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

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

Regulations

Immigration Regulations, 2014

Annexures

Annexure A: Forms

Form 47 (DHA-)

(DHA-) Form 47

Dept of Home Affairs Icon

APPLICATION FOR EXEMPTION

[Section 31(2)(b) and regulation 28]

Reference Number ........................................................................................

PERSONAL DETAILS OF APPLICANT

1.1 Title: _____________________ 1.2 Surname: _________________________________________________________________________________

1.3 First names(s): _______________________________________________________________________________________________________________

1.4 Maiden name (if applicable): ___________________________________________________________________________________________________

1.5 Other former surnames: _______________________________________________________________________________________________________

1.6 Date of birth: _____________________________ 1.7 Country of birth: ______________________________________________________________

1.8 Nationality at birth ___________________________________________________ 1.9 Present Nationality: _________________________________________________________

1.10 Passport No: ___________________________________________ Expiry date: _____________________________ Issued by (Country): _____________________________________

1.11 Marital Status: _______________________________________________ Date: _______________________________________________________________________________

1.12 Present Residential Address: _____________________________________________________________________________________________________________________________

1.13 Postal Address: _________________________________________________________________________________________________________________________________________

1.14 Tel. No: Home: ______________________________________________________ Work: ________________________________________________________ Cell: _________________________________________ E-mail Address: ___________________________________________________________________________

1.15 Occupation: _____________________________________________________________________________________________________________________________

1.16 Type of temporary permit held (if applicable): _______________________________________________________________________________________________

1.17 Valid until: ______________________________________________________ Issuing office: __________________________________________________________

1.18 Date and place where you entered the RSA: _________________________________________________________________________________________________

2. DETAILS OF APPLICANTS SPOUSE (If applicable):

Title: ______________________________________ Surname: __________________________________________________________________________________________

Maiden name: _______________________________________________ First names: _______________________________________________________________________

Place of birth: __________________________________________________________________ Country: _______________________________________________________

Nationality at birth: ______________________________________________________________________________________________________________________________

Date of Birth: _________________________________________________ Passport Number: _________________________________________________________________

3. DETAILS OF CHILDREN ACCOMPANYING YOU:

4. EMPLOYMENT RECORD OF APPLICANT (to cover full period of employment):

Name of employer	Address: Town/City	From	To	Nature of work

5. DETAILS REGARDING APPLICANT AND (if applicable) SPOUSE AND CHILDREN:

•	Have you or any of your dependants accompanying you ever been convicted of any crime? _________________________________________________________________________________________________________________

•	Is a criminal or civil case pending against you or any of your dependant accompanying you? _________________________________________________________________________________________________________________

•

Are you or any of your dependants suffering from tuberculosis or any other infectious or contagious disease or any mental or physical deficiency? ______________________________________________________________________________________________________________________________________________________________________________________________________

•	______________________________________________________________________________________________________________________________________________________________________________________________________

•	Are you a member of or adherent to an association or orgnaisation advocating the practice of social violence, or racial hatred? ___________________________________________________________________________________

If you replied to any of the questions above in the affirmative, please furnish full details.

6. REASONS FOR EXEMPTION REQUEST

_______________________________________________________________________________________________________________________________________________________________________________________________________

NOTE: Any incorrect or misleading information or false documents furnished in support of this application may result in the application being rejected or if discovered after the issuing of the waiver the applicant shall not be allowed to sojourn in the Republic.

I/We the undersigned, declare that the details reflected in this application and supporting documents are true and correct and that it is my/our intention to reside/ work in the Republic. I undertake to inform the Department of any change of address whilst the application is being processed, with the understanding that in the event of failure to do so the Department will not be responsible for any breakdown in communication. I/we, furthermore, undertake to inform the Department of any change in relevant information or circumstances that could influence the outcome of this application.

Signature of applicant: __________________________________________ Date: ___________________________________

FOR OFFICIAL USE;

Application checked and all supporting documents verified.

Application tracked and traced.

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

Official stamp

Signature of official accepting the application

(Department of Home Affairs)

Surname and full forename(s): _______________________________________________________________________________

Persal No: ________________________________________________ Designation: _____________________________________

PLEASE READ THE FOLLOWING

In providing for the regulation of admission of foreigners to and their residence in the Republic, the Immigration Act, 2002 (Act No 13 of 2002), inter alia, aims to promote economic growth through the employment of needed foreign labour which does not adversely impact on existing labour standards and rights and expectations of South African workers.

In terms of section 31(2)(b) of the Immigration Act, 2002 (Act No 13 of 2002), Upon application, the Minister may under terms and conditions determined by him or her grant a foreigner or a category of foreigners the rights of permanent residence for a specified or unspecified period when special circumstances exist which would justify such a decision.

In order to satisfy the Minister that the issuing of an exemption to a foreigner would promote economic growth and would not be to the disadvantage of South African citizens or permanent residents, the following documents have to accompany this application:

(a) A letter signed by the applicant citing reasons for the exemption and a comprehensive motivation for each reason provided.

(b) A copy of the applicant's curriculum vitae.

(d) A copy of the employment contract signed by both the employer and the employee, if applicable.

(e) Background on the company/institution for record purposes.

(f) Any other information that would assist the Minister to make an informed decision when considering an exemption

First names

Date of birth

Relationship

Country and place of birth

Present nationality

Occupation