Immigration Act, 2002 (Act No. 13 of 2002)RegulationsImmigration Regulations, 2014AnnexuresAnnexure A: FormsForm 37 (DHA-1694) |
(DHA-1694) Form 37
NOTIFICATION TO A PERSON AT A PORT OF ENTRY THAT HE OR SHE IS AN ILLEGAL FOREIGNER AND IS REFUSED ADMISSION
[Section 7(1)(g) read with sections 34(8) and 35(10); Regulations 33(10) and (14)]
To: ......................................................................................................................(name and surname of illegal foreigner)
In terms of section 8(1) of the Act, you are hereby notified that you do not qualify for admission into the Republic as-
*(a) you have been declared an undesirable person in terms of the provisions of section 30(1) of the Act;
*(b) you are a prohibited person in terms of the provisions of section 29 of the Act by virtue of the fact that you-
*(i) are infected with or carrying the following *disease/virus: ..................................................................................................................................(name of disease or virus);
*(ii) have a warrant outstanding or a conviction has been secured in respect of...................................................................................................................(name of offence);
*(iii) were previously deported and not rehabilitated by the Director-General as contemplated in Regulation 26(4);
*(iv) are a member of or adherent to an association or organization advocating the practice of racial hatred or social violence;
*(v) are or have been a member of or adherent to an organization or association utilizing crime or terrorism to pursue its ends;
*(vi) are or have been in possession of a fraudulent residence visa, passport or identification document;
*(c) you are an illegal foreigner for the following reason(s):
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• | Should you have reason to submit that the refusal of your admission into the Republic was procedurally unfair, unreasonable or unlawful, you may, within three days from date of this notice, request the Minister to review this decision. |
• | However, if the conveyance you arrived on is on the point of departing, your request for review must be lodged immediately and if the said request has not been finalised prior to the departure of the conveyance, you shall depart on such conveyance and await the outcome of the request outside the Republic. |
In terms of section 35(10) of the Act, the conveyor responsible for your conveyance to the Republic, namely ....................................................................................................................................., shall be responsible for the detention and removal of a person conveyed and any costs related to such detention and removal incurred by the Department.
Official stamp |
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Signature of *immigration officer |
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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 and understand the contents thereof.
I *wish/do not wish to request a review of this decision. My written request *is attached/will be submitted within three days.
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Signature of illegal foreigner Date
*Delete which is not applicable
CERTIFICATE BY INTERPRETER
I, .....................................................................................................................................................(name and surname) of ....................................................................................................................................................................................(*business/residential address) hereby confirm that I have mastered ............................................................................................................(state language) and that I explained to ................................................................................................................................
(name(s) and surname of illegal foreigner) the contents of this document in the said language and that I am satisfied that the illegal foreigner fully understands the contents of this document.
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Signature of interpreter Place Date
*Delete which is not applicable