GOVERNMENT GAZE1.1'E REPUBLIC OF NAMIBIA

N$7,10

GOVERNMENT GAZE1.1'E OF THE

REPUBLIC OF NAMIBIA WINDHOEK - 29 July 1994

CONTENTS

Page GOVERNMENT NOTICES

No. 133 Commencement of the Immigration Control Act, 1993 ......................... .

No. 134 Regulations under the Immigration Control Act, 1993 - Immigration Regulations ............................................................................................................................ 2

No. 135 Immigration Control Act, 1993 determination of maximum amounts .......... 68

No. 136 Regulations under the Departure from Namibia Regulation Act, 1955; Departure Regulations ...................................................................................................... 68

No. 133

Government Notices

MINISTRY OF HOME AFFAIRS

COMMENCEMENT OF THE IMMIGRATION CONTROL ACT, 1993

1994

Under the powers vested in me by section 61 of the Immigration Control Act, 1993 (Act 7 of 1993), I hereby determine that the pr~sions of that Act shall come into operation on the date of publication of this Notice.

H. POHAMBA MINISTER OF HOME AFFAIRS Windhoek, 12 July 1994

No. 895

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No. 134

Government Gazette 29 July 1994


REGULATIONS UNDER THE IMMIGRATION CONTROL ACT, 1993

IMMIGRATION REGULATIONS

1994

The Minister of Home Affairs has under section 58 of the Immigration Control Act, 1993 (Act 7 of 1993)-

(a) m,ade the regulations set out in the Schedule; and

(b) repealed-

(i)

(ii)

(iii)

(iv)

(v)

(vi)

(vii)

Government Notice R.33 7 of 1964;

Government Notice R. 289 of i 964;

Government Notice R.l711 of 1967;

Government Notice R.82 of 1969;

Government Notice R.3933 of 1969;

Government Notice R.878 of 1970; and

Government Notice R.l350 of 1972.

SCHEDULE

IMMIGRATION REGULATIONS

ARRANGEMENT PRELIMINARY

I. Interpretation.

PART I ENTRY INTO NAMIBIA

2. Declaration by persons seeking to enter Namibia. 3. Order in which persons entering Namibia are to be dealt with. 4. Evidence by persons seeking to enter Namibia. 5. Visitors to Namibia. 6. Guarantees. 7. Requirements for married persons and children. 8. Medical Examination.

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No. 895 Government Gazette 29 July 1994

PART II PERMANENT RESIDENCE AND VISAS

9. Application for permanent residence permit. 10. Cancellation of permit. 11. Application for visa. 12. Loss or destruction of documents.

PART III PROHIBITED IMMIGRANTS AND PERMITS

13. Prescribed Diseases. 14. Detention after criminal proceedings.

PART IV GENERAL

15. Returns by employers regarding employees or by educational institu-tions regarding students.

16. Records of persons provided with lodging. 17. Employment permits. 18. Student's permits. 19. Removal of prohibited immigrants from Namibia. 20. Summonsing of witnesses by tribunal. 21. Powers and duties of Chief of Immigration and immigration officers. 22. Prevention of entry by, or tracing, identification or rem·oval of pro-

hibited immigrants. 23. Medical examinations. 24. Fees payable for visas. 25. Provisional permits to enter Namibia. 26. Certificate of identity. 27. Warrants for removal. 28. Refusal of entry into Namibia. 29. Fees payable in respect of permits on certificates.

Interpretation

PART V FORMS

SCHEDULE

I. In these regulations, unless the context otherwise indicates, an expression in the Act has a corresponding meaning, and -

"commencement" means the commencement date of these regulations;

"employment" means engagement in any occupation, whether the person concerned is self-employed or employed by another person;

"form" means the appropriate form prescribed for use by the Ministry;

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"occupation" means work or any other activity for gain, and includes a profession;

"resident" means any person who is lawfully in Namibia otherwise than for the purpose of-

(a) making a temporary visit; or

(b) journeying through Namibia in direct transit from one country to another;

"returning resident" means a resident of Namibia returning toN amibia after a temporary absence from Namibia and who has not lost his or her d0micile in Namibia, and includes the holder of a Namibian passport;

"section" means a section of the Act; and

"the Act" means the Immigration Control Act, 1993 (Act 7 of 1993).

PART I ENTRY INTO NAMIBIA

Declaration by persons seeking to enter Namibia

2. (1) A person entering Namibia, including a returning resident, shall make a declaration in the form of Annexure "A" ("Arrival Form"), to be completed in the declarant's own handwriting and signed by him or her in the presence of an immigration officer.

(2) A person entering Namibia who is suspected of being a prohibited immigrant shall make a declaration in the form of Annexure "B", to be completed in the declarant's own handwriting and signed by him or her in the presence of an immigration officer.

(3) If a person is unable to complete the declaration referred to in subregulation ( 1) or (2), an immigration officer may question such a person, if necessary through an interpreter, and may complete the declaration or cause it to be completed on behalf of such person and shall thereupon require such person to sign or thumbprint it.

(4) A visitor's entry permit shall be imprinted in the passport of the person entering Namibia, in the form of Annexure "C".

Order in which persons entering Namibia are to he dealt with

3. An immigration officer in the exercise of his or her functions under section 7 of the Act, may determine the sequence in which he or she will examine persons seeking to enter Namibia, and for that purpose may give directions to such persons.

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Evidence by person seeking to enter Namibia

4. Any person other than -

(a) a Namibian citizen;

(b) a returning resident; or

(c) a person who is a holder of a valid permit issued in terms of the Act or any law repealed by the Act which authorises him or her to enter Namibia,

shall produce to the immigration officer-

(i) evidence that he or she is on a temporary visit to Namibia for a stated period. including evidence, if the immigration officer so requires, that -

(aa) he or she is permanently resident in any country other than Namibia and intends to return thereto;

(bb) he or she possesses sufficient means available in Namibia for his or her maintenance and the maintenance of any of his or her dependants who accompany him or her for the period of the visit and to meet the cost of returning to his or her country of permanent residence; and

(cc) he or she will be re-admitted to his or her country of domicile or country of last permanent residence at the expiration of his or her visit to Namibia; and

(ii) any other relevant information which the immigration officer may require, including a report by a medical practitioner after a medical examination in accordance with section 8(l)(e),

in order to satisfy the immigration officer that such person is not a prohibited immigrant in terms of section 39.

5. (I) Any person who has entered Namibia as a visitor and who for any reason desires to remain inN amibia for a period longer than the period for which his or her visitor's entry permit was granted, shall report in person to an immigration officer and shall, notwithstanding that he or she is already in Namibia, submit to any inquiry, examination or test which the immigration officer concerned may require, including-

(a) the producing of a valid travel document;

(b) the making of an application for the extension of his or her visitor's entry permit in the form of Annexure "D";

(c) the producing of documentary or other evidence relative to his or her claim to enter and remain in Namibia; and

(d) the submitting to a medical examination in accordance with section 8( I)( e).

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6 Government Gazette 29 July I994

(2) No visitor shall engage in any employment in Namibia unless he or she has been issued with an employment permit referred to in section 27(1).

Guarantees

6. (I) For the purposes of -

(a) section II (2)( a);

(b) section 27(4)(a);

(c) section 38(3)(a);

(d) section 29(3)(a); and

(e) section 42(3)(a),

guarantees shall be in the form of Annexure "E".

(2) A guarantee referred to in subregulation (I) shall be furnished -

(a) by the employer of the person concerned or by such other person as may be approved by the Chief of Immigration; and

(b) for a period not exceeding two years from the date of entry into Namibia of the person in respect ofwhom the guarantee is given or if such person is already within Namibia, for a period of two years calculated from the date upon which the guarantee is given.

(3) The Chief of Immigration may, from the date of expiry of a guarantee referred to in subregulation (1), require a further guarantee to be lodged for a period not exceeding two years, calculated from the date of expiry of the previous guarantee.

Requirements for married persons and children

7. (I) In the case of an application by a married person or in respect of a dependent child to enter or remain inN amibia, an immigration officer may require the production of a duly authenticated marriage certificate or birth certificate, as the case may be.

(2) If no copy of a marriage or birth certificate referred to in sub regulation (I) can be produced the immigration officer may-

(a) require a certificate under the hand of a person competent to furnish such a certificate stating that to his or her personal knowledge the parties were married on a date or in circumstances stated or that the child was born on a date or at a place set out and of parents named in such certificate, as the case may be; or

(b) require a certificate under the hand of a person competent to furnish such a certificate stating that he or she has taken sworn testimony or other evidence as to the circumstances and date of the marriage or

No. 895


the date of birth or parentage of the child, as the case may be, and that such testimony and evidence is attached to the certificate together with such person's findings thereon.

(3) An immigration officer may require any certificate mentioned in this regulation to be supplemented by satisfactory evidence as to the identity of the person or persons referred to in the certificate or as to the lawful custody of any child, and may in case of doubt require such further evidence as may be necessary to satisfy him or her that the spouse or child who is the subject of the application is the spouse or child referred to in the certificate and is not a prohibited immigrant, or is in the lawful custody of the person referred to in the application, as the case may be.

Medical Examinarion

8. The medical examination of any person conducted under section 8( l)(e) shall take place as soon as practicable after the arrival or discovery of such person in Namibia, and a report as to the result of such examination shall be submitted to the immigration officer concerned in such form as such immigration officer may determine.

PART II PERMANENT RESIDENCE AND VISAS

Application for permanent residence permit

9. (l) An application for a permanent residence permit shall be in the form of Annexure "F" or "G ", whichever may be applicable.

(2) A permanent residence permit shall be issued in the form of Annexure "H".

Cancellation of permits

10. (I) If a permit issued in terms of the Act is cancelled under the provisions of section 36, the board shall cause written notice of the cancellation to be served on the holder of the permit and shall state in such notice the provisions of the Act in terms of which it was cancelled and the date from which the cancellation shall take effect.

(2) The holder of the permit referred to in subregulation (l) shall leave Namibia on or before the date the cancellation shall take effect or such later date as the Chief of Immigration may determine and by notice in writing notify the person concerned.

