Department of Home Affairs DH1738 Form 8
Department of Home Affairs DH1738 Form 8
Department of Home Affairs DH1738 Form 8
FORM 8
APPLICATION FOR VISA TO TEMPORARILY SOJOURN IN THE REPUBLIC
[Form 8 substituted by GN R1328 of 29 November 2018 (wef 1 December 2018). 2]
(DHA–1738) Form 8
[Section 10(2)(b) to (k); Regulations 9(1) and 20(9)]
2
Editorial note: GN R1328 in GG 42071 of 29 November 2018 contained an instruction to substitute Form 8, but
Form 8 was not included in the Government Gazette. It was subsequently supplied by the Department.
1 PERSONAL DETAILS
Title Mr Mrs Ms Other (specify)
Surname/Family name: Given names:
Maiden name: Stage name:
Previous/alternative name(s)/aliases, including details:
Date of birth:
Year ................................. Month .................... Day .....................
Place of birth: Town/City: Country:
Never married Separated Legally recognised spousal
Marital relationship
status: Married Widow/Widower
Divorced
If separated state:
Whether divorce proceedings have been instituted and when final decree is expected
..........................................................................................................................................
..........................................................................................................................................
If divorced, provide:
Date of divorce: ..................................................
Divorce order must be attached.
If married to or in a permanent homosexual or heterosexual relationship with a citizen or permanent
resident, a certified copy of the marriage or civil union certificate or a notarial agreement, as well as
the requisite affidavits, must be attached.
2 CITIZENSHIP DETAILS
Present country of citizenship:
If acquired other than by birth, date and conditions under which acquired:
...........................................................................................................................................
...........................................................................................................................................
3 PASSPORT DETAILS
Passport number: Country of issue:
Date of issue: ................/............./............. Expiry date: .........../............./.............
If you have any other travel document required by your government, provide details:
Type of document: ....................... Number: ........................... Expiry date: ......./........./.........
4 ADDRESSES
Residential address: Postal address:
........................................................................ ................................................................
........................................................................ ................................................................
Postal code ......................................................... Postal code ................................................
Country of ordinary residence if other than country of origin or above address:
Telephone No.: Work: (incl. area code) ............................... Home: (incl. area code) ......................
Cellphone number (if available): ...................................................
Email address (if available): ......................................................................................................
Other addresses where you have lived during the last ten years other than your current address:
Address: Period: Country:
Do you hold the right of re-entry into your country of origin or country of residence if this
differs? Yes No
Have you ever applied for asylum or refugee status in the Republic of South Africa or any other country?
Yes No If yes, specify the country ...............................................................
Contact person:
Relationship: Friend Business Associate Relative Other
Name: ................................................................................................................................
Address: .............................................................................................................................
...........................................................................................................................................
Telephone No.: Work: (incl. area code) .................... Home: (incl. area code) ............................
Cellphone number (if available): .............................................................................................
Email address (if available): ....................................................................................................
Details regarding relatives and/or friends in the Republic, if any.
Name Address Relationship Identity No
Period of stay:
Date of departure:
6 MAINTENANCE/DEPORTATION
State what funds you have available to maintain yourself during your stay in the Republic and whether you have a
return ticket or other arrangements made for maintenance and return passage:
Other: ..................................................................................................................................
...........................................................................................................................................
7 PARTICULARS OF ANY FAMILY/DEPENDANTS ACCOMPANYING YOU (attach page if space is not
enough):
Full names Date of Relationship Passport Expiry
Nationality Occupation
birth No. date
If your spouse and/or other dependants are not accompanying you, do they intend to enter the country
at a later stage?
Yes On (date) / /
No Details/reason(s):
.....................................................................................................................
.....................................................................................................................
Have you ever been refused entry into or deported from the Republic? If so, please provide details:
...........................................................................................................................................
...........................................................................................................................................
8 SECURITY/HEALTH QUESTIONNAIRE
Have you or any of your dependants accompanying (as listed in part 7 above)
ever been convicted of any crime in any country? Yes No
Are you or any of your dependants (as listed in part 7 above) suffering from
tuberculosis, any other infectious or contagious disease or any mental or Yes No
physical deficiency?
Have you ever been declared undesirable by the Director-General of the Department in South Africa?
Yes No
Furnish full particulars if the reply to any of these questions is in the affirmative:
………………………………………………………………………………………………………………………………………………………………………
…………………………………………………
……………………………………………………………………………………………………………
10 DECLARATION BY APPLICANT
I acknowledge that I understand the contents and implications of this application and solemnly declare
that the above particulars given by me as well as all particulars in the attached supporting
documentation are true and correct.
____________________________ ____________________________
Signature of applicant
Date
In respect of all temporary residence visa applications, except medical treatment visas:
Attached
Yes No
Valid passport which expires in no less than 30 days after expiry of the intended
date of departure from the Republic
A yellow fever vaccination certificate, where applicable
A medical report
A radiological report
Court order granting full or specific parental responsibilities and rights, where
applicable
Attached
Yes No
Death certificate, where applicable
Written consent from both parents and full parental responsibilities and rights
parent, where applicable
Adoption order or certificate, where applicable
In respect of a business visa by a foreigner who intends to establish a business or invest in a business
that is not yet established in the Republic
Attached
Yes No
A certificate or factual finding report issued by a chartered accountant registered
with the South African Institute of Chartered Accountants or a professional
accountant registered with the South African Institute of Professional Accountants
to the effect that-
(a) at least an amount in cash to be invested in the Republic as determined from
time to time by the Minister, after consultation with the Minister of Trade and
Industry, by notice in the Gazette, is available; or
(b) at least an amount in cash and a capital contribution as determined from
time to time by the Minister, after consultation with the Minister of Trade and
Industry, by notice in the Gazette is available;
(c) undertaking by the applicant that at least 60% of the total staff compliment
to be employed in the operations of the business shall be South African
citizens or permanent residents employed permanently in various positions:
Provided that proof of compliance with this undertaking shall be submitted
within 12 months of issuance of the visa
An undertaking to register with the-
(a) South African Revenue Service;
(b) Unemployment Insurance Fund;
(c) Compensation Fund for Occupational Injuries and Diseases;
(d) Companies and Intellectual Properties Commission (CPIC); where legally
required, and
(e) relevant professional body, board or council recognised by SAQA in terms of
section 13(1)(i) of the National Qualifications Framework Act where
applicable: Provided that upon registration, all certificates shall be submitted
to the Director-General
A letter of recommendation from the Department of Trade and Industry regarding-
(a) the feasibility of the business; and
(b) the contribution to the national interest of the Republic
In respect of a business visa by a foreigner who has established a business or invested in an existing
business in the Republic
Attached
Yes No
The applicant must, within 12 months of the visa being issued, submit to the
Director-General a letter of confirmation from the Department of Labour, that 60% of
the staff complement employed in the operations of the business are South African
citizens or permanent residents who are employed permanently in various positions.
FORM 9
APPLICATION FOR CHANGE OF CONDITIONS ON EXISTING VISA OR CHANGE OF
STATUS
(DHA-1740) Form 9