Regulations > Immigration Regulations, 2014 > Annexures > Annexure A: Forms

(DHA-) Form 46

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APPLICATION FOR THE ISSUE OF PROOF OF PERMANENT RESIDENCE OR EXEMPTION STATUS

[Regulation 25]

1. PARTICULARS OF APPLICANT

a)	Surname .....................................................................................................................................................................................................

b)	Christian names/Forenames ........................................................................................................................................................................

c)	Date of birth ................................................................................................................................................................................................

d)	Maiden surname and all other surnames by which previously known ............................................................................................................

e)	Number and date of permit for residence (immigration permit) or, if not available, year in which you applied for permanent residence

f)	Any reference number (Home Affairs/Immigration) ..............................................................................................................................

g)	Date of first arrival in South Africa .........................................................................................................................................................

h)	Identity number ....................................................................................................................................................................................

i)	Passport number ...................................................................................................................................................................................

j)	Nationality at birth ................................................................................................................................................................................

k)	Present nationality ................................................................................................................................................................................

l)	Postal address .......................................................................................................................................................................................

m)	Telephone No: 1. Work .......................................................................................................... 2. Home ..................................................

Cellphone No. .......................................................................................................... Email address: ...............................................................................................................................

2.	IMPORTANT: PARTICULARS OF APPLICANT'S FAMILY MUST BE FURNISHED. IF MARRIED TO SOUTH AFRICAN CITIZEN, PROOF TO BE PROVIDED E.G. COPY OF MARRIAGE CERTIFICATE / ID

Form 46 (DHA-)

3.	DETAILS OF PREVIOUS COUNTRIES OF RESIDENCE AND EMPLOYERS. IF THE EMPLOYER WAS: (A) AFFILIATED TO AN SOUTH AFRICAN COMPANY (B) AN INTERNATIONAL ORGANIZATION OF WHICH THE STATE IS A MEMBER (C) OR IF YOU WERE SECONDED BY THE SOUTH AFRICAN GOVERNMENT, PLEASE PROVIDE PROOF.

From - To	City / Town	Country	Employer






I declare that the information furnished on this form is correct. .................................................................................... ................................................. Signature of applicant Date NOTE: The completed form must be signed before an official of the Department of Home Affairs, a Local Magistrate's office or the SA Police. It will be necessary for you to identity yourself to the interviewing officer by means of your passport or Identity document. A separate form must be completed in respect of each person requiring proof of permanent residence. Copies of permits for Permanent Residence are NOT issued. * If this form is completed the Department's records will be consulted with a view to furnishing a certificate confirming that permanent residence has been granted. A FEE IS PAYABLE.

4. FOR OFFICIAL USE ONLY

The applicant was identified from Passport/Identity Document number ............................................................................................................................

Signed before me at ......................................................................on .....................................................................20 ......................................................

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

Full names and surname

OFFICIAL DATE STAMP

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

Signature and designation

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

Regulations

Immigration Regulations, 2014

Annexures

Annexure A: Forms

Form 46 (DHA-)