Immigration Act, 2002 (Act No. 13 of 2002)RegulationsImmigration Regulations, 2014AnnexuresAnnexure A: FormsForm 18 (DHA-947) |
(DHA-947) Form 18
APPLICATION FOR PERMANENT RESIDENCE PERMIT
[Section 25(2); Regulation 23(1)]
IMPORTANT
I, ___________________________________________________________________________(surname and name of main applicant), ________________________________________________________________(passport number) declare that I understand that:
1. | This application form and supporting documents must be submitted in person. |
2. | If my spouse and/or dependent children over the age of 16 years form part of the application, they will accompany me when submitting the application for the purpose of providing their biometrics. |
3. | An application for permanent residence status does not grant me such status. I and all my family members will continue to renew our temporary residence visas until the outcome of the permanent residence application has been received. |
4. | All the documents in support of my application must be originals or copies authenticated by the issuing authority in the country of origin. |
5. | I am obliged to inform the Department of any change of address, or change in information or circumstances that could influence the outcome of the application, whilst the application is being processed. |
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Signature | Date |
FOR OFFICIAL USE ONLY
REFERENCE NO.: ..............................................................................................................................................................................
LIST OF APPLICANTS
Surname |
First name(s) |
Date of birth |
Gender |
Relationship |
Applicable section of Act |
Reference number |
Application processed by .....................................................................................................................(first name and surname of official)
Decision
Application *approved/rejected.
If rejected, reason(s) for decision:
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
In the case of conditional approval, state conditions:
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Signature: ................................................................................. Date: ...............................................................................................................
Rank: ................................................................................................................................ |
Official stamp |
Office: ..............................................................................................................................
|
Details of principal applicant:
Title: .................................. Surname: ...................................................................................................................
First Name: .............................................................................................................................................................
Maiden name: ........................................................................................................................................................
Any other former surnames: ...................................................................................................................................
Date of birth: |
Year |
Month |
Day |
Country of birth: ..................................................................................... Nationality at birth: ..........................................................................
Present nationality: ..........................................................................................................................................................................................
Passport No. : ...................................................................................Expiry date: .............................................................................................
Issuing authority of passport: ...........................................................................................................................................................................
Marital status:
Never married |
Married |
Permanent spousal relationship
|
Divorced |
Widowed |
Legally separated |
Type of marriage or spousal relationship:
Civil marriage |
Customary marriage |
Religious marriage
|
Permanent heterosexual relationship |
Permanent homosexual relationship |
Date and place of conclusion of marriage or spousal relationship:
...........................................................................................................................................................................................................................
Details of previous marriage(s) or permanent spousal relationship(s) (if any):
• | Date and place of marriage/conclusion of spousal relationship: |
................................................................................................................................................................................................................. |
• | Date and place of *divorce/separation: |
................................................................................................................................................................................................................. |
*Details about any parental rights and responsibilities (including maintenance obligations) in respect of children born from such marriage(s)/permanent spousal relationship(s), including legally adopted children:
.....................................................................................................................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................................................................................................................
Present residential address:
.....................................................................................................................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................................................................................................................
Since
|
Year |
Month |
Day |
Postal Address:..................................................................................................................................................................................................................................
Suburb: ......................................................................................................City: ................................................................................. Code: ....................................
Tel No: (Home) ............................................................................................ (Work) .........................................................................................................................
Cellphone: ........................................................................................................................................................................................................................................
E-mail address: .................................................................................................................................................................................................................................
Occupation: ......................................................................................................................................................................................................................................
Type of temporary residence visa held (if applicable): ......................................................................................................................................................................
Valid until: ............................................................................................Issuing office: .....................................................................................................................
Details of principal applicant's parents:
Father:
Surname: .........................................................................................................................................................................................................................................
First name: .......................................................................................................................................................................................................................................
Date of birth: ....................................................................................................................................................................................................................................
Place of birth: ............................................................................................ Country: ........................................................................................................................
Mother:
Surname: ..........................................................................................................................................................................................................................................
First name: .......................................................................................................................................................................................................................................
Maiden name: ............................................................................................
Date of birth: ............................................................................................ Place of birth: .................................................................................................................
Country: ............................................................................................ Nationality at birth: ................................................................................................................
Details of applicant's spouse:
Title:................................................... Surname: ..............................................................................................................................................................................
First name: ........................................................................................................................................................................................................................................
Maiden name: ...................................................................................................................................................................................................................................
Any other former surname(s): ...........................................................................................................................................................................................................
Date of birth: Year |
Month |
Day |
Country of birth: ............................................................................................Nationality at birth: ....................................................................................................
Present nationality: ..........................................................................................................................................................................................................................
Passport no.: ............................................................................................ Expiry date: .....................................................................................................................