Application/or visa

ll. An application for a visa shall be in the form of Annexure "I" and a visa shall be issued in the form of Annexure "J" or shall be entered into the passport of the applicant in the form of Annexure "K ".

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Government Gazette 29 July I 994

Loss or destruction of documents

I 2. If any permit or document issued under the Act or these regulations is lost or destroyed, the Chief of Immigration or the Board, as the case may be, may upon application by the holder thereof, issue a copy of such document or permit.

PART lli PROHIBITED IMMIGRANTS AND PERMITS

Prescribed Diseases

13. For the purposes of paragraph (e) of subsection (2) of section 39, the following diseases or viruses shall be regarded as contagious -

(a) tuberculosis, or any other contagious lung disease;

(b) trachoma, or any other chronic eye infection;

(c) frambesia, yaws, scabies or any other contagious bacterial or other skin disease;

(d) syphilis, or any other venereal disease;

(e) leprosy; and

(f) acquired immune deficiency syndrome virus (aids virus).

Detention after criminal proceedings

14. If a prohibited immigrant who has arrived in Namibia or person who is being detained in accordance with the provisions of section 42 of the Act is arrested upon a criminal charge, he or she shall be handed over to the custody of an immigration officer at the conclusion of the criminal proceedings or at the expiration of any sentence of imprisonment imposed upon such person, as the case may be, and shall thereafter be detained under and subject in all respects to the provisions of the Act and these regulations.

PART IV GENERAL

Returns by employers regarding employees or by educational institutions regarding students

15. Returns under section 31 by employers regarding employees or by educational institutions regarding students, as the case may be, shall be in the form of Annexure "L".

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Records of persons provided with lodging

16. (I) For the purposes of section 32(1), the occupier of any of the following classes of premises shall keep a register contemplated by that section:

(a) Hotels;

(b) caravan parks;

(c) guest farms and lodges; and

(d) game parks and farms.

(2) The following particulars shall in respect of every person provided with lodging or sleeping accommodation on or in any premises prescribed by subregulation (1), be entered in the register contemplated by section 32(1):

(a) Surname;

(b) maiden name (if applicable);

(c) first names (in full);

(d) identity number;

(e) country of present residence;

(f) citizenship;

(g) sex;

(h) present residential address;

(i) telephone number (residence);

(j) occupation or profession;

(k) name and address of employer; and

(I) telephone number (business).

Employment permits

17. (I) An application for the granting of an employment permit referred to in section 27 shall be in the form of Annexure "M" and the representations by the prospective employer shall be in the form of Annexure "N".

(2) An employment permit referred to in subregulation (I) shall be issued in the form of Annexure "0", or may be entered in the passport of the permit holder in the form of Annexure "P".

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(3) An application for the renewal of an employment permit shall be in the form of Annexure "D" and shall be submitted to the Chief of Immigration not less than 60 days prior to the expiry of the existing employment permit.

Students· permits

18. (I) An application for the granting of a student's permit referred to in section 28 shall be in the form of Annexure "R".

(2) A student's permit referred to in subregulation (I) shall be issued in the form of Annexure "S ", or may be entered in the passport of the permit holder in the form of Annexure "T".

(3) An application for the renewal of a student's permit shall be in the form of Annexure "D" and shall be submitted to the Chief of Immigration not less than 60 days prior to the expiry of the existing student's permit.

Removal of prohibited immigrants from Namibia

19. (I) A notice in terms of section 44(4) shall be in the form of Annexure "U" and shall be served by an immigration officer upon the person in respect of whom the application has been made.

(2) The immigration officer shall obtain a written acknowledgement of receipt from the person upon whom he or she has served the notice.

(3) If the person concerned refuses to sign such an acknowledgement, the immigration officer shall furnish the tribunal with an affidavit in which he or she certifies that he or she has served the notice upon the person named in the affidavit.

Summonsing of witnesses by tribunal

20. For the purposes of section 45(1), a summons to appear before a tribunal as a witness to give evidence or to produce documents, shall be substantially in the form of Annexure "V", shall be signed by any member of such tribunal and shall be served personally upon the witness concerned by the immigration officer referred to in section 44(3), or in the same manner as it would have been served if it were a subpoena issued by a magistrate's court.

Powers and duties of Chief of Immigration and immigration officers

21. The Chief of Immigration and immigration officers shall, in addition to any powers and duties they may have in terms of the Act, have the following powers and duties:

(a) The powers and duties of Chief of Immigration shall be to control, subject to the general direction of the Minister, the entry, residence and departure of non-Namibian citizens by-

No. 895


(a) enforcement of relevant Immigration laws;

(b) executing immigration control functions through immigration officers at ports of entry and departure;

(c) generally to exercise such functions relating to immigration as may be imposed upon him or her by the Minister from time to time.

(b) The powers and duties of immigration officers shall be-

(a) to ensure that persons entering, immigrating or leaving the country comply with the relevant legal provisions;

(b) to ensure that persons entering or leaving the country follow the proper procedures;

(c) to ensure that persons entering the country are in possession of valid documents and that such persons are not prohibited immigrants;

(d) to ensure that persons seeking to enter the country meet the basic immigration requirements provided for in the Act;

(e) generally to perform such other duties and functions relating to immigration as may be imposed upon them by the Chief of Immigration from time to time.

Prevention of entry by, and tracing, identification or removal of prohibited immigrants

22. The procedures for the prevention of entry by and tracing, identification or removal of prohibited immigrants shall be as determined by the Minister from time to time.

Medical examinations and returns by Master of ship

23. (I) The medical examination of any person contemplated by paragraph (e) of subsection (1) of section 8-

(a) who has arrived in Namibia by ship shall take place either on such ship or at such other place determined by the immigration officer concerned as soon as possible after the arrival of the ship; or

(b) other than a person referred to in paragraph (a), or of any person found in Namibia and suspected to be a prohibited immigrant in consequence of the provisions of paragraph (e) of section 39(2), shall take place at a place determined by the immigration officer concerned, as soon as possible after such person has applied for permission to enter Namibia or was found in Namibia.

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(2) The medical practitioner performing a medical examination referred to in subregulation (I) shall as soon as possible after the completion of such medical examination furnish a report thereon to the immigration officer concerned in such form as the Chief of Immigration may determine.

(3) A return by a medical officer or master in terms of section 15(1)(d) shall be in the form of Annexure "W".

Fees payable for visas

24. The fees payable by the holder of a passport in respect of-

(a) a visa referred to in subsection (I) of section 12, shall be an amount ofN$20 for a single visa and an amount ofN$50 for a multiple visa; and

(b) a transit visa referred to in subsection (2) of section 13, shall be an amount of N$20 for a single visa and an amount of N$50 for a multiple visa,

payable upon the granting of the visa concerned and before the issuing thereof.

Provisional permits to enter Namibia

25. (I) A provisional permit to enter Namibia referred to in section 11(1) shall substantially be in the form of Annexure "X".

Certificate of identity

26. (1) An application for the granting of a certificate of identity referred to in section 38 shall be in the form of Annexure "Y" and shall be lodged with the Chief of Immigration.

(2) A certificate of identity referred to in section 38 shall be issued by the Chief of Immigration substantially in the form of Annexure "Z".

Warrants for removal

27. (1) A warrant for the removal of a prohibited immigrant from Namibia in accordance with section 44(9) shall be substantially in the form of Annexure "AB".

(2) A warrant for the removal of a person from Namibia in accordance with section 49 shall be substantially in the form of Annexure "AC".

(3) A warrant for the removal from Namibia of a person in accordance with section 50 shall be substantially in the form of Annexure" AD".

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Refusal of entry into Namibia

28. A notice by an immigration officer to any person refusing such person entry into Namibia in accordance with the provisions of section 10 shall be substantially in the form of Annexure "AE".

Fees payable in respect of permits or certificates

29. ( 1) The following fees shall be payable in respect of the application and issue of the following permits or certificates -

(a) application for-

(i) a permanent residence permit (form "F");

(ii) a permanent residence permit (spouse, dependent child or parent- form "G");

(iii) an employment permit (form "M");

(iv) a student's permit (form "R ");

(v) a renewal of an employment permit or a student's permit (form "0"):

N$20 per application payable simultaneously with the submission of the relevant application;

(b) the issue of an employment permit (form "0" or form "P"), for a period of-

(i) 24 months or less: N$200;

(ii) longer than 24 months but less than 48 months: N$1 000;

(iii) 48 months and longer: N$2 000, payble before the issue of the permit concerned.

(2) The amounts stipulated in subregulation (I) shall be payable to the Permanent Secretary for the benefit of the State Revenue Fund.

I. Annexure "A":

2. Annexure "B":

PART V FORMS

INDEX TO FORMS

Arrival Form (Sections 8 and 29 I Regulation 2).

Application for Visitor's Entry Permit (Suspected) Prohibited Immigrant) (Sections 8 and 29 I Regulation 2).

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3. Annexure "C": Visitor's Entry Permit (Section 9 and 29 j Regulation 2).

4. Annexure "D": Application for Renewal of Employment Permit, Student's Permit or Visitor's Entry Permit (Sections 27, 28,29 I Regulations 17, 18, 4).

5. Annexure "E": Guarantee (Sections II, 27, 28, 29, 42 / Regulation 6).

6. Annexure "F": Application for a Permanent Residence Permit (Section 26 I Regulation 9).

7. Annexure ''G": Application for a Permanent Residence Permit (Spouse, Dependent Child, Parent) (Section 26 I Regulation 9).

8. Annexure ''H": Permanent Residence Permit (Section 26 I Regulation 9).

9. Annexure "1": Application for Visa (Sections I2 and 13 I Regulation II).

10. Annexure "J": Visa for the Republic of Namibia (Section 12 1 Regulation II).

11. Annexure "K": Visa for the Republic of Namibia (Imprint in Passport) (Section 12 I Regulation 11).

12. Annexure "L": Return by Employer/Educational Institution: Employees/ Students who are not Namibian Citizens (Section 31 I Regulation 15).

13. Annexure "M": Application for an Employment Permit (Section 27 I Regulation 17).

14. Annexure "N": Annexure to Application for Employment Permit (Representation by Prospective Employer) (Section 27 I Regulation 17).

