下载文档原格式
南非签证申请表格（空白）BI-84) Form 11DEPARTMENT OF HOME AFFAIRSREPUBLIC OF SOUTH AFRICAAPPLICATION FOR VISA OR TRANSIT VISA[Section 7(1)(g) read with section 10A and 10B; Regulation 8(1)]Failure to complete this application form in full may result in the visa being delayed or refused.Please use block letters and black ink only.PERSONAL PARTICULARSSurname:First names (infull):Maiden name:Previoussurname(s):YYYYMM D DDate of b irth: City of birth: ……………………………………………… Country of birth: ………..……………………………………………………………………………………………………………. Gender: Male FemaleNationality: …………………….…………………………………………...... If acquired by naturalisation, state originalnationality: ……………….…………………….Where and when was present nationality obtained: ………………………………………………………………………….…..Passport/Travel Document Number: ………….………………….……….. Type of document: Diplomatic/Official/Ordinary Passport/Travel Document/other (specify) ……………………..……………………..……… Issuing authority: ……………………………. Date of expiry: …………………………….…Permanent residential address: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Period resident at thi s address: …………………………………………….. Telephone number: (…..……) (code)……………………………………… (number)Country of permanent residence: ………………………………………….. ………………………………………………………………………………… Period resident in that country: ………………………………………………….Occupation or profession: …………………………………………………………………………………………………………...Name, address and telephone no. of employer, university, organisation, etc. to which you are attached, or that you attend or which you represent: ……….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………If self-employed, state name, address, telephone no. and nature of business: ………………………………………………………………………………………….…………………………………………………………………….………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Marital status: NevermarriedMarried Widowed Separated DivorcedFirst name(s) of spouse:Maiden name:YYYYMMDDDate of birth: Nationality………………………………...…………………NB: SEPARATE FORMS MUST BE COMPLETED IN RESPECT OF PERSONS OVER THE AGE OF 16 AND CHILDREN UNDER THE AGE OF 16 TRAVELLING ON THEIR OWN PASSPORTS.Particulars of children endorsed on your passport accompanying you:Surname First name(s) Date of birth Place of birth(1)(2)(3)(4)VISIT TO SOUTH AFRICAExpected date of arrival in the Republic: Y …………..……………….. M ………….…………………….. D …….……………….. Place of arrival:………………………………..……………………………………………..……………………………………………. Purpose of visit: ……………………………………….……….…….……………………………………………………………………. Duration of stay (months, weeks or days) .………………….…………………………………………………………………………..Number of entries required:SingleMultipleTwoProposed residential address (physical) in the Republic, including the full name(s) of your host or hotel: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Names of organisations or persons you will be contacting during your stay in the Republic:Name Address RelationshipIdentity document number or permanent residence permit number of South African host: …………………………….……………………………………………………………………………………………….………………. Indicate by means of an X whichever is applicableHave you at any time applied for a permit to settle permanently in South Africa? yes noHave you ever been restricted or refused entry into South Africa? yes noHave you ever been deported from or ordered to leave South Africa?yesnoHave you ever been convicted of any crime in any country? yes noIs a criminal action pending against you in any country? yes noAre you an unrehabilitated insolvent? yes noAre you suffering from tuberculosis or any other infectious or contagious disease or any mental or physical deficiency? yes noHave you ever been judicially declared incompetent? yes no yesnoAre you a member of, or adherent to an association or organisation advocating the practice of social violence or racial hatred or are you or have you been a member of an organisation or association utilizing crime or terrorism to pursue its ends?Give particulars if reply to one or more of the questions above is in the affirmative:……………………………………………………………………………………………….……………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………….To be compl eted by applicants applying for visitor’s permits exceeding three months:In the case of a spouse or dependant minor child of the holder of a permit issued in terms of section 11, 13, 14, 15, 17, 19 or 22, submission of a marriage certificate or an unabridged birth certificate. Proof of academic sabbatical, if applicable.Proof of non-remunerative voluntary or charitable activities to be undertaken, if applicable. Proof of research to be undertaken, if applicable.Proof of funds available for subsistence during period of visit.To be completed by applicants applying for diplomatic, official or courtesy visas:In the case of an official visit, submission of a note verbale.In the case of a diplomatic placing in the Republic, proof of such placing.To be completed only by passengers in transit to another country:Destination after leaving the Republic: ……………………………………………………..