Issuing authority of passport: ............................................................................................................................................................................................................
Details of previous marriage(s) or permanent spousal relationship(s) (if any):
• | Date and place of marriage/conclusion of spousal relationship: |
............................................................................................................................................................................................................................................
• | Date and place of *divorce/separation: .................................................................................................................................................................................. |
Details about any custody or maintenance obligations in respect of children born from such *marriage(s)/permanent spousal relationship(s), including legally adopted children:
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
Present residential address:
...................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................
Occupation:
...................................................................................................................................................................................................................................................................................
Type of temporary residence visa held (if applicable):
...................................................................................................................................................................................................................................................................................
Valid until: ............................................................................................. Issuing office: ..............................................................................................................................................
Details of spouse's parents:
Father:
Surname: ....................................................................................................................................................................................................................................................................
First name(s): ..............................................................................................................................................................................................................................................................
Date of birth: .............................................................................................Place of birth: ...........................................................................................................................................
Country: .............................................................................................Nationality at birth: ..........................................................................................................................................
Present nationality ......................................................................................................................................................................................................................................................
Mother:
Surname: .....................................................................................................................................................................................................................................................................
First name(s): ..............................................................................................................................................................................................................................................................
Date of birth: ...............................................................................................................................................................................................................................................................
Place of birth: ..............................................................................................................................................................................................................................................................
Country: ..........................................................................................Nationality at birth: ..............................................................................................................................................
Present nationality .......................................................................................................................................................................................................................................................
Details of biological-, step- and adopted children not included in the application:
Surname |
First name |
Date of birth |
Gender |
Nationality |
Details of relatives or friends resident in South Africa:
Surname |
First name |
Relationship |
Identity number / Permanent or Temporary residence permit number |
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Employment record of principal applicant (to cover full period of employment):
Name of employer |
Address |
From (date)
|
To (date) |
Nature of work |
Occupation to be followed in the Republic—
• | by principal applicant ...................................................................................................................................................................................... ; and |
• | by spouse: ........................................................................................................................................................................................................... |
Amount of funds to be transferred to the Republic—
• | by principal applicant: |
..............................................................................................................................................................................................................; and
• | by spouse: .......................................................................................................................................................................................................... |
Details of pension or private income-
• | of principal applicant: |
..........................................................................................................................................................................................................................; and
• | of spouse: ............................................................................................................................................................................................................... |
Details of any other assets (e.g. property, investments, etc.)-
• | of principal applicant: |
...................................................................................................................................................................................................................; and |
• | of spouse: ............................................................................................................................................................................................................. |
Details of any family members remaining in your country of origin (spouse, children, parents, sisters, brothers):
Surname & First Name(s) |
Address |
Relationship |
Full details of previous and current residential addresses (since 18th birthday or for the last ten years):
Principal applicant:
From (month and year) |
To (month and year) |
Number and street name |
City / Town |
Country |
Spouse:
From (month and year) |
To (month and year) |
Number and street name |
City / Town |
Country |
Details regarding applicant and (if applicable) spouse and children:
The following questions relate to you (the applicant), as well as to your spouse and children (if any), and must be answered "YES" or "NO".
Have you or any of the persons concerned ever been-
• | convicted of a criminal offence, even if such conviction is no longer on record against you or the persons concerned? ............................................................................................. |
• | declared insolvent? ..............................................................If yes, have you been rehabilitated?............................................................................................................................ |
• | the subject of a civil action, including failure to fulfil child maintenance obligations? |
................................................................................................................................................................................................................................................................................ |
• | Is there a civil or criminal enquiry pending against you or any of the persons concerned? ........................................................................................................................................ |
• | Have you or any of the persons concerned ever been refused entry into or been removed or deported from the Republic? .......................................................If so, provide details: |
................................................................................................................................................................................................................................................................................ |
N.B. If the answer to any of the above questions is "YES", provide full details below.
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General information:
Postal address and telephone number where you could be contacted in the Republic:
................................................................................................................................................................................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................................................................................................................................................
If your spouse is a South African citizen or permanent resident, please provide his/her employment details: ....................................................................................................................................................................................................................................................................................................................................................................................
Note: Any incorrect or misleading information or false documents furnished in support of this application may result in the application being refused or, if the permanent residence permit has already been issued, that permit being withdrawn.
*I/We, the undersigned, declare that—
• | the photograph(s) submitted in support of this application *is/are a true reflection of the person(s) whose name(s) appear on the reverse side thereof; |
• | the details reflected in this application, as well as the documents submitted in support of this application, are true and correct; and |
• | it is *my/our intention to permanently reside in the Republic. |
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Signature of applicant Date
(Parent(s) or legal guardian if main applicant is a minor child)
............................................................... ......................................................................................
Signature of spouse Date