15. Annexure "0": Employment Permit (Section 27 I Regulation 17).

16. Annexure "P": Employment Permit (Imprint in Passport) (Section 27 I Regulation I7).

17. Annexure "R ": Application for a Student's Permit (Section 28 Regulation 18).

I8. Annexure "S": Student's Permit (Section 28 I Regulation 18).

19. Annexure "T": Student's Permit (Imprint in Passport) (Section 28 I Regulation 18).

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20. Annexure "U": Notice of Application for Authorization to remove Prohibited Immigrant from Namibia (Section 44 I Regulation 19).

21. Annexure "V": Summons to appear before an Immigration Tribunal as a Witness (Section 45 I Regulation 19).

22. Annexure "W": Return by Medical Officer or Master (Section 15 I Regulation 23).

23. Annexure "X": Provisional permit to enter Namibia (Section 11 I Regulation 25).

24. Annexure "Y": Application for a Certificate of Identity (Section 38 I Regulation 26).

25.

26.

27.

28.

29.

Annexure "Z":

Annexure "AB":

Annexure "AC":

Annexure "AD":

Annexure "AE":

Certificate of Identity (Section 38 j Regulation 26).

Removal Warrant (Section 44 I Regulation 27).



Notice to Person Refused Entry into Namibia (Section I 0 I Regulation 28).

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REPU3L!C OF NAMIBIA

Ministry of Home affairs Department of Civic Affairs

!MPORTA~ll: To be filled in block letters. The ;e"::~ission of the Ministry of Home Affairs must be obtaiced before: IMMIGRATION CONTROL ACT, 1993 [a] t~£ purpos~ and period of ARRIVAL FORM

re~idence may be changed; or [bj ~::icyment n-ay toe accepted; or

(Sections 8 and 29/Regulation 2)

[cj ec.:~loyment/employer may be c~anged

-------- .... ------------------- .. ----- ....... -- .. --- .. -- ....... --- ... ------ ........ ------ ..... --- ... -------- ----- ... ---- ... ---------- ... ------------Surna.rr.e: First Names:

Maiden name:

Passpor': issued by: Citizenship: Passport No.:

Date of expiry: --

Sex:

D Number of chi 1 dren trave 11 i ng on your passport:

Date of birth: .~a ~e

D Males: .......... Fema1es: ..............

Fem;.1e

Country of residence: Intended length of stay in Physical address in Namibia/name of hotel: Namibia (no. of nights):

·-~Mode of trave 1 to Namibia (tick one box only):

Road: D 1 Air: D 2 Rai 1: D 3 Sea: D ~

Vehicle rro.: Flight No.: flame of vessel: -

Purpose of Enterins Namibia (tick one box only):

Returning resident: 0 1 lntendi ng resi~ent: D 2 Visitor: D ( 3-7)

-For visitors only: Main purpose of visit (tick c.ne box only):

Lei ~ure/Recreat ion/Ho 1 i days D J Transit/Stop over D 6

Business/ D 4 Other purposes D 7 Conference and Profession a 1 s (please specify ove"leaf)

Visiting friends or relatives D 5

- --I Date of entry:

Official irm~igration entry stamp: Port of entry:

lnter.ded port of departure:

l dec 1 are that the above information ; s. to the best of my knowledge and belief, correct.

Signature -

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Importao~:


M!NiSiilY OF HC:~E AFFA!ilS

CEP:A::rr~·~:::H CF C!VIC AFFAIRS

!M.'I!GRAi!C~ CONTROL ACT, 1993

IMHIGRAT1CN DECLARATION (ARRIVAl.)

(Section 8(1 )(b)]

(a) To be c~01pleted in tl:ck ca;:~tal let~ers by all hol~ers of pas!ports or other travei ccc~!l"eots seeking entry

ir.to Namibia, if requeste<:: thereto by an irn~;ration officer.

(b) The permission of the Ministry of Home Affairs has to be obtained before-

( i] the purpose and period of residence in ::ami t i a may be changed; or

( i i l employment may te accepted; or

(iii] e~rployrn2nt or er.:plcyer may be chansed.

1. Name in full:

(a) Surnar.:e: ...........................•.•........................•.•.•...••...•...........•......................

(b) ~aiden nar:1e (where applicable): •........••.•......•...•••.....••••.••••.••....•..•..•..•.•..•.•.••.....•...•••

(c) First names: •..••..................•...••••••.•••..•••.•.•.•..••••.••.••......•......•...•..••.•.•.••.......•.

(d) Previous surnames and first names (><here app 1 i cab 1 e): •..••.....•..•.•..•.•.•...••.•..•••....•.•..•.......••...

2. Date and country of birth:

3. Marital status:

Never Married Wid ewer

4. Sex: Male Female

5. Country of present residence: ••.•••.••••••.•.••••••..•.•.•..••.••.•.••••.•••..•...••...•••••••••.•.•••.•••••••.•••

5. Citizenship: .......••••••••••••••.•.•••••••••••..••.••••.•••••.••••••••••••...•••.•••••••••..••.••.•••.••••.•••.•

7. Occupation: .•...••.•••.•.•••.•.••••••••..•.••.•••••••••••••.••••••.••.•••.•.•.•.••••.••••••••••.•......•.•.••••••

8. Narne and addreu of employer: •.•.•••••••.•••••.••••••.•••..•••••••.••..••••.•.•••••.••••••••••••...••...•••.••••.•

9. Permaneot residential address: ...••.••••..••.•••.•••••••••••.•••••••••••••••••••••...•.•••••••••••.••.•••••••.••••

10. Pus~~rt detaih:

(a) llu.T.ber: ••••••••.••.•••••••••••••••••••••••••••••••••••••.•.••••

(b) Place of Issue: •...••.•.••....•.•.•....••••.•.•••••••••.••..••.

(c) Ot:e of issue : • • • • . . • . • . • • . • . • . . . . • . • • • • • • . • • • • . • • • • • . • • . . Date of expiry:

11. Ott ails of spo"se and chi 1 cren under 16 accompanying passport he 1 ~er (chi 1 dren without own passports only):

FULL NA.'!ES:

Spouse

Child

Child

Child

Child

DATE OF BIRTH:

17


-z:-1 (. P"r:cse of entry : ······················.·········································································· ···················································································································

!3. J:.Jr-=:;on of intended stay: ....................................................................................... .

14 . .:.;;cress in Namibia during stay: ..........•..................•....................•...............................•

··················································································································· ···················································································································

15. ,;.-;,cunt of money (includir.g traveller's cheques) you have availa~le for spending during your stay in ~la:::ibia: •.....

···················································································································

16. Ha·,e y~u or any of your children mentioned in paragraph ll -

~a: e·~er been co:wic":ed cf al"'y of~er.ce, excl;,~d.~r:g the contra·,ention of any by·l~-, cr res~lation where a fine of

cf NS ZCO or 1 ess. cr the ec;ui va 1 ent thereof, we.s i:nposed?

Yes No r.r

(b} ~-,er been ~eported from, or refused entry into, any co~ntry? \ es ~lo or

(c) ever suffered, or is at preser.t suffering from -

[i] tuberculosis; or any other contagious lung disease;

[ii) trachoma, or any other chronic eye infection;

[iii) frambesia, yaws, scabies or any other contagious bacterial or other skin disease;

[iv] syphilis or other venereal disease;

[ v J leprosy;

[vi] acquired imnune deficiency syndrome (aids); or

[vii] any mental illness or affliction?

!es No

if you have r~plied "YES" to any cf the qu~stions in paragraph 16, give full details on the reverse of this form and

sign su1h declaration.

I hereby certify that I unders:and the contents of this ceclaration and that it is the truth.

Date: ......................... • • • • •

Signature of Declarant

Declared before me:

Signature of lmnigration Officer

Date stamp

FOR OFFICIAL USE ONLY

(a l Port of entry ............................................................................. • · · · · • • · • · · • • · · · · · • · • (b) Country of origin: ....•...•.••.••..•....•••.•••.•••.•.•••••••••••••••••••••••••.•••••.•..••.•••••.•..•.•...•......

(cl Vehicle ;1o

Train No

Flight No

(d) Visa number

Office of issue

Date of issue

Authority


VISITOR' S E-<"'l'RY PER."!!T ~igration Control Act, 1993 (Sections 9 and 29/Regulation 2)

AG:dtted in terms of Act 7 cf 1~93 for tr.e J:W"J)Ose of holiday/

tourism/business for a period not exceeding 90 calender days

A.~NExtJRE C

as from the date of entry. Employment in any form is prohibited.

ENTRY

STAMP D-J1v!IGRATION OFFICER

19


RE?USL iC OF NAMIB !A

MINISTRY OF HC~E AFFAIRS

(DEPARTMENT OF CIVIC AFFAIRS)

APPLICATlCN FOR RENEIIAL OF AN EMPLOYME~T ?ER.'~JT. A STUDENT'S

PERMIT OR A VISITORS' ENiilY PEilM!T

MID/OR CHANGE OF CONDITIO.~S

(ACT 7 OF 1993)

QUEST IONARE

I I I I I

No. 895

For official use only

File: •.•.•.•.•.•......••..•••. I Date of expiry: ..••.•..••..••. ! Purpose: .••....•.••....••...•• I .......................•...... 1

I Approved/Not a;>;>rcved ..•.•••.• I I I I •.....••....................... 1

I S!GMTURE DATE I

1. (a) Sur"''"~: ..••••••.•••••.••••••••••••.•.•••••••••••••.•••..•••••••••••••••••.••.••.•••••.••••••••••..•..•..•..•..•••.•

(b) Firs~ names: •••••.••..•.••••••••••••••••••••••...••••••• 1~aiden na..,e: •..••.••••.•••.•••.•..•...•••.....•.•..••..•.••

~c} !::ate of ~irth: ............ .............................. Country of birth: ......................................... .

(d) Passport Number: ••••••••....•••••••.•.••....••.•••••••.• Expiry date of passport: .•....•.••.•..••••••..••..••••.....