……………………………………………Mode of travel to destination: …………………………………………………………..…………………………………………………Intended date and port of departure from the Republic to that destination: …………………………………………………………Do you hold a visa or permit for temporary or permanent residence in the country of your destination? (Proof must be submitted)…………………………………………………………………………………………………………………………………..To be completed by persons wishing to work in the Republic: Yes ………………………..… No ……………………….…If the answer is yes, please provide details: ……………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………..I SOLEMNLY DECLARE THAT THE ABOVE PARTICULARS PROVIDED BY ME ARE TRUE IN SUBSTANCE AND IN FACT AND THAT I FULLY UNDERSTAND THE MEANING THEREOF. I FURTHER DECLARE THAT I DO NOT CONTEMPLATE CHANGING THE PURPOSE OF MY VISIT WHILST IN THE REPUBLIC.………………………………………. ……………………………………..Signature of applicant DateFOR OFFICIAL USEApproved/not approved by …………...……… on ……………………………………............... Type of visa: ……………………………… ……………………………………………… ………………………………………………Reasons for decision:…………………………..........………………………………………………………………………………………………………。
BI-84) Form 11DEPARTMENT OF HOME AFFAIRSREPUBLIC OF SOUTH AFRICAAPPLICATION FOR VISA OR TRANSIT VISA[Section 7(1)(g) read with section 10A and 10B; Regulation 8(1)]Failure to complete this application form in full may result in the visa being delayed or refused.Please use block letters and black ink only.PERSONAL PARTICULARSSurname:First names (infull):Maiden name:Previoussurname(s):YYYYMM D DDate of birth: City of birth: ……………………………………………… Country of birth: ………..……………………………………………………………………………………………………………. Gender: Male FemaleNationality: …………………….…………………………………………...... If acquired by naturalisation, state original nationality: ……………….…………………….Where and when was present nationality obtained: ………………………………………………………………………….…..Passport/Travel Document Number: ………….………………….……….. Type of document: Diplomatic/Official/Ordinary Passport/Travel Document/other (specify) ……………………..……………………..……… Issuing authority: ……………………………. Date of expiry: …………………………….…Permanent residential address: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Period resident at this address: …………………………………………….. Telephone number: (…..……) (code)……………………………………… (number)Country of permanent residence: ………………………………………….. ………………………………………………………………………………… Period resident in that country: ………………………………………………….Occupation or profession: …………………………………………………………………………………………………………...Name, address and telephone no. of employer, university, organisation, etc. to which you are attached, or that you attend or which you represent: ……….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………………If self-employed, state name, address, telephone no. and nature of business: ………………………………………………………………………………………….…………………………………………………………………….………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Marital status: NevermarriedMarried Widowed Separated DivorcedFirst name(s) of spouse:Maiden name:YYYYMMDDDate of birth: Nationality………………………………...…………………NB: SEPARATE FORMS MUST BE COMPLETED IN RESPECT OF PERSONS OVER THE AGE OF 16 AND CHILDREN UNDER THE AGE OF 16 TRAVELLING ON THEIR OWN PASSPORTS.Particulars of children endorsed on your passport accompanying you:Surname First name(s) Date of birth Place of birth(1)(2)(3)(4)VISIT TO SOUTH AFRICAExpected date of arrival in the Republic: Y …………..……………….. M ………….…………………….. D …….……………….. Place of arrival:………………………………..……………………………………………..……………………………………………. Purpose of visit: ……………………………………….……….…….……………………………………………………………………. Duration of stay (months, weeks or days) .………………….…………………………………………………………………………..Number of entries required:SingleMultipleTwoProposed residential address (physical) in the Republic, including the full name(s) of your host or hotel: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Names of organisations or persons you will be contacting during your stay in the Republic:Name Address RelationshipIdentity document number or permanent residence permit number of South African host: …………………………….……………………………………………………………………………………………….