Immigration Act, 2002 (Act No. 13 of 2002)RegulationsImmigration Regulations, 2014AnnexuresAnnexure A: FormsForm 46 (DHA-) |
(DHA-) Form 46
APPLICATION FOR THE ISSUE OF PROOF OF PERMANENT RESIDENCE OR EXEMPTION STATUS
[Regulation 25]
1. PARTICULARS OF APPLICANT
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 |
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.
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4. FOR OFFICIAL USE ONLY
The applicant was identified from Passport/Identity Document number ............................................................................................................................
Signed before me at ......................................................................on .....................................................................20 ......................................................
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Full names and surname
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OFFICIAL DATE STAMP |
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............................................................................................................ Signature and designation
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