(e) Place of issue: •...•.•..••••...•.•••••..••••.•...•••.••. C1t~ze"sh1;::

(f) Occupation: •••••••..•••..•••.•..•..•.••••••••••••..•.•..

NEVER MARRIED

2. indicate with an "X"

*If separated state whether divorce proceedinss have been institued and when final order of divorce is ex;>ectec:

j. PARTICULAR~, OF REL~TIVES l'l NA:~IaiA - IMPORTANT

(a) Indicate with an "X" I HUSBAND I WIFE FA THE~ MOTrlER I CHlLD I L____j

Ntme: ...•..•••...••...•••.•.•••••••.••.•.•••••...•.••••...•••••••.••••••••.•.•.....•...••.•.•.•..•••..•..........•.•

Date of birth: •..••••••••.•••••.•.•.••••••••••.••••••••• Place of birth: ..................••.••.•.•.•.....•.•....•.•

Residential address ••.••.•••••••.•••••••••.•••••••••••••••••••••••.••.••..•••••••.•..••••.•......•..•.•.•..••.•..•..

. . . . . . . . •• . . • . .•...... .• . •• • • . . • . . . . • . . • . . . . • . . . . . . . . • . • Tel No ................................ Code ............... .

(b) Postal Address .•.....••••..•••••••••••••••••••.•.•.••.•...•.•...••••••••••••••..•.••.....•••.••.•.......•......•.•••

(c) Indicate whether your

is the holder of:

I HUSBAND

[i]

[i i]

Namibian Citizenship

(indicate with an "X")

Permanent i\esi dence Per.:~i t I YES I

I I

WIFE FATHER MOTHER I CHILD

YES

NO I I State number arc date. of issue: ••••••••..•••••.•••••..••.

[iii] Er.:ploymer.t P~rmit ~Expiry date): •••••••••••••••••••••••.••••..•.•...•••••••••••••••••..•...•...•.•.....••.• , ..

[iv] Student's Permit (Expiry date) •.••••••••••••••••••••••.••.•••••••••••••.•...•.•••••.•••••••••••••••••••.•••••

(d) If husband/wife is not in Namibia does he/she intend enterirg the country, If YES, indicate when

(e) Particulars of children accompanyins ar·r-licant.

NA:~E DATE OF BiRTH COUNTRY CF BIRTH


(b) : ::::'":ced date of departure: D~y....................... ~onth ............................ Ye~r ..................... .

v. Sta:e ... :a~ funds ycu pOSS2SS for r..a~r::e~~nce ar.d/or ~!":e purchase c7 a re-:urn ti:ket or wt':at ot~er arrar.ger.~e~:s wi11 be

ma~c- f;:.- your return journey:

[i] 0 D

Valid return or onward t;cket ~lo: .............................. Expiry date: ............•....................

[ii] U"dertoi<ing by enp1cyer

.. ..,. 1--r [;;i::.....J ·~ •••••••••••••••••••••• 0 ••••••••••••• ~s ................. Date: ........... .

Guaran~~-e submi t!ed

[v]

LJ

D 0

Veh;c1e ~lo: ..................................................•.

[ vi.J C~her:

:.(a} If y~u intend to stay perr.1aner:t1y- Have you a~piied for pe!'"iT.anent resiCence?

Lie I 1'::,1 Ref;;reoce ~:o: ............................................. . Date: ....•....•.........•......•.....•....... L_L_.1

(b) :f n.:~t, what are your intentio~s?

If t.r:~ vaiidity of your exist~ng per;;:it has a~reaoy expired, state why you did net apply fer an extension on time: ...•.

-· A:J~ESSE:S l~ NA.'•1!5!A (~1ust be co:::pleted in fu11)

(a) ilesicential ~.ddress:

(b) Pas tal Address:

(c) ;;cr< :.ddress:

(d; Ccn~<ct Address (Relatives/Friends/8usiness Associates)

Tel. No ....•..............•. Code .......•..•...•........

Tel. No .........•.....•.....• Code ..•...................

Tei. No ................••••.. Code ..........•.......•..

............................................•....••........ Tel. No ..••...•..•.•..••.•.•.• Code .••••••••••..•.•••••

:,\~E:................................... s;G.~A~URE: ..................................................................... .

3. CERTIFiCAiE BY EI·\PLOYER

I h~ .. ~bJ ::ertify t~at .........•.........................•................... , .............................. is still an

emp 1 Oj''!? of ......••••......••.•.....••.....••.•...••..•••••.••.•..•••••..••.•.. as •.............•.• · •.•••.•.•. · · • · · ·

(name cf emp 1 oyer) (occupation)

CATE

21

22

!1,


RE?U3L!C OF Nr,1':5IA

M!~liS7rl':' CF r:c:-~~ A.=-~A:R~

DE?~rl7:-!E~I OF c~·J:C AFF"ArRS

IMHIGRAT!ON CONTROL ACT, 1993

GUARANTEE

[Sections ll(2)(a), 27(4)(a), 28(3)(a), 2g(J)(a) or 42(3)(a)/

Resulation 6]

To: The Permanent Secretary

Ministry of Home Affairs

No. 895

!, .................................................................................................................. ..

here~y bind r.:yself as guarantor tcwards and in favcur of

THE G:VERNMENT OF NA.~!BIA

in the a:r.cunt of NS: ................................................................................................. ..

(amcunt in words: .................................................................................................... ..

...................................................................................................................... )

for and in respect of the compliance by the follo>~ing person:

Surname: ....••....•....•..•.••.•...•.•....•.•. ••··•· .•.•.• ··••• •....• ·•·········•····•············•··•·•·····•········• maiden na:::e (if applicable): .......................................................................................... .

first na:nes (in full): ................................................................................................ .

(a) with the conditions i:tposed, or which may be imposed, upon the granting to the said person of -

[ i] a provisional pernit in terms of section 11; or

[ii] an employment ·pem.it in terms of section 27; or

[iiiJ a student's permit in terms of section 28; or

[iv] a visitor's permit in terms of section 2g,

of the Immigration Control Act, lggJ; or

(b) with the conditions imposed or which may be imposed under section 42(3)(a) of that Act by the ir.:mi;ration officer

ccr.cerned and relating to the said person, a suspected prohibited immisrant released or to be released fr::m

custody as provided for in the said section.

It 'is a condition of this guarantee that should the above person at any tirr.e contravene, or fail to ccmply with, any

one or more of the conditions so imposed by the immigration officer ccncerned, that l shall pay the amount aforesaid in

Na:nibian currency to the Permanent Secretary: Home Affairs, Cohen Building, Casino Street, llindhoek, or at any other

address I may be advised of by the said Permanent Secretary, within a period of fourteen days after the date of the

posting to me of a written demand by the said Pern:anent Secretary, ser.t by pre-paid registered post an: acdressed to my

postal acdress as set out below, or handed to me personally.

A certificate signed by the Permanent Secretary: Home Affairs stating that the suspected prohibited ir.migrant

referred to above contravened any cne or more of the conditions imposed by the immigration officer aforesaid, or failed

to ccmply with all such conditions, shall in any court of law be prima facie procf of such contravention of, or failure

to comply with, such ccnditions and of my obligation to pay the amount aforesaid to the Permanent Secretary: Home

Affairs, as set o~t above.

I hereby renounce all benefits ari s i r.g fro:n the 1 ega 1 exceptions errore ca 1 cu 1 i, benef; c; u::. cr~ i r. is se" excuss i cr.; s et

divisionis ar.d ber.eficium de duo~~s vel pluribus reis debendi, the meaniog and effect cf ohich : ackr.c,.ledse to te

acquainted with.

I

I

J


- 2 -

For th! purposes of any leg~~ ;::-ocee:ir.;s that r.ay resu'l~ fr:~; :":! ;r3r.:~~g cf this s·;arantee, I c~.cose dc~iciliurn

citandi et executandi at my res~:er.tial address as set cut :>c:c ... ar.d hereby ccnser,t ~o the jurisdiction of the

magistrate's court for the distr~ct cf :.lindhoek in respect of. ttoe i"st~t"ticn and adjcdication of such proceedings.

Part i cu Jars of guarantor:

(a) surname: .••••.•••.•..•.•.•.••••.•••••.•••••.•.•.•••.••••••••..••.•...••.•...•••.••••.••••••••••••••••••.••••••.••••

(~i ~aide1 name (if a;J:p1i~!=~e~: ...................•...............•.............•.......•.........••...•..••..•.•.....

{c) first na.rnes(in fu11}: .............................•.....•.....................••...........•••........•.•••..••.•.•

(d) identity nubrr.er: .................................................................................................. .

(~) citizenship: •...........••................•......•......•..•.........................•.•••..•.••...•••••••.....•.•.

(f) sex: .............................................................................................................. .

(g) res~Cer.tia1 ac::!ress: ....• o•··· ................................ 0 ••••••••••••••••••••••••••••••••••••••••••••••••••••

(h) te1e?hone number: ....•...•.......................•............•....•...........•.....•••..........................•

(i) occ~?ation or profession: ......................................................................................... .

( j l name and address of emp 1 oyer: ..................................................................................... .

{I() telephone number: ......•.• 0 •••• 0 ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• o ••• o o o •••

SIG::ED ;.r ...... o •••• o •••• o o •• o •••• o o ••••••••••• o ••••••• o •••• o. o •• ;":-!!S .... o •••••• •o•· o. o •• o ••• o, ...... o• ••• o ............ .

CAY OF ......................................................... 153 ...•. :N THE PRESE~CE CF 7HE U1lCE~S:GNED llliNESSES.

AS WITNESSES

1 .....•...•..••.•••..•.•••••••.••••

GUARA.~TOR

2 .•••....•.•.••..•.•..•••••••••••••

Stamp duty payab1• in terms cf item 15 cf Schedule 1 to tr.e Stamp Duties ;.ct, 1993 (,\ct 15 of 1993): r~S1 for every

NS i OGO, or pert thereof, of tC.e e::;ount secur~d. r~ex kum duty • NSSO.

