Immigration Act, 2002 (Act No. 13 of 2002) Regulations Immigration Regulations, 2014 Annexures Annexure A: Forms Form 23 (DHA-1721)

 

(DHA-1721) Form 23

 

 

NOTICE BY IMMIGRATION OFFICER TO PERSON TO APPEAR BEFORE DIRECTOR-GENERAL

 

[Section 7(1)(g) read with section 33(4)(c); Regulation 32(3)]

 

 

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

(name(s) and surname) with identity document / passport number ..........................................................................................................................................

 

 

Tel No. : ......................................................................................(work/home)                                Cell No. : ...............................................................................

Alternative Contact: ...............................................................................................................................................(next of kin, friend's name and surname)

Tel No.: .......................................................................................(work/home)                                Cell No.: ...............................................................................

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

 

YOU ARE HEREBY called upon in terms of section 33(4)(c) of the Act to appear before ............................................................................................................................(name(s) and surname of immigration officer) at ..............................................................................................................................................................................................(physical address) on ................................................................................ (date) at ..................................................................... (time).

 

Reason(s) why you are called upon to appear before the Director-General:

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

 

 

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

Signature of *immigration officer/sheriff                                                      Appointment no                                                                           Date

 

 

IMMIGRATION OFFICER'S PARTICULARS

 

Name and Surname: ................................................................................................................................................................................................

Appointment number: ............................................................................................................................................................................................

Rank/position .........................................................................................................................................................................................................

Office: ............................................................................................ Province : ........................................................................................................

 

SUPERVISOR'S PARTICULARS

 

Name and Surname: ................................................................................................................................................................................................

Rank/position .........................................................................................................................................................................................................

Contact No.: Tel: .....................................................................................................................................................................................................

 

A copy hereof was personally handed to the aforementioned on ..........................................................................................(date) and the import thereof explained to him or her/ delivered at his/her last known address*.

 

Place: .....................................................................................................................................................................................................................

 

 

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

Signature of *immigration officer/sheriff                                                  Appointment no                                                                            Date

 

 

IMMIGRATION OFFICER'S PARTICULARS

 

Name and Surname: ................................................................................................................................................................................................

Appointment number: ............................................................................................................................................................................................

Rank/position .........................................................................................................................................................................................................

Office: ............................................................................................ Province : ........................................................................................................

 

SUPERVISOR'S PARTICULARS

Name and Surname: ................................................................................................................................................................................................

Rank/position .........................................................................................................................................................................................................

Contact No.: Tel : .....................................................................................................................................................................................................

 

 

ACKNOWLEDGEMENT OF RECEIPT

 

 

I acknowledge receipt of this notice.

 

 

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

Signature of recipient                                                               Initials and Surname                                                                                                   Date

 

*Delete which is not applicable