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    Bi 84

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    dupe2010
    1) This document is an application form for a visa or transit visa to South Africa. It collects personal details of the applicant such as name, date of birth, nationality, passport information, contact details, occupation, and marital status. 2) It asks for details of the applicant's visit to South Africa such as expected arrival date, purpose of visit, length of stay, and residential address in South Africa. 3) The applicant must answer questions regarding their criminal history, health, membership in organizations, and previous travel to and deportation from South Africa. 4) Additional documentation may be required depending on the length and purpose of stay, such as proof of funds, research, or a note verb

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    Bi 84

    Uploaded by

    dupe2010
    200 views5 pages
    1) This document is an application form for a visa or transit visa to South Africa. It collects personal details of the applicant such as name, date of birth, nationality, passport information, contact details, occupation, and marital status. 2) It asks for details of the applicant's visit to South Africa such as expected arrival date, purpose of visit, length of stay, and residential address in South Africa. 3) The applicant must answer questions regarding their criminal history, health, membership in organizations, and previous travel to and deportation from South Africa. 4) Additional documentation may be required depending on the length and purpose of stay, such as proof of funds, research, or a note verb

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    bi84

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    1) This document is an application form for a visa or transit visa to South Africa. It collects personal details of the applicant such as name, date of birth, nationality, passport information, contact details, occupation, and marital status. 2) It asks for details of the applicant's visit to South Africa such as expected arrival date, purpose of visit, length of stay, and residential address in South Africa. 3) The applicant must answer questions regarding their criminal history, health, membership in organizations, and previous travel to and deportation from South Africa. 4) Additional documentation may be required depending on the length and purpose of stay, such as proof of funds, research, or a note verb

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    200 views5 pages

    Bi 84

    Uploaded by

    dupe2010
    1) This document is an application form for a visa or transit visa to South Africa. It collects personal details of the applicant such as name, date of birth, nationality, passport information, contact details, occupation, and marital status. 2) It asks for details of the applicant's visit to South Africa such as expected arrival date, purpose of visit, length of stay, and residential address in South Africa. 3) The applicant must answer questions regarding their criminal history, health, membership in organizations, and previous travel to and deportation from South Africa. 4) Additional documentation may be required depending on the length and purpose of stay, such as proof of funds, research, or a note verb

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    of 5

    BI-84) Form 11

    DEPARTMENT OF HOME AFFAIRS


    REPUBLIC OF SOUTH AFRICA

    APPLICATION FOR VISA OR TRANSIT VISA


    [Section 7(1)(g) read with section 10A and 10B; Regulation 8(1)]

    Failure to complete this application form in full may result in the visa being delayed or refused.
    Please use block letters and black ink only.
    PERSONAL PARTICULARS
    Surname:
    First names (in
    full):
    Maiden name:
    Previous
    surname(s):
    Y

    Date of birth:

    City of birth:

    Country of birth: ...


    Gender:

    Male

    Female
    If acquired by naturalisation, state original

    Nationality: .......

    nationality: ..

    Where and when was present nationality obtained: ...


    Passport/Travel Document Number: ....

    Issuing authority: .

    Type of document: Diplomatic/Official/Ordinary Passport/Travel

    Date of expiry: .

    Document/other (specify) ....

    Permanent residential address:

    Period resident at this address: ..

    Telephone number: (..) (code)


    (number)

    Country of permanent residence: ..

    Period resident in that country:

    Occupation or profession: ...


    Name, address and telephone no. of employer, university, organisation, etc. to which you are attached, or that you
    attend or which you represent:
    .

    .
    If self-employed, state name, address, telephone no. and nature of business:
    .
    .

    Marital status:

    Never
    married

    Married

    Widowed

    Separated

    Divorced

    First name(s) of spouse:


    Maiden name:
    Y
    Date of birth:

    D
    Nationality...

    NB: SEPARATE FORMS MUST BE COMPLETED IN RESPECT OF PERSONS OVER THE AGE OF 16 AND
    CHILDREN UNDER THE AGE OF 16 TRAVELLING ON THEIR OWN PASSPORTS.
    Particulars of children endorsed on your passport accompanying you:

    Surname

    First name(s)

    Date of birth

    Place of birth

    (1)
    (2)
    (3)
    (4)

    VISIT TO SOUTH AFRICA

    Expected date of arrival in the Republic: Y .... M ... D ...


    Place of arrival:.....
    Purpose of visit: ....
    Duration of stay (months, weeks or days) ....
    Number of entries required:
    Single
    Multiple
    Two
    Proposed residential address (physical) in the Republic, including the full name(s) of your host or hotel:

    Names of organisations or persons you will be contacting during your stay in the Republic:
    Name

    Address

    Relationship

    Identity document number or permanent residence permit number of South African host:
    ...
    Indicate by means of an X whichever is applicable
    Have you at any time applied for a permit to settle permanently in South Africa?

    yes

    no

    Have you ever been restricted or refused entry into South Africa?

    yes

    no

    Have you ever been deported from or ordered to leave South Africa?

    yes

    no

    Have you ever been convicted of any crime in any country?

    yes

    no

    Is a criminal action pending against you in any country?

    yes

    no

    Are you an unrehabilitated insolvent?

    yes

    no

    Are you suffering from tuberculosis or any other infectious or contagious disease or any mental
    or physical deficiency?

    yes

    no

    Have you ever been judicially declared incompetent?

    yes

    no

    yes

    no

    Are you a member of, or adherent to an association or organisation advocating the practice of
    social violence or racial hatred or are you or have you been a member of an organisation or
    association utilizing crime or terrorism to pursue its ends?
    Give particulars if reply to one or more of the questions above is in the affirmative:
    .
    .
    .

    To be completed by applicants applying for visitors permits exceeding three months:

    In the case of a spouse or dependant minor child of the holder of a permit issued in terms of section 11, 13, 14, 15, 17, 19
    or 22, submission of a marriage certificate or an unabridged birth certificate.
    Proof of academic sabbatical, if applicable.
    Proof of non-remunerative voluntary or charitable activities to be undertaken, if applicable.
    Proof of research to be undertaken, if applicable.
    Proof of funds available for subsistence during period of visit.
    To be completed by applicants applying for diplomatic, official or courtesy visas:
    In the case of an official visit, submission of a note verbale.
    In the case of a diplomatic placing in the Republic, proof of such placing.
    To be completed only by passengers in transit to another country:

    Destination after leaving the Republic: ..

    Mode of travel to destination: ..


    Intended date and port of departure from the Republic to that destination:
    Do you hold a visa or permit for temporary or permanent residence in the country of your destination? (Proof must be
    submitted)..

    To be completed by persons wishing to work in the Republic: Yes .. No .


    If the answer is yes, please provide details: .
    ..

    I SOLEMNLY DECLARE THAT THE ABOVE PARTICULARS PROVIDED BY ME ARE TRUE IN SUBSTANCE AND IN
    FACT AND THAT I FULLY UNDERSTAND THE MEANING THEREOF. I FURTHER DECLARE THAT I DO NOT
    CONTEMPLATE CHANGING THE PURPOSE OF MY VISIT WHILST IN THE REPUBLIC.

    .
    Signature of applicant

    ..
    Date

    FOR OFFICIAL USE

    Type of visa:

    Reasons for decision:

    Approved/not approved by ...

    ..........

    on ...............

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