23


ANNEXURE F

REPUBLIC OF NAMIBIA MIN;SiRY OF HOME AFFAIRS

DE?ARTMENT CF CIVIC AFFAIRS IMM!GRATION CONTROL ACT, 1993

A?PL!CAT!DN FOR A PERMANENT RESIDENCE PERMIT [Secticn 26(1)/Regulation 9(1 }]

To : 7he l~m~igration Selection 3oard ~:~~CHOEK

?."VIT!CUL:.RS OF THE A?PL!CA.~i:

:. S:;r:-:.!:::e: .••.......•.........•........•.....•.•..•.•...........••.....••..•........................................ 2. ~~a•-:e~ r.ar.:e (if !;;llica~ie): ..................................................................................... . ~- ?re·:~c~s S'.::"'r.!..-:!5 (if a;:;:~~c!~:e}: .................................................... · ........................... . ~. Fir:;: r.a.;:es (in full): •...•.....•.•.•.......•....•.........•...•...•...•........................................•• 5(a) Ca:~ ~f bir~h: ......•••.......••..•.•..••..•.••.•••...•.•.••..•.•..••.••....•..................................••

(b) Country and phce of birth: ••...•.•.•••.••..••.••••....•....•.....•...••.•....•.......••.....................••.• 6. Country of present residence: •.•......•••...•...•..•........•..•....•••.••......................................•. 7. Citizenship: .•..•••..•.•....•..••.•••.•.•....•••.•.•..........•........••...•.....................................

8. Sex:

9. l~arital status:

(a} if married, attach a cooy of marriage certificate. (~) If married to a Namibian citizen, attach pro~f of citizenship of spouse. (c) If a widow or .-idower, attach copy of death certificate of late spouse, or certificate by ~aster. (d) If separated, attach proof of divorce proceedings instituted, and state when final order is expected. (e) if divorced, attach copy of final order of divorce.

10. Identity number: •....•.•..•....•.••••...•••....••......•........•......••.••..........•........................... 11. Passport or ether travel doc..:ment: •••••....•••••••.•..•......•..•••..•..••.•......................................

(a} Number: .•..•.•...•..•..•...••.•.•...•...••.•...•.......•..•....••...•..•..........•..........•..•...•......... (b) Issuing authority: •.••••••...•.••.••.....•.•••••..........•..••..•.••..•.....•...............................• (c) ::ate of issue: .••••••..•.•...•..••••••..••.•....•.•..•..• (d) Date of expiry: ........•.•......•.•......•...•• [Attach copy of passport or travel document]

1 Z. ?reHr.t residential address: ••••..••.•.•...•.•.•...••.•..•••.••..••....•..........•.•.....•....................•.• 13. Present postal address: •.••.•••••.•.•••••••••••.••.•.•.•....••.....••••....•......•..•..•.........•............... 1~. Tele;:hone nu::ber: •••.••.••••••••.•••.•.•••••.•••..•••••••••••••••.•••••••••••••....•..•.•....•.•....•.....•......• 15. Occupation of applicant: ••.•••••••••••••.•••••••••.•••..•••••.•••.•••..••..••••.••....•...•........................

(If registered with any professional Beard, council or society, attach copy of registration certificate} 16. ~etails of training, qualifications and experience:

FROM TO· (a} Schools attended: .--------r-------,

(i) Primary School ························'···························!-------------( i i} Seccndary School •••••••.••••••••••••••.••••.•.•••••.••••••.•.•••••• '-------.....1.--------'

Highest school examination passed: ••••••.••••••••.•.•••••. , ••.••••••••.•••..•••••..•••.••.••••••..•.....• Major subjects: .•.••••••••••••••••.••••••••••••..••••••••••••••••••...•..•••••••••••••.••.•.•..•••...•••• (Attach certified copy of qualification certificate}

(b) Tertiary education or special training: .••••••••••••••••••••••••••••••••••.••.•••••••••......••••..••.•..••••• (i} Name of university, college or other institution attended: ••.•••••••.•..•••.••••••••.....•..•.•..•.......

(11) Prescribed duration of course: •••.•••••••.•.••.•••.•••••.••.•••..••.•••..•.••.••••.••..•••.......•....•.•• (iii} Period attended: From: ••• • •• ••••••••. •• • • •• •• • •• • . •• ••• • • . • To: •••••••••••••••••..•......•.•.••••••.... (iv) Degree, diploma or certificate obtained: •••••••..••••••...••••.•••••.•••..•••••..••.........••••.•.....•.. ( v} Major subjects: •.••••••••••••••••••••.•.•••.•••••••.•••.•••.••••••••..•••.••.••••••••.••.•.•....•..•.•.•••

(Attach copy of qualification certificate}

(cl Other qualifications:

(i} Trade in whith qualified: •••••••••.••••.••.•.•.••••••••••••••••••.•.••.••••••••.•...•...•.•..•••.•..•••• (ill Curation of apprenticeship: From: •••••••••••••..•••.....•••••.•••• To: •••••........••••.•••.•...•.•.... (iii} Dur:ticn of training : From: ••••.••••••••.•••••••••••••.••••. To: •.•.•.••.•.............•.•.••.•.• !ivl Qualification obtained : ••..•••••••••••••••••••••••••••.••••.••.•.••••••..••..••.•....••.••..••••...• (Attached copies of all qualification certificates}


of e~;l i cyi.lent

N.:J'o GF EMPLOYER/ ADOREs's :./~ERE I F:RM LOCAiEO FROM TO PCS n :0~1 iiE~D N;, 7C~E OF WORK

I

I {At~acr. oocument!ry proof of ei:'lp1oyrr.er.t)

(e) Brief description of c"ties at present or las~ pl.ce of emp1cyr;:ent: ........................................... .

17. ?:--e~er.t monthly s~l~:"'Y (inci;.;~ing benefits) or income ; NS ..•.....•.••.......•.............•..•.•.••••...•...

18 • .A • .'r.ount of money applicant will transfer to Namibia : NS •.•...••.........•..•...............••............. (At~ach certificate iss~ed by co:m~ercial bank. or other financial instituti~n confir.7.ir:; ir.:~r.Ced transfer ar:d stat~r.g source of funCsi.

19. P!:""t~culars cf ar.y ~er:sicn or ether aC~itional ir.c~:i.E the applicant wi11 receive · .... nile in ~;amibia:

20. Lang•Jage profi•ncy cf applicant: ! a) Mother tor.;ue: ...............................•.................•...•......•.................................. {b) ?rcficie~cy il'l c:her i~r.;:uges: {st~te "~cod", "fa1r" cr "~:::cr"}

( i l Engl i sn

(ii)

iii)

21. ?~:-ticuL~rs of a~p1~CZ.:i':.'s parents:

(a) Father: (il Surname: ..................•..................•.•............ ·············•···········•················ (iii First nar,es: ......................................................................................... . (iii l Date of birth: •............••........................................•••.....•.••...•.•............... (iv) P~ace of birth: ...................................................................................... . (yJ Preser.t residential aCdress: ..........••......•..............................•.•••................•... (vi) Cnizeoshi;:: ........................................................................................ ..

( :!) ~:the:-: { i ) Surnane .......••.................................................................................... ( i i l Mai cen narr.e: •..••.•.........•....•..••.........••••...•.•...•.••••.••..•.•..••.••••............••••••• (iii) First numes: ......................................................................................... . (iv) Date of birth: ............................................................................. . (vi Place of birth: ...................................................................................... . (vi/ ?resent res,dentia) aCCress: .................................................................. ! ...... .

(vii) Cit1:ensh1p: ....•.•............•.....................•.................•........•.....................

22. D~tails cf r~?L~ti'JI?S and frie~ds resioen: in Na.'Tiib'\a:

I..__ ________ L _______ __:_ _________ __j

25


-3-

2j. rf t:-Je applicant is marri~~. the followi;,; ~ar:~c~lsrs re!at~!':i ::) h~s :r r.er s~ous~ have:; ~e fur~ished:

