Prevention and Combating of Trafficking in Persons Act, 2013 (Act No. 7 of 2013) Regulations Prevention and Combating of Trafficking in Persons Regulations relating to Prosecutor's Referral of Suspected Victims of Trafficking in Persons, 2015 Annexure : Form

 

Referral of accused person in terms of section 22(2)(b) of the Prevention and Combating of Trafficking in Persons Act, 2013 (Act No. 7 of 2013)

 

 

IMPORTANT NOTICE: THE UNAUTHORISED ACCESS TO AND DISCLOSURE OF INFORMATION OF A VICTIM OF TRAFFICKING OR SUSPECTED VICTIM OF TRAFFICKING OR CHILD IN THE CARE OF A VICTIM OF TRAFFICKING IS AN OFFENCE FOR WHICH THE PENALTY IS A FINE OR IMPRISONMENT FOR A PERIOD NOT EXCEEDING 15 YEARS OR BOTH (SECTION 23 READ WITH SECTION 13(c) OF THE ACT)

 

NOTICE TO THE PROVINCIAL DEPARTMENT OF SOCIAL DEVELOPMENT,

 

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PLEASE NOTE THE FOLLOWING:

 

 

 

PLEASE ASSESS THE PERSON WHOSE PARTICULARS APPEAR IN PART A BELOW WITHOUT DELAY AND PROVIDE THE PROSECUTOR WITH YOUR ASSESSMENT IN TERMS OF SECTION 18(6) OR 19(8) OF THE ACT ON OR BEFORE.............................

 

 

CASE No ...............................................................................................................................

 

.............................................................................................................................................

(Court)

 

 

The State vs  .........................................................................................................................

 

 

PART A

 

To the office of the provincial department of social development,

 

E-mail address: .............................................................................

 

Fax no: .........................................................................................

 

Town/city .....................................................................................

 

The person whose particulars appear below is referred to you in terms of section 22(2)(b) of the Prevention and Combating of Trafficking in Persons Act, 2013 for an assessment in terms of section 18(6) or 19(8) of that Act.

 

Particulars of person:

 

Full names and surname: .....................................................................................................

 

South African national from ...................................................................................... (town/city)

 

Province: .............................................................................................................................

 

Age: ................................................................ Gender: ......................................................

 

Date of birth and Identity number if available .....................................................................

 

Foreign national from: .................................................................................... (city/country).

 

The person appears to be in transit from ............................................................ (country) to

 

................................................................................. (country).

 

Passport number, if available: ...............................................................................................

 

 

Particulars of charge against person: .....................................................................................

 

.............................................................................................................................................

 

.............................................................................................................................................

 

Briefly give reasons for suspecting that that person is a victim of trafficking:

 

.............................................................................................................................................

 

.............................................................................................................................................

 

..............................................................................................................................................

 

Any other additional information (which does not reveal the whereabouts of the person):

 

..............................................................................................................................................

 

..............................................................................................................................................

 

..............................................................................................................................................

 

Note: The person is ........................................................................... speaking and requires an interpreter/does not require an interpreter.

 

The person can be contacted through the following investigating police official:

 

Rank and name of investigating official: ................................................................................

 

Contact details: .....................................................................................................................

 

 

........................................................

Name of Prosecutor

 

Official date stamp

 

...........................................................

Signature of Prosecutor

 

 

........................................................

Court

 

Contact details:

 

E-mail address: ......................................................

 

Tel no: ...................................................................

 

Fax no: ..................................................................

 

 

PART B

 

To be completed by the provincial department of social development that has assessed the person:

 

To: .......................................................................

Name of Prosecutor

 

 

Contact details:

 

E-mail address: ....................................................

 

Fax no: ................................................................

 

 

............................................................................

(Court)

 

Reference number of provincial department of social development: ..........................................

 

The person, ................................................ (full name) has been assessed as requested in terms of section 18(6) or 19(8) of the Prevention and Combating of Trafficking in Persons Act, 2013 and the following conclusion has been made:

 

 

.......................................................................................................................................

 

...................................................................................................................................; or

 

 

.......................................................................................................................................

 

....................................................................................................................................;or

 

....................................................................................................................................; or

 

 

.......................................................................................................................................

 

.......................................................................................................................................

 

..................................

Signature

 

........................................................

Name of social worker on behalf of

the provincial department of social

development

 

 

Office of provincial department of social development, .............................................................

 

 

................................................

Provincial Head

 

Official date stamp of provincial

department of social development

 

Contact details:

 

E-mail address: ....................................................

 

Tel no: .................................................................

 

Fax no: .................................................................

 

The following additional particulars and documents are attached, if applicable:

 

Children’s Act, 2005 (Act No. 38 of 2005) Form 22 of the General Regulations Regarding Children, 2010.

 

The finding by the provincial department of social development, that a child is a victim of trafficking.

 

A copy of the letter of recognition referred to in section 19(10) of the Prevention and Combating of Trafficking in Persons Act, 2013.