(DHA-46) Form 19

DECLARATION OF FOREIGNER AS UNDESIRABLE PERSON

[Section 7(1)(g) read with section 30(1); Regulations 27(1) and 39(1)

To: ...........................................................................................

Passport No: ............................................................................

In terms of section 30(1) of the Act, you are hereby declared an undesirable person in the Republic due to the following reason(s):

If you disagree with the aforesaid declaration, you may, in terms of section 8(4) of the Act, make written representations to the Director-General at [email protected] within 10 working days of receipt of this notice to review this declaration.

Alternatively, you may apply to the Minister [email protected] to waive any of the grounds of undesirability in terms of section 30(2) of the Act if you are able to show good cause.

Place: ............................................

IMMIGRATION OFFICER'S PARTICULARS

Name and Surname: ............................................................................................................................

Appointment number: ........................................................................................................................

Rank/position .....................................................................................................................................

Office: ....................................................... Province: ..........................................................................

SUPERVISOR'S PARTICULARS

Name and Surname: ............................................................................................................................

Rank/position......................................................................................................................................

Contact No.: Tel: ..................................................................................................................................

ACKNOWLEDGEMENT OF RECEIPT

I acknowledge receipt of the original of this notice.

I *wish/do not wish to make representations within 10 working days from receipt of this notice to the Director-General in terms of section 8(4) of the Act to review the declaration.

I understand that I am entitled to make representations to the Minister showing good cause for the Minister to waive the grounds of undesirability in terms of section 30(2) of the Act.

*Delete whichever is not applicable

CERTIFICATE BY INTERPRETER

I, ...........................................................................................................(name(s) and surname) of ..............................................................................................................................................(*business/residential address) and telephone number ........................................and cell phone number ................................................hereby confirm that I have mastered .......................................................................................... (state language) and that I have explained to ................................................................................................................ (name(s) and surname of foreigner) the contents of this notice in the said language and that I am satisfied that the said foreigner fully understands it.

[Form 19 substituted by regulation 11 of Notice No. R. 1328, GG 42071, dated 29 November 2018]