(ai (~j (c) (d) tel (f)

~~~~:e~~-(i; · ;p;~ i~;b~~~; · ::: ~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

tsl (h) (i) (j)

(k)

Previous surr:ese (if applica~le): .......................................................................... . First r:a."ll!s in full: ................................................................................ , ••.•••• Date of birth: ....................................... ~ ...................................................... . Country and place of birth: ..••...•..•••••••••••••.•....•.••.••....••....•.•....••......•...•••.•••••••.••.. (Attac~ c~py of bir~~ certificate) Country of present res~~er.ce: ...•.•.••••••...•.••.••.....••..•...•..••...•....•..•.•.••.•.•..••.•.•••.••..•. Citize~ship: •••..•.•••••••.•••••••••••.•••••••.•...•..•..•..•.••••..•..•.•.•..•••••..••••••••....•....•.•••. Identity number: ••••••.•••••••••••.•••.••••••••••...••••••••••..•.•.•••..••••••.•.•.•.•••••••••.••.••••.••.• Passj)ort or other treve 1 document: I 1) IIIIOber: .............................................................................................. . (11 I Issuing authority: ••...•.•.•.•••••••.••••.••••••.•.••••••.•.•.•.••.•.••.••••.•..•..•••.•.••.••..•..••• (Hi) Date of issue: ••.•••••••••••••••••••••••.•.•••.•• Cate of txj)iry: ••••.••••••••..••••••••••••••.••.••• (Attach copy of pessi)ort or travel c!OCUI:II!ntl Dccupat~cn of spouse: •••••••••••.••••••••••••••••••••••••••••••••••..••••••..•••••.••••••••••••••.•••••••••• trf registered with a::y ~rcfessionel boe,..d, co~:ncii or scclety, attach copy of regis::retion certificate)

{1) Will S!'Ouse ac:::m:~ary !;:;:11c!r.t? ns I I I I iml If reply to ~uestic~ in sub;:ara~r!;;h Ill 1s "tiC", attach ~e!sor.s.

24. Plrticuiars cT cie:le!1c!ent c!111cren !CCC!I;t!!'!ying t!':e ep::l~cant:

SIIRIWIE AtiD FIRST 11:.11£5 OAT£ AND PUCE OF BIR'!'H ClTIZENSHIP

NOTE: The spouse of the applicant as vell as every child of the ep;~licer.t vishing to settle permanently in Namibia wnleach have to CDIIIPlete a separate application for permanent residence in N111ibia.

25. All ad~resses ~o'here the e;~pl1cant resided from the ase of 18 yee~s. in da:e order and c=e~cing vit~ the present resi~ence a~dress:

COUNTRY PROVINCE OIS.TiiiCT TOW:I/FAR.'1 STiiEH FROII TO

I If insufficient space, attach annexure)

26. Occupation/profession the applicar:t inter.~s fo11oving in Namibia, or if already in Naonibia, the occ!lpation/ profession the applicant is fol1011ing in Namibia:

27. Na:::e and address of e::~;~loyer of tte a~plicar:t in Nami~ia. or na::;e ancl address of pros?ective er.ployer in Na:nibia:

28. Attach a copy of the employment agreeo:~ent between the applicar.t and the employer, or a lette~ ~Y the employer/ prospective employer stating the applicant's conditions of employment and date of ccorn:enceo::ent of service/ prospective c~~~:~~~encement of service.

29. If the applicar.t is alrea~y e::~ployed in Namibia, furnish the folloving infonation: (a I N!!De ar.d address of e!!!P 1 oyer: •••.•.••.•••••.••••..••••..••••..•.•••........•.••..................•.••....•.. (~) Residential address of a;:;~licant in Na:nibia and teleph~ne nuorber: ........•.....................•.•.•..•.....

(c) N;,;,b~;·~~d · d;t~ · ~f ·~;pi~;;,~~t· p~~ii; ·:::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: I d) Date of e9 i ry cf e"'? 1 cy:::ent per:ai t: •.•..•.•.•...••.•..••.........•......•..•...•........................... (Attach a copy of employn:ent per:11it or other document in te,..,..,s of which the applicant is entitled to work or to be e.'11ployed in Naonibia.)

30 Pa~ticulars of previous visits to or perit-ds of res:~e~ce in N!!::ibia:

frcm from frcm

...................••...•................. to to to


;i. Has t!lt! a;»;»l~c~:1t c•· h~s :!'" r:~r s;:use or any of his or her c!e;:!~den: ch11~ren acc:rr.panyir.g h~~ or her -

:aJ e'ler ~eer. c:rw1c:ed cf !~y offe!'lce, whetrer 1~s1de or ct:tsir!e ~h::aibia :e:.c:i~i::ir.; :~e cc;ntr!·.c!'1ticn of any by-law or regulation a-r:ere a fine of NS 200 or less, c~ :he equhalent thereto, was imposed)?

(~l ever been de;~orted fr:::., :r refused entry ir.to any country?

(c) ever suffere-J, or is at present suffering fr0111 -

tu!lerc~losis or any other contagious lung disease; trachoma or e~} ether chronic eye infection;

YES I I I YES I I I

NO j I ;or

NO j I ;or

(i) (ii) (iii) (iv) (v) (vi) (vii)

frlllllbesia, yaws, scatiies or ar:y other contagious bacterial syphilis or &r:y oti':er venereal disease;

or other ski~ disease;

leprosy; acquired hm:·~r.e ceficiency syndrome (aids); or any mental 11:r.ess or affl1cticn?

YES I I 1.___~1_0 __.1__.1 ; cr

(d! at any tia:e applie-J for an employment permit or a per:nanent residence permit or any other permit under any law to take up employment or residence in Namibia?

YES I ll.___:._o _.1__,1 32. lf the applicant has replied "YES" to any of the questions in paragra;~it 31, full ;~articulars have to ~e attached to

this ap-plication.

33. !s t!':e applicant or his cr her s;~ouse an ur.rehabilitat;!d insolvent?

YES I II :IO I I 34. if tr.e applicant has replied "YES" to the question in paragra;~h 33, full particulars have to be attached to this

application.

35. Has the applicant or his or her spouse -

(a) left any ur:paid debts, or ~hen they move to Nmibia, will they leave any unpaid debts behind in any other country?

(~) ever resided in Nar.~i~ia for a period of longer than three rr.cnths?

YES I I I NO I I ; or

YES j I ~..-I _No---1.1 ...... 1

?5. !f ~he applicant has replled "¥ES" to any of the questions in para;raph 35, full particulars have to be att!ched to this applicatlon.

37. Religion and religious dencmination of applicant: •••••..••.•••..••.••..•.•.•.•.•••.••...•••.•......••..••..•.•.•••

38. Reucns why applicant a;~plies for permanent residence: ........................................................... . ......................................................................................................................

3g. Has the applicant the intention to apply for Namibian citizenship eventually? YEs III..___No-----~.1 ...... 1 40. Motivation for answer to c;uestion in paragraph 39 (attach 11111tivation if space insufficient): .....•.••.........•.••

41. The epp li ant shall , in res~ect of -

(a) the ap~licant himself or herself; (b) the spouse of tl:e ap~ H cant; and (c) every dependent child of the applicant named in paragrapn 24,

attach to this application, in addition to the other documents specified in this application, the following documents:

(a) A certificate issued by the police of the country where the applicant is residing, and the police of every country where the applicant has resided during the past ten years, reflecting all convictions relating to criminal offences, if any, of the person named in the certificate; and ·

(b) two passpcrt-s1ze photo~raphs of the apj)licar.t (3,80 cr.~ x 3,80 em; black and white, frontal; face and shoulders only; both ears visible); and

27

28

lC) A certificate issued by ! ll'.tCical pract~~ic~e~ :e~:ifJi~; ::-:a~ the person ,!r..~: in :he certific!:e does not suffer frcm any of the C:iseases listed ~n s:.::~!~:;::-!::!': {c} :f p~!'!.,r:~r. 31 i :~:

'dl A ~irth certificate:

No, 895

42.-If the spous-e ofihe appllcant 11as born outside Na:;:ibia, out Is resldir.g in Na:::ibia, the ap~llcant shall attach to th_is application i copy of th• certificate, per-:::1~ or ether ~oc~.':'er.t In terms of 10hich the spouse of the a~pllcant !t.~otl~led to resl_de in ~amioia.

43. The applicant hereby declares that -

(a)

(b)

!c)

(~)

(e)

(f)

he or she hereby applies for the granting to him or her cf a permanent restder.ce ?emit und~r Section 26(1) of the !11111igration Control Act, 1993 !Act 1 of 1993):

the Information furnished In this appl icatlon Is ·correct ar.d Is the truth;

the t110 photographs subml tted wl th the app 11 cation is a tr:;e 11 keness of the illl~ 11 cant, whose na:::e appears on the reverse thereof; ·

he or she understands that if this l;lt)11c!t1on ~Y the e;pi~C!!':t for per::er.e·r~::-·:"eSi·:!e!':ce ~n ~len.i~~~ ~s ;:-an:ed to the applicant, that such permanent resl~e~ce &;~plies In respect of the a??licant onl,v and not In respect of his cr her spcuse, children or any other perscn;

It Is his or. her flnl Intention to reside 0 1n Namibia p~rm'a~ently; and_

the appHcant hi~self or herself. er his cr her e.:~1cyer s~a11 :::e r•sp·c:fsi~1e ·-ret the acCOrtr.icCat~on and maintenance of the applicant, hh or her spouse ar.d hh or l:er deper<:rnt chllcre~. ind _that'the applicant Is aware of the fact that the Government of Nll.:'llibla does not accept er.y·resporisi!illity In respect thereof.

SIGNED AT .••••..••......••••••••.•...••••••••••••.•.••.•.•• Tli!S •••••.•••••••••.•••.•...••••.••.•....••••.•• DAY Ci'

.•••••.••••••..•••.•••. 199 •...•••.•.. IN TliE PRES<::iCF: CF iP.£ UtiDERSIGNEO WITNESSF:S.

AS li!TNESSES: ......•.••• P.??l. ic..\rif ............ .

1.

2.

/er-fr.::4

\ \

II F.l'\lRLlC OF NAMTil IA

M!NfS'I1tY Ill' IOIE AFI'ATRS

DI·:PAIInii':NT 01' CMC AI'FAliiS

UNJGRATlO~ COI.-I'ROL ACf, 1993

[Secllon 26(J}(a;:)/

Regulation 91

AI'PLICAHON HlR A PER.'I,\NElH RESIDENCE POOIIT IIY TilE SPOUSF./DI::PI::.''IDI:Nf CIIH.D/PAAE.\1 Of A PERSON PERI'~\NI'.IHI.\' Kr:SIDLNT IN.N~IIIIIA,

To TI•c l.llllligt•atl<"' Sulectlon lloard

liin<IIK>Ck

P,\RTICULAllS OF TilE APPLICANT:

I. SUR!i~IE: o o o oo o o o .... oo oo .. o .. , o oo oo o oo o .. o .. o , o, o oo oo •o ..... oo • o .. o, • oo ........ o o ... o o o • o .. o o o o .. , o .... o o .... o .... , oo o .... o o o 0 .. o o o o o o o , 0 o 0 o o o 0 0

lo ~~\IDEN NA.'IE (if appllcablc) o oo o oo oo .... oo o oo o oo o o o o o oo oo o o oo o o 00 oo o o o o oo oo o o o o o .. o o o o o o o oo o o o o oo o o o o, o o o oo o o o o, 00 o o oo o .... o o o o o 00 o o o o o o o o o o o o o o o

lo PREVIOUS SUIUI~It:S (if npplicable) oo oooooooooooooooooo.oooooooooooooooooooooooooooooooo ooooooooooooooooo•o .. oo•••ooo .. o.'o•oooooooo,ooooooooOooo 0 0 0 0

4o I'IRST Nll.'lt:S (ln full): oooooooooooooOoooooOoooooooooo•oooooooooooOooooooooooooooooooooooooooooooooooooo.'oooooooooOoooooooooOOOoooooooooooo•oooooo

5o (a)DATE 01' DIR'l11: o ...... o oo .. o .. oo oo o o .. oo oo o o o o oo o o o o oo o oo o oo .. o o .... o o o o o o oo oo o o .. o oo o oo o o .. o o o o o oo .. oo o .. , o o o .. , o, 00 o o,, o,. o o o 0 00 0 .. 00 o 0 0 .. 0 o o 0 0

(b)COU~ll!\' A:O..'D PLACE Of DIR'l11: o o .. o. o .. oo o .... oo .. o oo o .. o o oo o o o o o o o o o o o o o .. o oo o .... o o o o o .. o oo o o o o oo oo o o o 00 oo oo o o oo o .. 00 o o .. 00 o o o o o 00 o o 0 00 o o o 0 o o o o o o

60 CCU!f'll\\' OF PIU;SENT RESillt:h'CE: .. o oo o oo oo o oo o o oo o .. o o .. o o oo o o oo oo o oo o o o o o .. o o o 00 o o .... o o o oo .. oo o oo oo .. o oo oo oo o o oo o. o o o o o o .. o o o .. o 00 o .. o o o o o o o o o o o 0

7o

8.

9o

