahloma

22. 72666/92 Sampson Ngumla

23. 72667/92j

Lennox Sinoko

24. 72645/92

1Noweight Monco

Page 12: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

'92 15:32 STATE ATTORNEY PTA 012 32203177 P. 4/4

Case No:

25. 72644/92

26. 72664/92

27. 72656/92

26. 72657/92

I72636/92

i

30. 72635/92

31. 72642/92

32. 72641/92

33. 72646/92

34. 72647/92

Plaintiff

Nophumzile Bokoda

Mbekeni Kakiki

Jojo Kuzani

Amos Fmbatha

Albert Goutyana

Boy Tshetsha

Peterson Sweli

Walter Mnisi

Priscilla Qaqane

Nophakamile Khala

Page 13: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

iPA SIEN TE EN/OF O N G EV A LLE AFD. • OUTPATIENT AND/OR CASUALTY DEPT.

------- -------------- PASIENT • PATIENT No.... .3.3 2 5 1 ^

Volgno. _ j( f 2 a o a l N o ..

T.P.H . 25B

Huwelikstaat Geslag Marital s ta le ................................................. Sex

Beroep Geboortedatum Occupation.................................................................................... Date of birth..

Naam van persoon verantwoordelik vir betaling van rekening Name of person responsible for payment of account.......................

OpgeneemAdmitted

Indeling Classification.

Datum • Date VM.A.M.

NM.P.M.

s t h

Sy/Haar adres • H is H e r address.......................

^Jaam van werkgewer • Nam e of em ployer.....

Adres van werkgewer • Address of em ployer.

Naam van siekefonds S /F Name of sick fund............................................................................................................................................................................. S /F N o ..

•Jaarlikse gesinsinkomste • Annual family income Uit alle bronne From all sources

Broodwinner • B readw inner.................................................................................................................................. R

Vrou • W ife .................................................................................................................................................................. R

. Ander afhanklikes • Other dependants............................................................................................................... R

Totaal • Total

'G eta l persone in gesin (broodwinner ingesluit)Number of persons in household (including breadw inner).

Meld ouderdomme van afhanklikesState ages of dependants..............................................................

3ede vir afhanklikheidReason for depend ence.........................................................................................................................

* (Minderjariges van 16 jaar en ouer wat selfonderhoudend is, moet uitgesluit word)’’ (Minor children of 16 years and older who are self-supporting must be excluded)

Datum van ongeluk/besering Date of accident/injury..............

PlekPlace.

Persoon wat beseerde ingebring het Person who brought in the injured.........Sy/Haar adresHis/Her address ...........................................................................Sy/Haar handtekening ^His/Her signature......... ...............................................................W as beseerde: (i) Onder die invloed van drank? W as injured: Underthe influence of liquor?....

(ii) By sy/haar bewussyn? Conscious?.

""j I A...Geteken: Opnem ingsbeam pU*- / ' n ‘ flG zs* Signed: A d m i t t i n g o f f i c e r ................

Die aard van die pasient se siekte mag vir rekeningdoeleindes vrygestel word. The nature of the p a i n t ’s illness may be disclosed for accounting purposes.

\

Getuie W itness....

DatumDate...Klagte Complaint..

Tyd T im e .

en voertuig No and vehicle No

GetekenSigned....

Huidige siekte Present illness

Page 14: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

T.P.H. 25BS LEGS VIR AFSKEURSTROKIES

F OR COUNTERFOILS ONLY

DatumDate '""Betalings • Payments Datum

Date Betalings • Payments Betalings • Payments

* 4 &

-

Rekenings • Acxounts

C

o

Page 15: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

ONDERSOEK/BEHANDELING/VORDERINGEXAMINATION/TREATMENT/PROGRESS

T.P .H . 25B

Datum • date

"■Vk

C

%

Iy*x. .

c /o ( a )

K c .

Pcflrft-i

\I7ho

c

Page 16: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

i P.-S 042-01-t V O O R S K R I F . P R E S C R IP T IO N T P H 1 7 2'

•H O SP ITA AL.HO SPITAL

A F D E L IN G W A R D .........

