Immigration Act, 2002 (Act No. 13 of 2002)RegulationsImmigration Regulations, 2014AnnexuresAnnexure A: FormsForm 13 (DHA-1743) |
(DHA-1743) Form 13
APPLICATION FOR CORPORATE VISA
[Section 7(1)(g) read with section 21; Regulation 20(1)]
For official use only
Office: |
BLOK: |
Date received: |
File No.: |
Application received and checked for compliance on .........../ ............. / ............. (date) by ............................... (initials and surname). Persal ................................. |
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Application fee: R |
Receipt no. |
Application processed on .........../ ............. / ............. (date) by ............................................................ (initials and surname). Persal No. : ......................................Appointment no. ...................................................................... |
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Recommendation: |
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Decision: |
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Reason(s) for decision:
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Number of corporate worker authorisation certificates authorised: |
Note: Form to be completed in full and fields marked (*) are compulsory and should the information not be provided, the application will not be considered.
BACKGROUND DETAILS OF CORPORATE APPLICANT TO EMPLOY FOREIGNERS |
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Name of Company: .......................................................................................................... |
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*Registration No.: ....................................... |
*Tax reference number: .......................................... |
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Contact person: Name and surname ........................................................................................................ Identity No. ........................................................ Capacity: ............................................ Cell phone No. : ........................................ Tel No. : ....................................................... Fax No. : .............................................E-mail address: ................................................... Residential address (not work address): ........................................................................ ..................................................................................................................................... |
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Company's physical address: .............................................................................. .............................................................................. .............................................................................. .............................................................................. |
Company's postal address: .............................................................................. .............................................................................. .............................................................................. .............................................................................. |
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If a subsidiary, name of principal company and its physical address: .......................................... ................................................................................................................................................. ................................................................................................................................................. |
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Nature of business conducted: ................................................................................ ................................................................................ |
Total no. of workers employed currently: ............................
Citizens (.................) and Foreigners (............) |
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THE ABOVE-MENTIONED COMPANY OR ORGANISATION HEREBY APPLIES FOR A CORPORATE VISA TO EMPLOY FOREIGNERS |
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Type of position: ..................................................... |
No. of workers required: ................... |
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Type of position: ..................................................... |
No. of workers required: .................... |
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Type of position: ..................................................... |
No. of workers required: ..................... |
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REQUIREMENTS |
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Yes |
No |
Comments:
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An undertaking by the employer to inform the Director-General should any employee not comply with the provisions of the Act or visa conditions or is no longer in the employ of such employer or is employed in a different capacity or role |
Yes |
No |
Comments:
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A written undertaking by the corporate applicant to pay the deportation costs of any foreign employee accepting responsibility for the return costs related to the deportation of the foreign employee, should it be necessary. |
Yes |
No |
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Proof, by the corporate applicant, that at least 60% of the total staff complement that are employed in the operations of the business are citizens or permanent residents employed permanently in various positions |
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Pro forma type of employment contract (to be certified for adherence to basic conditions of employment). |
Yes |
No |
UNDERTAKING BY CORPORATE APPLICANT
I, ......................................................................................................(name(s) and surname) with identity number ................................................................................., in my capacity as .....................................................................................of the abovementioned company, undertake to abide by the terms and conditions of the visa should it be issued to me and to comply with the provisions and objectives of the Act.
I solemnly declare that I am authorised to make this application and to accept the obligations it involves on behalf of the aforesaid company.
I declare that the information contained in this application is true and correct and undertake to—
I declare that none of the foreigners to be employed are not presently in the Republic and are not prohibited persons in terms of the Act.
I understand that the corporate visa issued to me may be terminated in case of breach of this undertaking and any other conditions not complied with.
.................................................. Signature
Signed at ...................................... on this ........day of ....................................20 ........
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