CJTIZENSIIIP:

SEX: I F~WE I I HARI'fAL STATUS: ~IARI\IEII =n I I '---1 RIVOKC--L-JEn I I (a) H ""'rried, attach a copy of marriage certificatHo

(b) If a widow or "idow<!r, att .. ch copy of death cct-tlficatu of lal" spnusr., 01° ""'olific:"t." by ~LI>oltor,

(c) lf St.!pou·att.·d, altach pi"'Uf' of c.Uvorce J)f"()Cecdings inslilutt~l, if any, and t;;t~alr. whmt rinol ordur of 'clivtwc~ is c.~XIM'cl.t~l.

(<.1) lf divor-ced, attach copy of final onlc1o of tlivo•·ceo

IOo IDE.\ILTY 1'1.!:-UIER: oo o oo oo o .... o o .. oo o o oo o. oo o o oo o. o o o o o o o o o, oo ..... oo, ...... , .... oo ••• o. o o oo oo. o. o 00. o o o o,. oo o o oo .. o ... oo. o .. o o oo o o .. o oo •• o o o o o o o o

II o PA::~.I'Qrr Oil OnlER 'IR.\VEL ~li':NT:

(a) IIU'OJER : o ... oo o oo oo oo .. , o o o o , ... o o o o ...... o o • o o o o o oo o o o o o oo .... oo o o o • o o o , o o .. o o .. o o o o o o o o o o o o .. o .. o o o • o o o o o o o .. o oo oo o o • o o o o o .. o o o o o o o o o o o o o o o

(b) ISSUil\G AUTIIOIUlY: .. o o .. o, oo .. oo o o oo o o o o .. oo o o o o o o, .. o oo o o ... oo o oo o o o o .. o o o oo o .. o, oo o .. o oo oo 00 o o o o o oo o o o o oo o o o o o .... oo o o o o o o oo o .. o o o .. o o o o o o

(c) D,\tl> OF ISSUE: oooooooof':-:-:ooooooooooooooo ...... oo .. oo (<.1) DAtE Of F-XPIR\': ooooooooo,ooooooooooooooooooooooooooo"""oooooooo .......... ooo

(Atl.:ach copy of pas5port oro tr·~vcl rloc:uoo!nt).

r

12. l'Rl:SEHT lll:SlllEHTIAI. ADDRI:SS: ••••••••••••••••••••••.••••••••••••••••••••••.•••..•••••••••••••••••••.•••••.•••••••••••••••••••••••••••••••.•••••••

IJ. l'Rt:SEl\T l'OSTAI. ADilRESS: •••••••••••••••••••••••••••••••••••••.••••.••••••••.•••••••••••.•••.••••••..•••••••.•••••.•••••••••••••••••••••••••••••.•

1~. TEI.EI'IIO~t: t.\11-UlEII: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

IS. PRESENT ~I>~"! liLY IIICll'IE: II$ •••••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.•••••.•••••••

16. IF 111E Al'l'l ICA!iT IS ~lo\RRIED, 111E FOLL~HNG P.IRTICUI.ARS R!;l.ATING TO IllS Oil IIER SPOUSI: IIAVE TO Bf. FIJRlUSIIt:D:

(a) SUII.~•\'IE: ••••••••••••••••••••••••••••••••••••••••••••••.•••••••••••••••••••.•••••••••••••••••••.••••••••••••••••••••.••••••••..••••••••••••.

(b) HAlDEN N~IE (if applicabl.,): ••••••••.••••••••••.•.•.••••..•.•••..•••.•.••..••••..........•....•.......•.•.•..•..•.•.......•................

(c) I'Rr.VIOUS SURN~IE (if applicable) : .••••.••••.••.••.•..•••••••••••••.••.•••.•••..••..•....•••...•••.•••.••.•••••.•••••.•••.•.•.•.•••.•.•.•.•

(d) t"IRST N~IES IN tULL: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.•••••••••••••••••••••••••••••••••.•••••••••••.••••••••.••

(n) DATE Of BIRTII: •••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••••.•••••.•..••••••••••••

(f) C0Uh'1l!.Y AND PLACE Of IIIR111: •••••••••••••••••••••••••••••••••• , ••••••.••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

( Att.adt copy of birth ccr·tif lcatr.)

(,;) COUHlRY Of l'RESENT RESIDEIICt: ••••••••••••••••••••.•••.••••••••••.•••.•••.•••••.••••.•••••••••.•••••••••••••••••••••••••••••••.•••..••••••••

(h) CITIZEliSIIIP: •••••••••• · ••••••••••••••••••••••••••••••.••••••••••••••••••••••.•••••••••.••••••••••••••••.•••••••••••••.••••••••••••••••••••••

( i) IDENTlTY hUDlER: ••••••••••••••••••••••••••••••••••.•••.••••••••••.•..••••.•••.•••••..•.••••••••••••••••••••••••••••••••••••••••••••••••••••

17. \/ILL 111E SI'OUSE OF 1111:: AI'PLICANT ACCll'U'ANY 111E Al'l'l.ICANT? I

YES I I NO I I 18. IF 111E RJ::ri.Y TO 11\E QUESTIO~ IN I'Ait~GMI'II 17 IS "NO", ATIAQJ REASONS.

1?. I'AI\TJCUI.AIIS Ill' lll·:I'ENillllT CIIII.mEN ACCO'D'ANYJNC. 11m AI'I'I.ICANT:

SURN~lf. AND FDIST N~U::S DATI:: AND PLACE OF BIR111

20. l'ARTICUI.Ait<; OF l'ltEVIOIIS VISITS TO OR I'F.RTODS OF Rr.5IDI:~Cf. ~~ NA.'ITIIJA:

( .. ) (I.J)

(c)

rrum:

lu:

lo:

lo:

0 0 < ~ ..., :::s 8 ~ :::s .....

21. liAS Tit[ 1\Pf'LICNH OR IllS UJ! 11[1! SPOU5[ OR lillY OF IllS OR HER O[l'[flO(fiT CIIJLIJR[N ACCUI~I'ANYING IHM OR IIER -

(a) ever been convicted of any offence, whether Inside or outside N•mlbia (excluding the contravention of any by-law or regulation where a fine of NS 200 or less, or the equivalent thereto, was Imposed)?

(b) ever been deported from Ol' refused entry 1 nto any country?

(c) ever suffered, or ts at present suffering from -

(I) tuberculosis or any other contagious lung disease;

(1i) trach011a or any other chronic eye Infection;

(111) frambesia, yaw>, scabies or any other contagious bacterial or other skin disease;

(iv) syphilis or any other venereal disease;

( v) leprosy

(vi) acquired tonnune deficiency syndrome (aids); or

(vill any mental Illness or affliction?

~]] ~] (d) at any time applied for an employment permit or a pemanent residence pe1111t or any other penatt

under any law to take up employment or to reside In Namibia?

YES IIINo II

YES I I ._I _No__._l _.I; or

[Y£STJ I NO I j; <>r

IF TilE 1\PPLICANT liAS REPLIED "YES" TO 1\NY OF Til[ QUESTIONS IN PARAGRAPH 21, FULL PARTICULARS IIAYE TO 8[ ATTACIIED TO TillS APPLICATION.

22. REASOttS WilY TilE APPLICANT APPLIES FOR PERMANENT RESIDENCE:

23. PARTICULARS OF PERSON WIIO HAS UNDERTAKEN TO MAINTAIN TilE APPLICANT: (a) SURNAME: ................................................................................................................................... .

(b) FIRST NAMES (IN FULL): ..................................................................................................................... .

(c) RESIDENTIAL ADDRESS: ................................................................................................................ , ...... .

(d) POSTAL ADDRESS : ........................................................................................................................... .

(e) TELEPHONE NUMBER:

(f) NNHBIAN CITIZEN: YES I I NO I I (g) IIOLDER OF A PERMANENT RESIDENCE PERMIT: YES I I NO I I

0 0 < (1) "1 ::s 3 (1)

::s .....

w -

(h) I!ELoiTIONSIIII' 1"0 Afl'LlCA~T:

I t'A111ER . I _, I ~101111:]( IJ ,·

: I . ' .-'---,----.--,

~- s1Wsc 1·1 t -~~ 0 c r.~u(;JrnR r 1 24. liAS mE APrttcAsl· 111t tx·mN'ru:H ro ·APPLY t'oo. ~A.'tiliuH ctuiErislln,., l YFS I ' I '[--yo=]]

.. . . . '

25. If 111E APPLICA~'T liAS IIEI'l.IEil "NO" TO QUfSTION 25,_ An:ACII IIEASONS._

26. 111E API'LICA.\'T SII~LL, IN RESPU.'T Ot' ll~ISELF 01( lll:RSF.J.f, Al'l'Atll 'ro· '111TS API'LICA'I'IOS,' IN AlllliTIOJ( Tr. 11m O'lliFR OOCII'IEN1S .SI'I'.c'IFJt:li IN 1111!.

APPLICATION, 111E fOLl-0\'IJ(G OOCUHJ:HTS: , . :·::· .. ':: v::i.

(a; , r.Lt'.HIIC.•.n :1St1)UI 1\Y 11m l!ll.ICf. OF ~Ul COUN'.RY \·~itiiE '1111; AI'I'LI·C-ANT IS RESllliNG, ANil 1111l POLICe OF t.Vf:RY COUN'ntY l'lllmE 111E AI'PLICAN'I liAS . .. . . Rf.SIDED DIIRlNC 111E PAST TEN YEo\RS, RU'LECTI~G Al.l. CONV!CriONS RELATING TO CIIUIINAL OFfEXCES, If AN'Y, Of 111E APl'LICANT; Ahl>

•,r·r:

(IJ) A CIJI1IfiCATE ISSUED DY A ~IEDICAL I'RACIITIOIIER CEIITII'Ylf(G 111A'I' 111E APPLICANT llOES ~OT SUFFfJI I'RCI'l ANY Of 111F. DISEASES l.ISTED IN SU8Po\Jio\GIIAI'II (c) Of PARACJ!Al'll 21; AND 1 ::• • r; '. '" ·:,_: •- -:~· '. '' ·;,,.· '!

(c) A 8IR111 CfKIIfJCATE: AND

(<I) 1\«1 PASSPORT PIIOJ()GR.\nUS Ot' 111E .\I'PI.ICAiff .(J,8o ""' I>Y J,8o. P'Jo.IJI•/ICK AJIIl I~I~TE;._ tlUJ.~T~; FAC~ .,AWl SIJOUI.DE:RS Ol\U'; Dlml E.\RS VISIBLE).

27. 111E AI'PLICA~'T IIERF.IlY DF.Cl.ARES 111AT,-

(a) llf. OR SIIF. IIF.REIIY APPI.IES fOR 'niE CRAN'IING TO IIIH OR IIEII OF A PEIII'IANEN'I RESII>ENCJ; l'llii'II'I' UNlll'R SECIIOH 26{]){1;) OF 'OlE ~f.ILCRATJON CON'IliOI.

ACI, 1993 (ACI 7 OF 1993);

(b) 111£ lNF®IATIOH FURNISIIED IN 11115 Ai'PJ.ICATION AND All ANNEXUR£5 111ERE'f0 IS COIUtECT ANil IS 111E TRU111;

(d 111E TII'O MIOTOGRAPIIS SUI\'IrfTED 1~1111 1111: AI'PI.ICATION ARI: 11lllE l.lKF.NI·:SSES OF TilE APPLICANT, hliOSE N~IE APPEARS ON 1111: llf.Vf.RSE 111£REOF;

(•I) liE 011 SIIF. liSOEII.STA~l>S 'J11,\T IF 11115 API'UC.ITION flY 1111; Al'l'l:lCA!."Il lUI. lliiR!-IAtlh"Ntt'' lttsllli~E IN N,\HIDIA 15 r.RANTEil '1'0 1111; APPLICAN'T, 111.\T SUCII

1-LR.'l-\.~(m' R£.5IDE.\CE APPLIES Ill R£.5Pf.Cl' Of 111F. APPLIC,WT OSLY AND NOT IN NESPECI OF JIIS OR IIER SI'OUSJ:, Cllll.IJRE~ 011 A~'Y 0111ER PmSON;

(.,) IT IS IllS Oil IIER ~'111.'1 !NTL~\TIOS TO RESIDE ~~ N.I.'I18IA PF.I~'J,\St.S11.Y;

{f) liH-: PER50:\ K.I.'IED Ili PARIICIIAPII .J4 SIIAI.L DE RJ:SI'OliSIDI.£-.fQR TilE ~tii~TlNANCE OF 111E APPLICANT AND 111AT 1111; APPI.lCA*J' IS Mt,\Jic J.. lUE F~1' 111A'I

lliE GI)VEIIK'IEST Of ~A.'fill!A IXJES NOT o\CCEPT 11.\1' RI;SI'OSS!Il1Lf1~' I~~ ~!;sPE~.!. ~FJ surnr .'IAl~Tri'~'I~CE. •.!

' ~ I fl I ~ 1 ' ' )

.. : ..

w ~

~ <:. ~· ::t 9 0.. ::t· --~ sa 3

~ 1,.

~ = -..,.;. '\0 \0 ~

z ''~:

OQ

'~

-5-

ST!".'iED AT ••••• • • • · • • • • • • • • • • • • • • • • • • •••••••••••••••• TillS •••••••••••••••••••••••••• P.~Y OF ••••••••••••••••••••••••••••••••••.••••••• 199 •••••••• TN

niE T'RESENCE OF ·nu; U~'DERSlG.~EO WITNESSES.

AS \flT~ESSCS: SlG.~ATUIU: OF Ari'I.IC.~NT

I.

2.

UNDERTAKING llY I'FJISON RESrONSIIII.E 1·1Nl liiE HAINTE.NANCE OF ·nu; Ari'LICANT.

I'ARTICULARS 01' Pf.RSON GIVING ~'DERTAKJNG TO HAl.NTAlN Tllli ArrLICANl':

28. (a) SUilNAI'II;: .. , •• , , • , ..... , ............ , ......... , ........ • • ••• • .. • • • • • • • •• • • .. • • • • • .. • • .. • • • • • • • • • • • • • .. • .... • .. • .. • • • • • .. • • • • • • • • • • • • • .... • •'

(IJ) ~IAIDE.N NAI'IE (if DJ111lh:DI.Jle): ............................................................................................................. ..

(r.) I'KEVIOUS SUKN~IES (if applicnblu): ................................................................................................... •• ••••

(d) FULL N~IES: ........... , ..... , ••• , .................... • • • • • • • .. • • • • • • • • • .. • .... • • .. • • • • • • • • • • • • • .. • • .. • • • .. • .. • • • ...... • • • • • • .. • • • • .. • • • • • • •

(u) IDENTITY .. 1.tUIER: ............. , ............... , , ............................ • • ·, ........ • • • • • .. • • • .. • .... • • • .. • ...... • .. • • .. • • • • • .. • • • • • • • • •

(f) Namibian citizen: ,- ---y~ I tiO I I (~) lloldcr of .a. pcrmanenL n:sldunco &:crmil:. for NamilJiou I Yl·:..-i---~-~ I NO I J

(Alt.Ach proof of clti:l.C'"nshJp/copy of pcnnancnL r'dsl<k~ncc 1:cnalL, ,.,.hlchevc•r: may bn applhcnblt!)

(h) l'reserat rcsidcnli••l addr·ctis: •.•.•.••.••••••••••••••.••••••.•.•••••••••••.••..••••••.•••••.•••.•.••••.•••••••.•••••••••••••••••••.•.•••••..•

(i) l'rcs•••L postal ;llklrc5s: ........................ • ........ • • • • • .... • .. · · • .. • • • · · .. • .... • • · • · · · · • • • • • • • • • .... • • · •"" ... • • · • · • • • ... '• · · • · • .. · · · · (j) 'l'"l"phono , .. ...,.,,., .............................. •••• ••••· •• ............. •• .... ·••·•··· ·•·•· ...... ·•· ·· ................................ •· ·•·•

(I<) Snx: I ~LILE I I I ~'l}Lil.l; I J

(1)

(m) (n) (o) (p)