………………. Indicate by means of an X whichever is applicableHave you at any time applied for a permit to settle permanently in South Africa? yes noHave you ever been restricted or refused entry into South Africa? yes noHave you ever been deported from or ordered to leave South Africa?yesnoHave you ever been convicted of any crime in any country? yes noIs a criminal action pending against you in any country? yes noAre you an unrehabilitated insolvent? yes noAre you suffering from tuberculosis or any other infectious or contagious disease or any mental or physical deficiency? yesnoHave you ever been judicially declared incompetent? yes no yesnoAre you a member of, or adherent to an association or organisation advocating the practice of social violence or racial hatred or are you or have you been a member of an organisation or association utilizing crime or terrorism to pursue its ends?Give particulars if reply to one or more of the questions above is in the affirmative:……………………………………………………………………………………………….……………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………….To be completed by applicants applying for visitor’s permits exceeding three months:In the case of a spouse or dependant minor child of the holder of a permit issued in terms of section 11, 13, 14, 15, 17, 19 or 22, submission of a marriage certificate or an unabridged birth certificate. Proof of academic sabbatical, if applicable.Proof of non-remunerative voluntary or charitable activities to be undertaken, if applicable. Proof of research to be undertaken, if applicable.Proof of funds available for subsistence during period of visit.To be completed by applicants applying for diplomatic, official or courtesy visas:In the case of an official visit, submission of a note verbale.In the case of a diplomatic placing in the Republic, proof of such placing.To be completed only by passengers in transit to another country:Destination after leaving the Republic: ……………………………………………………..……………………………………………Mode of travel to destination: …………………………………………………………..…………………………………………………Intended date and port of departure from the Republic to that destination: …………………………………………………………Do you hold a visa or permit for temporary or permanent residence in the country of your destination? (Proof must be submitted)…………………………………………………………………………………………………………………………………..To be completed by persons wishing to work in the Republic: Yes ………………………..… No ……………………….…If the answer is yes, please provide details: ……………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………..I SOLEMNLY DECLARE THAT THE ABOVE PARTICULARS PROVIDED BY ME ARE TRUE IN SUBSTANCE AND IN FACT AND THAT I FULLY UNDERSTAND THE MEANING THEREOF. I FURTHER DECLARE THAT I DO NOT CONTEMPLATE CHANGING THE PURPOSE OF MY VISIT WHILST IN THE REPUBLIC.………………………………………. ……………………………………..Signature of applicant DateFOR OFFICIAL USEApproved/not approved by …………...……… on ……………………………………............... Type of visa: ……………………………… ……………………………………………… ………………………………………………Reasons for decision:…………………………..........………………………………………………………………………………………………………。
签证申请个人资料表参加线路：出发日期：本人情况
★请务必正确填写单位、家庭电话，向使馆提供的申请材料必须真实，如有不实后果自负！
★请务必认真阅读我社提供的签证须知！并认真准备签证所需材料，以便顺利获得签证！
★签证申请所需材料中，若有需提供材料复印件的，必须使用标准A4复印纸！
★所有递交使馆的材料均不退还，请谅解！
★一般而言，只要您严格按照我们的要求准备真实可信的签证材料，均能顺利获得签证，但签证官有权根据自己的判断决定是否给予签证。
因此若产生拒签不可退的费用，您需要自行承担。
请谅解！
本人宣誓：
在境外逗留期间，不会从事有偿工作，不干涉其内政，并不参加违反其宪法或法律、法令及其他有关法规的活动。
我保证在境外不会要求改变自己的身份并按时离境。
同时，我声明表格上所填的全部内容均属实。
本人签字：
日期：。
旅游申请签证个人资料表以下各项信息请客人务必认真填写，项目均为必填项！个人信息姓名性别出生日期出生地身份证号职业婚否工作单位（中文）（英文）年薪单位地址（中文）（英文）单位电话家庭地址现住址住宅电话本人手机配偶及子女信息配偶姓名配偶出生日期子女姓名子女出生日期母亲（含已故）姓名（中/英文）父亲（含已故）姓名（必填项目）（中/英文）是否曾经申请过埃及、南非签证（包括探亲，商务，旅游）随行人员资料表姓名与申请人关系1.2.申请人亲笔签名中东非各国团签所需资料南非签证所需资料（送签需提前7个工作日）：1.护照原件（距有效期半年以上）2.照片：2张2寸背景为白色免冠照；3.个人资料表（此表----①由我公司提供，请填写完整；②如父母已故姓名也必须填写）。
4.18岁以下儿童随父母双方或亲属出境，需提供亲属公证书原件.父母单方带子女 (18岁以下)出境的，需提供委托公证书。
18岁以下子女单独前往的,需父母双方提供委托授权公证书.（此委托书需带户口本、父母双方身份证于当地公证处办理，如办委托证明需父母双方本人到场，所需工作日大约3-7个工作日。
）5.南非外领区包括：安徽、福建、广东、江苏、山东、上海、浙江。
以上领区签发地的护照需要在上海领馆送签；注：1. 若有外领地区的护照参加在北京使馆送签的则外领签发地的护照不能超过全团的30%2. 若有外领地区签发的护照需在上海领馆送签，所需资料需要多加客人的在职证明。
需让客人提供单位抬头纸张2-3张，正式抬头和地址、电话、加盖公章。
由领导签字。
内容我公司填写。
3. 南非旅游签证需要团队归国后，统一将护照交到使馆销签。
埃及签证所需资料（送签需提前7个工作日）：1.护照原件（距有效期半年以上）2.照片：3张2寸背景为白色免冠照；（使馆新规定！）3.个人资料表（此表----①由我公司提供，请填写完整；②如父母已故姓名也必须填写）。
4.18岁以下儿童随父母双方或亲属出境，需提供亲属公证书原件.父母单方带子女 (18岁以下)出境的，需提供委托公证书。
参团个人资料表
姓名拼音性别婚否
出生地出生日期身份证号
工作单位名称: 月薪（必填）
职务负责人联系电话
*职务不能写职员，全部要写成，主任或经理，或前台或销售或老师等等详细职务*
单位地址
家庭地址
固定电话手机
*家庭地址和单位地址都要写齐全完整，包括电话号码、区号要正确，使馆会查，查出有信息错误的，整团都有可能拒签或退回重改。
请务必重视填写完整并保证正确。
*
家庭成员情况
关系姓名出生日期出生地联系电话工作或学习单位
配偶
父亲
母亲
子女
子女
以前去过哪些国家
是否有拒签记录，如有请注明何时，在何使馆，因何原因被拒签
如有护照请注明
护照号码签发地签发日期有效期
备注：
1.以上空白处必须认真填写，如果没有请填写“无” ，如果丧偶，离异，父母去世，也一定要填写该人姓名。
2. 65岁以上老人出行应有家人陪伴，游客不可隐瞒病史，备齐常用药品；
3.本人的身体状况佳，身体能够负荷此次旅行，如在参团过程中身体有任何问题，本人承担由此产生的一切责任！与旅行社无关！
4.以上资料需要填写完整以用于协助申请签证。
（如不符实，否则本人将承担因此而产生的一切后果）
本人签名: 日期:。
