Immigration Act, 2002 (Act No. 13 of 2002) Regulations Immigration Regulations, 2014 Annexures Annexure A: Forms Form 2 (DHA-1714A) Part C

 

(DHA-1714A) Form 2

 

 

NOTICE OF DECISION ADVERSELY AFFECTING RIGHT OF PERSON

 

[Section 7(1)(g) read with section 8(3); Regulation 7(2)]

 

*Part C:

 

In relation to Inspectorate

 

 

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

 

 

At:  ...............................................................................................................................................

 

With reference to ................................................................................................ you are, in terms of the provisions of section 8(3) of the Act, hereby, notified that the decision is as follows:

 

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The reason(s) for the decision is/are the following:

 

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You  may, within 10 working days from date of receipt of this notice, make written representations to the Director-General to review the decision.

 

 

 

 

 

IMMIGRATION OFFICER'S PARTICULARS

 

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

 

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

 

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

 

Office: ......................................................................................................................................

 

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

 

 

SUPERVISOR'S PARTICULARS

 

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

 

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

 

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

 

 

I acknowledge receipt of the original of this notice and declare that I understand its content.

 

I *intend/do not intend to make representations to the Department in terms of section 8(2) of the Act to review the decision.

 

Written representations *are attached/will be submitted within 10 working days.

 

 

 

*Delete which is not applicable

 

 

 

CERTIFICATE BY INTERPRETER

 

 

I .......................................................................................................... (first name(s) and surname) of ........................................................................................................(*business/residential address) hereby confirm that I have mastered ............................................... (state language) and that I have explained to ...............................................................................the contents of this notice in the said language and that I am satisfied that the said detainee fully understands it.

 

 

Signed at .................................................... on this ................ day of ................................ 20 ..........

 

 

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Signature of interpreter