P asient • P atient P asientnom m er P atient's N um ber

3 3 2 5 1

O uoerdomAoe

IndelingClassification

US « f v-' s rtJf -tE 7 fc is-Ti --------------------------

lU R L T m

of e<v. .valent

O' 6CJ:‘* C'C".*

0: S’KWIVS r

or ec_.va.er.:

or equivalent

of ekw ivalent i ior equ iva lent 5of ekw iva lent

or equ iva lent

of ekw iva lent

o r equivalent A

of ekw iva lent

or equivalent

of ekw ivalent

o r equivalent

of ekw ivalent

or equ iva lent

of ekw iva lent

or equivalent

of ekw ivalent

or equiva lent

of ekw iva lent

or equivalent

c

As hierdie woorde "of ekwivalent" nie deLr die voorskrywer oeskraap word me dui dit aan dat die goedoekeurde oeneriese ekwivalent uitgereik mag word. 3 a

If the words "or equivalent" are not deleted by the prescriber this will indicate that the approved generic equivalent may be supplied.

WW

1HIW

Page 17: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

CIVIL CLAIMS

Claimant: PftlSctlLfl Ht7T*f£vMRKg ffflC^AMGr

(i) Full Name and Address of Claimant:

__________________ p P I - S c ' t t i a t P - < 4 ‘0 > ' t A H £

p t+v'-iA prtiaki r o t c o ^ , >CQ i

(ii) Occupation:

_____________________________________________ | M € . S ^ G t H O j G - f 2 .

(iii) Date of Birth:

______________________________________________ G _ 0 ^ 1 2 - 9 _ O 1 5 ^ O S 7 I

(iv ) Identity No:

________________ (p O O Q l $ < + O S ’ I

( v ) Telephone Nos:

___________________ - S ^ G ~g> (ou ) .

Particulars of Circumstances in which bodily injuries were

sustained.

0 ^ £>PlT& <j- T i m e r crp J N J u J Z t £ S \ <±4- t 7 «*tv> •

2.1. Cause of injuries:

fajfou r * £ cvt r u C

2.2. State injuries sustained: <* d- S x ^ ^ u r ^

( - 5— Rrfo caj I rH c9 M — J lt S T f H

d o W ? c i C ? f fbrstevt

( i f ) O L / t ^ 1 SJC.vtA^ k o f c C (2?Co U « L c f e — "7C j a t ^ U c ? ^ CMr ^ S CQ-^ joevxfc. ,

Page 18: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

Medical Treatment.

3.1. Provincial / Private Hospital where claimant was treated:

H t c r p t ? u i i p f m c

3.2. Was claimant treated by a private doctor? If so, names

and telephone numbers are required.

3.3 Hospital No: / c ?"2_ -

Date of Admission and Date of Discharge:

— % I h f a * -

Page 19: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

Employment

5.1. Occupation:

5.2. Name and Address of Employer at date of Accident:

____________g f l f IA Cjo ■ c r •___________ V - O » t ? o Y ______________________

_____________ MG<a; TQuJ M

____________ O. I l ^ >

Period of his employment, from 2 H 11 I I V n to

Date of Resumption of Work:

------------------------

5.5. Claimant's Income for the 12 months immediately preceding

the incident:

VKlSO — _________j C ^ O O O p >{g»

Dependant's Claim (Where the deceased was the breadwinner and is

survived by dependants). The following personal particulars of

the deceased's surviving spouse and children are required:

Page 20: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

“SM3TSBfcSJS;

6 . 1 . Full Names and Addresses: 4 0 e p e r ^ d a r ^ .

fffrw fv\u ch 5 u p VtgCa yikn£> of- ptf- p e u r o n b C»topV

f________

f i - •

6.2. Relationship to deceased: »

-------------------------------- ------------------------h f d - -

6.3. Date of Birth: *

------------------ -------------------------------------------- f c j - A - ■

( •

6.4. Occupation: o & ^

--------------------------------------------------------------- ----------------------------------------------------------------------- h t

— —

1

Name and Address of Employer at date of Death:

Page 21: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

6.6. His or her income for the 12 months immediately precedino

the accident:

Injuries:

7.1Brief discretion of injuries: Cb<f5 I> d r

— g j r ^ - H - e p f dor-*- u f -etz)

1 L) C | < w k o l ^ e u o j v u , j ^ l ^ p l _ ^ lw

fi/i c T T r m r r r ~ ---------t ?JU a^ M PL^ i IpoL-cUC-<^i

1' 2.

