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Immigration Act, 2002 (Act No. 13 of 2002)

Regulations

Immigration Regulations, 2014

Annexures

Annexure A: Forms

Form 49 (DHA-)

 

(DHA-) Form 49

 

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[Section 8(4) and (6); read with regulation 7(3)]

 

 

REFERENCE NUMBER: ____________________________________________

 

To: The DIRECTOR-GENERAL

 

I hereby wish to apply for review or appeal in terms of section 8(4) or 8(6) of the Immigration Act, 2002 (Act No. 13 of 2002) as amended.

 

FOR OFFICIAL USE

 

1.        Office of application ___________________________________________________________________________________________

2.        Date of Appeal application ______________________________________________________________________________________

 

 

IMPORTANT: PLEASE READ CAREFULLY
1. To be completed in detail in English. Please print in black ink.
2. The completed form must be accompanied by the relevant documents, in support of your appeal.
3. Applicant (s) advised to keep copies of all documentation submitted for appeal.
4. Attach copy of the rejection letter.

 

PERSONAL DETAILS OF APPLICANT

 

Surname: ____________________________________________________________________________________________________________________________________________

Forenames(s): ________________________________________________________________________________________________________________________________________

Date of birth: _____________________________________     Country of birth: ___________________________________________________________________________________

Nationality: __________________________________________________________________________________________________________________________________________

Passport number: _____________________________________________________________________________________________________________________________________

Present residential address: ____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

Contact details:

Tel: __________________________________________________________   Cell number: __________________________________________________________________________

E-mail address: _______________________________________________________________________________________________________________________________________

Date when you received the rejection letter: _____________________________________________________________________________________________________________

Reason(s) for appeal:

 












 

 

SIGNATURE OF APPLICANT: _____________________________________  DATE: _____________________

SIGNATURE OF OFFICIAL ACCEPTING THE APPLICATION ______________________________________________________________

NAME AND SURNAME ___________________________________________________________________________________________

DESIGNATION: _________________________________________________________________________________________________

 

 

 

 

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