(DHA-1758) Form 16

PROGRESS REPORT BY ORGAN OF STATE OR LEARNING INSTITUTION

REGARDING EXCHANGE PROGRAMME

[Section 7(1)(g) read with section 22(a); Regulation 21(3)]

Name of Organ of State/ Learning Institution: .............................................................................................................................................................................................................................................................................................................

Business address of Organ of State/Learning Institution: .............................................................................................................................................................................................................................................................................................

Telephone no.: ..................................................................... Fax no: ...................................................................................Contact person: ..............................................................................................................................................................

Designation: ..............................................................................................

I hereby report that the exchange programme *has been completed/is ongoing.

During the calendar year of................................................... (year), ........................................................(number) foreigners participated in the programme in the Republic.

Note: Details regarding the name(s) and surname, date of birth and passport number of the foreigner, the type of programme attended by the foreigner and the country from which the foreigner lodged his or her application, should be provided on a separate page.

Note: Attach proof of medical cover in the Republic.

During the year the following foreign participants failed to complete the exchange programme:

The reasons for the failure to complete the exchange programme are as follows (provide reason for each person):

.....................................................................                                                         .......................................................

Signature of designated person                                                                                             Date

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(Rank/Designation)