*

p a i n :

l\A!Cb 1 f

f K S o "F&€r<. DB f M b i n y

Page 22: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

§^. ' . ! ^ C r y J j j _ y P _ ^ r r z ^ - ^ _

O l d j o p o ^ A ^ >_ f t p

‘*-3 - J 0 ^ p* w > A - S e r v e r o u j- ’ f-tf .

l o s , ! ^ ^ w f - V e ^ ^ ; . o . )s/ ^

l _ i ^ C c r v J d p i n r ^ 5 ^ ^ ^ j l

/->/ A

l ^ f e w o-vJ- s h o t A crv-s

0 ^ r W S C g ^ / n e ^ r u S * "* ■' -i

c #

Page 23: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

T0 : THE SUPERINTENDENTN v A m - S r t 2 u i T H O S P I T A L

h ^ x 0 L S h c e n o

DATE OP TREATVPvt . , i *DATE OP TREATMENT .* , , ^• /4 h z

1 / the undersigned,

hereby request and authorize von

injuries sustained and treatment r e v i v e d ° ”s u p p l y c o p i e s Of a n a e d i c a l records * r ^ tC>

o t h e r for* o f t r e a tment t o ffly legal ren ," “* °f a" y®Y -legal representatives : -

» 2 p . f ^ S T 5 i S S ,“ ‘ « « «141 COMMISSIONER STREET JOHANNESBURG blRE^

as a matter of urgency.

I f u u y considered the i d e a t i o n s of ny actio

representatives or any private doctor t„ey Eay advise *e to see

_ Pri S cLi (9 ^ ^ 9a n p

8p ^ T T O E W - c f e N T E E ~OR RIGHT HAND THUKB

Page 24: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

r:‘eSMEP!TT^^!1W W ^ < T »-— ..Vv_ i . ------. .

ftfPfcfHr.'T?— ■

J- , flue u^xlci^s'c^A^cci

pRlSciLCi^V C5.cAQ.AMt

d o W w U j V U S . W 0 4 . c u m A S.CU. ;-

I- t O U , u * a d u l t W l = ? e ^ C , „ c ^ ^

^ W h W "'' C c O ^ i u e d a iu ? c ^ r t W M a I

W o o - ' W a ^ e C U * x l OJtt' fctffu - H ^ u e c i U v J C O V W r c T

0 >- O u t u . e s > ^ R j | ( ( m r U f u l j e V u b i A ^ £ # .

° ' ’ rl,JJ,J' '-'j O J ~ v w o v s e ^ - H u ? t W c w ^ c O ? U q r e c c U

w , a 3 a^ iW A *- . r cho W * | ctewiU W « t i t « a . f R M X U W o / '</, s l v c u f e ^

S <-? Q x ^ - <£• r o w • , I r^i, , t * <J . «^ H U U o o L u CglhaA. t o l/u^/f £ Io^OlCs 4 Ji/uSt'V

U V « v a ^ * ^ G

■5- © c fc^e ^ ^ O K a U i < ( ^

• t e 'WXJ ^ W o - U o^sci U i o t c c J © p g u , . (9 k e u l c u N

I * 4 * 8 ^ i W e u k c u « l © U w t a i J e o l - h » k u c u ,

W l y W W d ^ . c f e f d 1 o w W t a u j d u * S

« * w w c k . i w 4 U e u c u i a u l f e o l u c e J f t , « s ]a, ^ a k

L R-v, W . f k e t U ! . c u ^ d M ^ i ^ p ^ ^h k u x i i cjlt u p w ,ft> <,w .p c / . j ^ 1 C T V C Q . U I f e c l I/Vte & a a i n ojjta

'f sJ ® u w l° ok • s £055* ^ t t ' s c w e w m i w g ■ i-ftr a x s c u n K ^ o ^

f r M J e w ? w - « u k r « v , v c i [e K w £ l o W u r

C U \ C J v c u l a c ! „

M-. L s r ^ W e o / <s ^ , c f c U , 6 t c y U , . C V 0 , C ,?

s j u . - w / , c , . h o u , ^ ^ t 0 O U j d l w ; r

- W c e u N ^ k p ,u,fc , o k « 1 , , . ^ _

P. N . f7> KM

Page 25: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

*

G W '=p i £ £ .

& & - P O N £ r M I

f fKtS &£)?-/& A-*b> Sie.nC-i> one *VT <oC_D5-r^ i ^ S T i+e-

<*4 &-tY~l e t- fVPCju.

TVi-cr ^ e - p c . - i^ t H iW 1 ^ T h - w v t " S *-H=t K_t\lo<—l - phhfc> UNtk^rTL^TfV^a

7~H-c CO r^7c-r^Ts C F ~Tt+-t S-

grcr £>-/W<^rvc, £ M V^E-e^

>ic^C_<L«^e/fT/CrV c s." /«-L- £ A-t H-

C_.CH c i c '-, i

M I R A N D A } Ar- i E TAYLCF P K / » C T i S i ' ' C A T T C S h S Y iR .5 A .

