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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:。
材料名称南非旅游签证资料清单
护照或者旅行证件 1.申请人及每位随行人员的护照，或者旅行证件
2.护照有效期必须在申请人实际出发之日仍有半年以上有效期，每
本护照须包含除最后一页外的至少一整页空白页，请提供有旅行
史的旧护照
证件照两张35mm*45mm彩色白底免冠照片2张，肩膀及面部特写，脸部须占照
片大小的70-80%
非该领区人员
暂住证原件及复印件
带抬头纸的往返机票预订单
酒店预订证明
个人工作证明营业执照涉外公证件
保证函如果在职，使用印有公司抬头信笺、由雇主签字的准假信原件，并包含以下信息：
申请人的姓名、职位、目前收入及起聘日期、并保证出行人按时回国；
以及
用中文注明的雇主全称和地址，以及电话和传真号码
18岁以下孩子出生证明公证书
不在国内的父母要写同意信，若孩子父母无法陪同，则需要提供访问
期间的详细行程安排
费用承担信
退休证说申请申请人养老金的退休证明
保险境外旅行医疗保险
财力证明存款证明、存折近六个月的银行对账单，交易余额3万元以上。
工资卡或者养老保险金
国际信用卡复印件及信用卡显示额度的对账单
存折或者存单复印件
详细的旅行行程安排
如果申请人访问超过30天，需提供访问期间的详细行程安排如果申请人来自或者将要前往黄热病地区需要出具黄热病疫苗注射证明
声明：以上资料为元亨签证咨询服务有限公司总结整理，仅供个人办理签证参考使用。
此行程仅供参考，我社根据航班、签证及前往国家的交通、天气等情况保留对行程修改的权利报价：24人团会员价：￥10800元/人非会员价：￥10850元/人单间差：2200元人民币/间（全程）6-12岁小孩不占床减400元；6岁以下小孩不占床减700元；占床和成人同价一、服务项目：1.行程所列全程国际机票，团队经济舱，含机场建设税；2.南非四星级酒店（酒店内西式早餐。
）；3.导游司机小费；4.境外旅游巴士及外籍司机；（根据团队人数，通常为14-25座）5.全程中文导游服务6.中式午晚餐（午/晚餐六菜一汤，+茶水+水果。
8-10人一桌。
）7.开普敦安排一次鸵鸟肉餐、龙虾超盘餐和鲍鱼片餐；（用餐在飞机或船上以机船餐为准，不再另补）8.行程中所列景点门票；9.南非团队旅游签证费用；10.旅游意外人身保险、旅行社责任险；二、不含项目：1.护照费用；2.酒店内电话、传真、洗熨、收费电视、饮料等费用；3.服务项目未提到的其他一切费用，例如特种门票（夜总会、博览会、缆车等）；4.个人消费（如：洗衣，理发，电话，饮料，烟酒，付费电视，行李搬运等私人费用）；5.签证相关的例如未成年人公证，认证等相关费用；6.旅游费用不包括旅游者因违约、自身过错、自由活动期间内行为或自身疾病引起的人身和财产损失；因交通延阻、罢工、自然灾害等人力不可抗拒原因所引致的额外费用。
咨询电话：路鹭 ******** ********董世波 ******** ********可提前咨询预报名销签说明：1.如遇使馆要求面签或者面试消签的客人。
所有面试费用由客人自理，请各位客人做好被通知面试销签准备。
2.请务必保管好全程登机牌，并核对姓名拼写，发生姓名错误请及时告知导游，及时补救。
若因客人自身原因丢失、缺损登机牌证明或姓名不正确，请抵达中国后配合旅行社第一时间前往使馆面试销签；3.当您离境时，一定检查海关是否给您的护照盖了清晰的离境章，它是您已经回到中国的唯一凭证。
尊敬的南非签证官：您好！我谨以此信向您推荐我亲爱的朋友/家人（姓名），他/她计划前往南非旅游/商务/学习等目的。
我相信他/她是一个诚实、守纪律、有责任心的人，具备良好的品行和道德素质。
在此，我愿意为他/她提供必要的担保。
一、申请人基本信息1. 姓名：（姓名）2. 性别：（男/女）3. 出生日期：（出生日期）4. 护照号码：（护照号码）5. 职业：（职业）6. 联系方式：（电话/邮箱）二、申请人与被推荐人关系1. 我是（姓名）的（亲戚/朋友/同事等），我们相识已（时间）。
2. 我们之间保持密切的联系，对彼此品行和性格有深入了解。
三、申请人财务状况1. 我具备稳定的经济收入和良好的信用记录。
2. 我愿意为被推荐人在南非期间的费用承担担保责任。
四、申请人的品行和素质1. 被推荐人具备良好的道德品质，遵纪守法。
2. 被推荐人具备较强的责任心，能够遵守签证规定，按时返回中国。
3. 被推荐人与他人相处融洽，无不良嗜好。
五、申请人的目的和行程1. 被推荐人计划前往南非（旅游/商务/学习等），行程时间为（天数）。
2. 被推荐人已安排合理的行程安排，确保按时返回中国。
六、申请人对被推荐人的评价1. 我深知被推荐人的品行和素质，相信他/她会在南非期间遵守法律法规。
2. 我相信被推荐人具备足够的经济能力，能够承担在南非的费用。
3. 我愿意为被推荐人在南非的行为和合法性承担法律责任。
在此，我恳请签证官能够审批被推荐人的南非签证申请，并给予他/她合法的旅行/商务/学习等权益。
如被推荐人在南非期间有任何违法行为，我愿意承担相应的法律责任。
感谢您的关注和理解，祝工作顺利！此致敬礼！担保人：（签名）担保人联系方式：（电话/邮箱）日期：（签署日期）。
