Immigration Act, 2002 (Act No. 13 of 2002)RegulationsImmigration Regulations, 2014AnnexuresAnnexure A: FormsForm 44 (DHA-1751) |
(DHA-1751) Form 44
NOTICE OF ADMINISTRATIVE FINE INCURRED BY OWNER OR PERSON IN CHARGE OF CONVEYANCE
[Section 7(1)(g) read with section 50(3); Regulation 39(4)]
To: ................................................................................................................. (owner or person in charge of conveyance)
*Identity Document/Passport number of owner or person in charge of conveyance: ..........................................................................................................................................
Person in charge of conveyance
Name and surname: ...........................................................................................................................................................................................................................................
Passport No........................................................................................ Identity No.: ...........................................................................................................................................
Residential and postal address of person in charge of conveyance:
In the Republic (postal): .......................................................................................................................................................................................................................................................................................... |
In the Republic (residential): .................................................................................................................................................................................................................................................................................... |
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Abroad (postal): .......................................................................................................................................................................................................................................................................................... |
Abroad (residential): ................................................................................................................................................................................................................................................................................... |
Owner/Employer's Details
Name and surname: .......................................................................................................................................................................................
Name of Company: .......................................................................................................................................................................................
Registration No. of conveyance: ..........................................................................................................................
In the Republic (postal): .......................................................................................................................................................................................................................................................................................... |
In the Republic (residential): .................................................................................................................................................................................................................................................................................... |
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Abroad (postal): .......................................................................................................................................................................................................................................................................................... |
Abroad (residential): ................................................................................................................................................................................................................................................................................... |
You are hereby informed that in terms of section 50(3) of the Act you have incurred a fine to the amount of R .....................................for contravening section 35(9) of the Act, for conveying passengers listed below on conveyance number ......................................................on ................../................../...........................
You are hereby required to pay the fine within 30 days of the date of this notice. Should you fail to pay the said amount you shall be liable to prosecution.
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Signature of immigration officer Date Place:
ACKNOWLEDGEMENT OF RECEIPT
I acknowledge receipt of the original of this notice.
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Signature of *owner/person in charge of conveyance Date
LEFT THUMB PRINT |
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Signature of witness Date
*Delete whichever is not applicable