(DHA-) Form 7A

RETURN OF ILLEGAL FOREIGNER

[Section 7(1)(g) read with section 9(3)(d); Regulation 6(13)]

(ATTESTATION RELATING TO LOST OR DESTROYED TRAVEL DOCUMENTS)

From: Immigration Services

Port of Entry: ...........................................................................(Name)

Telephone: .........................................................................................

Facsimile: ............................................................................................

To: Immigration or other appropriate authority: ..............................................................(Name)

Port of Entry: ...............................................................................................................................

Country: ......................................................................................................................................

The person for whom this document is issued arrived on ............../............/............(date) at .................................................... (name of) airport on flight number .............................. from ......................................... (City and Country).

This person, who was found to be inadmissible, has lost or destroyed his / her travel documents and claims to be/is understood to be (strike out whichever is not applicable and add any appropriate supporting information).

The conveyor (where applicable) was instructed to remove the passenger from the territory of this State on flight.......................................(flight number) departing on............... /................. /..................(date) at....................................................... (time) from.................................................................. (name of) airport.

Pursuant to Annex 9 to the Convention on International Civil Aviation, the last State in which a passenger previously stayed and most recently travelled from is invited to accept him or her for re-examination when he or she has been refused admission to another State.

IMMIGRATION OFFICER'S PARTICULARS

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

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

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

Port of entry: ............................................................................................................................