(DHA-) Form 47

APPLICATION FOR EXEMPTION

[Section 31(2)(b) and regulation 28]

Reference Number ........................................................................................

PERSONAL DETAILS OF APPLICANT

1.1        Title: _____________________ 1.2        Surname: _________________________________________________________________________________

1.3        First names(s): _______________________________________________________________________________________________________________

1.4        Maiden name (if applicable): ___________________________________________________________________________________________________

1.5        Other former surnames: _______________________________________________________________________________________________________

1.6        Date of birth: _____________________________  1.7        Country of birth: ______________________________________________________________

1.8        Nationality at birth ___________________________________________________   1.9        Present Nationality: _________________________________________________________

1.10        Passport No: ___________________________________________ Expiry date: _____________________________ Issued by (Country): _____________________________________

1.11        Marital Status: _______________________________________________              Date: _______________________________________________________________________________

1.12        Present Residential Address: _____________________________________________________________________________________________________________________________

1.13        Postal Address: _________________________________________________________________________________________________________________________________________

1.14        Tel. No: Home: ______________________________________________________  Work: ________________________________________________________   Cell: _________________________________________   E-mail Address: ___________________________________________________________________________

1.15        Occupation: _____________________________________________________________________________________________________________________________

1.16        Type of temporary permit held (if applicable): _______________________________________________________________________________________________

1.17        Valid until: ______________________________________________________  Issuing office: __________________________________________________________

1.18        Date and place where you entered the RSA: _________________________________________________________________________________________________

2.        DETAILS OF APPLICANTS SPOUSE (If applicable):

Title: ______________________________________   Surname: __________________________________________________________________________________________

Maiden name: _______________________________________________   First names: _______________________________________________________________________

Place of birth: __________________________________________________________________    Country: _______________________________________________________

Nationality at birth: ______________________________________________________________________________________________________________________________

Date of Birth: _________________________________________________   Passport Number: _________________________________________________________________

3.        DETAILS OF CHILDREN ACCOMPANYING YOU:

4.        EMPLOYMENT RECORD OF APPLICANT (to cover full period of employment):

5.        DETAILS REGARDING APPLICANT AND (if applicable) SPOUSE AND CHILDREN:

If you replied to any of the questions above in the affirmative, please furnish full details.

6.        REASONS FOR EXEMPTION REQUEST

_______________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________

I/We the undersigned, declare that the details reflected in this application and supporting documents are true and correct and that it is my/our intention to reside/ work in the Republic. I undertake to inform the Department of any change of address whilst the application is being processed, with the understanding that in the event of failure to do so the Department will not be responsible for any breakdown in communication. I/we, furthermore, undertake to inform the Department of any change in relevant information or circumstances that could influence the outcome of this application.

Signature of applicant: __________________________________________        Date: ___________________________________

FOR OFFICIAL USE;

Application checked and all supporting documents verified.

Application tracked and traced.

Surname and full forename(s): _______________________________________________________________________________

Persal No: ________________________________________________ Designation: _____________________________________

PLEASE READ THE FOLLOWING

In providing for the regulation of admission of foreigners to and their residence in the Republic, the Immigration Act, 2002 (Act No 13 of 2002), inter alia, aims to promote economic growth through the employment of needed foreign labour which does not adversely impact on existing labour standards and rights and expectations of South African workers.

In terms of section 31(2)(b) of the Immigration Act, 2002 (Act No 13 of 2002), Upon application, the Minister may under terms and conditions determined by him or her grant a foreigner or a category of foreigners the rights of permanent residence for a specified or unspecified period when special circumstances exist which would justify such a decision.

In order to satisfy the Minister that the issuing of an exemption to a foreigner would promote economic growth and would not be to the disadvantage of South African citizens or permanent residents, the following documents have to accompany this application:

(a)        A letter signed by the applicant citing reasons for the exemption and a comprehensive motivation for each reason provided.

(b)        A copy of the applicant's curriculum vitae.

(c)        A copy of the applicant's passport and all temporary residence permits affixed therein.

(d)        A copy of the employment contract signed by both the employer and the employee, if applicable.

(e)        Background on the company/institution for record purposes.

(f)        Any other information that would assist the Minister to make an informed decision when considering an exemption