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Immigration Act, 2002 (Act No. 13 of 2002)

Regulations

Immigration Regulations, 2014

Annexures

Annexure A: Forms

Form 46 (DHA-)

 

(DHA-) Form 46

 

Dept of Home Affairs Icon

 

APPLICATION FOR THE ISSUE OF PROOF OF PERMANENT RESIDENCE OR EXEMPTION STATUS

 

[Regulation 25]

 

1.        PARTICULARS OF APPLICANT

 

 

a) Surname .....................................................................................................................................................................................................
b) Christian names/Forenames ........................................................................................................................................................................
c) Date of birth ................................................................................................................................................................................................
d) Maiden surname and all other surnames by which previously known ............................................................................................................
e) Number and date of permit for residence (immigration permit) or, if not available, year in which you applied for permanent residence
f) Any reference number (Home Affairs/Immigration) ..............................................................................................................................
g) Date of first arrival in South Africa .........................................................................................................................................................
h) Identity number ....................................................................................................................................................................................
i) Passport number ...................................................................................................................................................................................
j) Nationality at birth ................................................................................................................................................................................
k) Present nationality ................................................................................................................................................................................
l) Postal address .......................................................................................................................................................................................
m) Telephone No: 1. Work .......................................................................................................... 2. Home ..................................................

            Cellphone No. .......................................................................................................... Email address: ...............................................................................................................................

 

2. IMPORTANT: PARTICULARS OF APPLICANT'S FAMILY MUST BE FURNISHED. IF MARRIED TO SOUTH AFRICAN CITIZEN, PROOF TO BE PROVIDED E.G. COPY OF MARRIAGE CERTIFICATE / ID

 

Form 46 (DHA-)

 

3. DETAILS OF PREVIOUS COUNTRIES OF RESIDENCE AND EMPLOYERS. IF THE EMPLOYER WAS: (A) AFFILIATED TO AN SOUTH AFRICAN COMPANY (B) AN INTERNATIONAL ORGANIZATION OF WHICH THE STATE IS A MEMBER (C) OR IF YOU WERE SECONDED BY THE SOUTH AFRICAN GOVERNMENT, PLEASE PROVIDE PROOF.

 

From - To

City / Town

Country

Employer

























 

I declare that the information furnished on this form is correct.

 

 

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

                    Signature of applicant                                                                                                                                         Date

 

NOTE: The completed form must be signed before an official of the Department of Home Affairs, a Local Magistrate's office or the SA Police. It will be necessary for you to identity yourself to the interviewing officer by means of your passport or Identity document.

 

A separate form must be completed in respect of each person requiring proof of permanent residence. Copies of permits for Permanent Residence are NOT issued.

 

* If this form is completed the Department's records will be consulted with a view to furnishing a certificate confirming that permanent residence has been granted. A FEE IS PAYABLE.

 

 

4.        FOR OFFICIAL USE ONLY

 

 

The applicant was identified from Passport/Identity Document number ............................................................................................................................

 

Signed before me at ......................................................................on .....................................................................20 ......................................................

 

 

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

Full names and surname

 

 

 


OFFICIAL DATE STAMP


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

Signature and designation