C 0f» tW tS S iC N c5 Z r G A T hS 2 3 rd FLC C 8 C M S CENTRE

] 4 1 C C W M I S S ^ N ? ? ST R E E T

J O H A N N E S B U R G 2 C 0 !

Page 26: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

& s ">SA '-E:=Vi'

KONSULTASIE O P N A M E. :-:;e /s es«

DD 2252 'E6 Hfs

?53C-*S"i*

3‘i* van {,\J : / -S /v/. /?7. cV f '* " ^ 1 r > £ 7 • > - j.■.ff— iZiZ-ii . J **-Ve.d / A ' T T ' C g Z j *

--------

i 1 2 7 ~ - 3 : 5 i-;ecee-ceEs^netd

•DENTIFIKASIE BESONDERHEDE 1 9 *

% o c ' t Z S O f n z t 125 VP, A / T r /\ ✓v- £

s . . * r i i S 5 £ a / /

£ £ ., =-- J 9 Q ? H S \ ^ , s 2 £ £ « /fr7- AaaxcC :-* c.ng Kamc 1 9 ;

j -3S'en: se , A..er;s= A f / C C a r c U T v

KONSULTASIE OPNAM E BESONDERHEDE• Konsu'iasie; j

• -/*agrcse 1 Leke :2a:

1 9 ^ 3 ^ 0 / ? ^ e

HEDIES: Hare- TGF=iSiE3: ie*ening

J Rede vir ooname <onsui:asie:

I Oorsaak van Konsui:asie Berar.de'irc

M j s « " e U l ^ . n [ 3 _ Aner | 4 J Gebcore Ijj | ]F j SeKmoord j_7J Renabilit..^ J J j

DD 101 i DD ‘ :3!__I

<■ r \vonooi 00 i | j y

VERWANTE BESONDERHEDE MET OPNAM E/KO NSULTASIE! Naasces:anfle I Tim

i ; Naasbestaarcei • Vocrierte's j

i | Nasscestaarde [J ___ J. Var. L

Tel. nr. <5'kVerba nd

" V U U n a N n i l - ; U r iV A M t /M J IM S U L I A b l t / U I \ I b L A t j

Kerk } Kode

------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------<?ce1

’-------------------------------- — -------------------------------------------------------------------------------[

f |

[ — i11

i■ i

--------------------------------------------------------------------

1 iJ

11

------- ------- 1

1i11

—______________________________________ _______ 11

L-------------------------------------------------------------------------------------- iVoorsknf 1 q £ 3 ! « r ' <r w <~i ? Mediese H a n d - i ^a!um ' • C s / Offisier: teken inq ................................. Uittreiding Ksc* i 1

HIERDIE V O R M IS V IR G E B R U IK BY ALLE M IL ITE R E M E D IE S E IN S T A N S IE S VIR DIE O P N A M E /B E H A N D E L IN G /K O N S U L T A S IE O F V E R W Y S IN G V A N 'N PA SIEN T

Pastern verwys na fcliniek f KliriekKcde

Siek:e P-ofie? j J A Voorskrif j Eerste konsuKasie 2 | Cp-.c-g korsuiiasie 3Ksrsultasie tydcerk op mediese rekord: 3 Maande | 1 | 1 Jaar [ 2 ] 5 Jaar | 5

F O R M -M A T E 1 1 5 3 3

Page 27: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

A K L A G T E : / / x / / ^

C ' L ^ Z ^ z ^ / A ^ V v ^ / 1 * ~

7 / / /

— ^

^ / ■

*

> / ' '

/

( " ^ j v v

~ / ' ' " “ ......................................................................................... ....

KIEDEiMIS

Page 28: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

----------------- -— -—

D. SPES1ALE O N D E R S O E K E :

I c u K ° ” 0 » G V A N G E S K IE D E N IS - F IS IE S E O N D E R S O E K , S P E S IA L E O N D E R S O E K E , D IFFE R E N S IE L E D IA G M O S E B E H A N D E L IN G EN B E H A N D E L IN G S P L A N , M E T O N T S L A G : D E P A R T E M E N T E L E O P IN IE : Q ] D IS S IP L IN E :: ~ — | ’

j*

Page 29: f/Y ju tU 'k Gl. AQl AtJc€¦ · Nicholls, Cambanis, Koopasarnmy & Pillay c/o Adams & Adams Shorburg 429 Church Street PRETORIA 0002 Postal address P.O. Box 1014 - PRETORIA - 0001

Collection Number: AK2702 Goldstone Commission of Enquiry into PHOLA PARK Records 1992-1993 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 by the Church of the Province of South Africa.