(DHA-1756) Form 1

NOTIFICATION REGARDING RIGHT TO REQUEST REVIEW BY MINISTER

[Section 8(1); Regulation 7(1)]

*Part A:

In respect of a person refused admission at a port of entry

To:............................................................................................................(name(s) and surname)

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

Date of birth:................................................................................................................................

In accordance with section 8(1) of the Act, you are hereby notified that you may request the Minister to review the decision. However, if the conveyance you arrived on is on the point of departing, you shall lodge a request for review immediately and depart and await the outcome thereof outside the Republic.

The conveyor responsible for your conveyance to the Republic, namely ...........................................................................   name and Flight No. / Vessel Registration No.) is liable for the costs of your detention, maintenance and removal from the Republic.

*Part B

In respect of a person found to be an illegal foreigner

To:............................................................................................................(name(s) and surname)

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

Date of birth:................................ Age............................ Gender.................................................

In accordance with section 8(1) of the Act, you are hereby notified that you may, within three days from date of this notice, request the Minister to review the decision to deport you.

IMMIGRATION OFFICER'S PARTICULARS

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

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

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

ACKNOWLEDGMENT OF RECEIPT

I acknowledge receipt of the original of this notice and understand the content thereof.

I **intend / do not intend to request a review of this decision.

My written request *is attached / will be submitted within three days.

*Delete Part A or B, which is not applicable

**Delete which is not applicable

CERTIFICATE BY INTERPRETER

I, ................................................................................................................... (name(s) and surname) of ......................................................................................................................(business name and address) and ......................................................................................................................... (residential address) with telephone number ....................................... and cell 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.