~~~

Hou•j Lal staLus:

~lunller of lleperxlent childr-en and resJ)Ccti ve age.11: •••••••••••••••••••••••••••••• o •••••• o ••• o • o ••••••••••• o ••••••• o •• o •••• o •• o •• o •• o o • o o o o • o •

Ocetl(lati011 or profession: o. o ••• o ••••• o. o •• o •••• o o ••••••••••• o o o o o. o. o o o. o ••• o o o. o ••• o •••• o o ••••••• o ••••• o o o o. o o •••• o •• o. o o ••• o ••• o o •••• o. • •

~=c:~ ~{!:~~~~e~; •::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;:::::::::::::::::::::::::::::::::::::::::::::::::::::: b~h~~n~=r~~~{ ~~~:. ~ o::::::::::::::: :.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

z 0

00 \0 VI

C'l 0 < (I)

a 3 (I)

::s .... C'l

~ .... .... (I)

N \0

's:: --\0 \0 ~

w w

-H-

UNPatT.U.:iNG

29. I hm"by d"claro that -

(a) my sur·nanM> and full Ur•st n;uncs ar•e: ••••••••••.•••••••••••••••••••••••••••••••••••••.•••••.•••••••••••••••.•.•••••...••••••••••••••••••.• ;

(b) the p.,t·l.~culars pt'rtainina t.o mysolf as act out abovn arO cot"I'\M:l.;

(c) the ,,pplicant, namely (surname and full first names) ...................................................................................... . is nry fOlther/IIIOther/SI>Ouse/o.on/dRol/)rter•;

(d) I "'" financially ablo arul Jn n po&ltion tc maintain the applicant during his or her Jll'riod of n:a;ldenco Jn N,..ibia;

(c) th" applicant will bo rcslrling at my above rcsidcuUnl ac:dr'OtiS/will bo residing at the following addr-ess: ................................. . ........................................................................................................................................... : (f) I hrr·cby un<kn•tako to provide for thu cntiro maint.mtance of tho appllcant for the period of h.ls or htll' residence in N-ibia or mtil he or·

shu Lrl>canua financially independent, .. hi<:hever rnay lxs applicable; ami

(g) I 11111 aware of the fact tl1o1t the C.ovcnncnt of Namibia docs net accept; any responsibility ln respect of till! 11.1intr.naoM·e of the applicant In any ~ay "hat soever.

SIGNCIJ A'r • • • • .. • • .. • • • • • • • • • • • • • • • • .. • • • • • • • • • • • • • • • .. • • • • • 111[5 • • • • • .. • • • • • • • • • • • • • • • • • • • • .. DAY 01' .................................... . 199 • • • • • • • • • • • IN 111E I'RESI:NCE OF TilE UNDERSIGNED lll'I'NESSES

AS h'I'rnESS~"S:

I. ········•······················•········· ....................................... ~ .... SIGNATURE Of PERSON GIVING Ut.1>FllTAKI!iG

2 .......................................... .

If nul

w ~

0 0 < ~

3 8 ~ ::s .... 0 ~ .... (;

~ ~ c: --\0

~

z 0

00 \0 Ul


REl'UilLIC OF N,\'IIIliA

~IIXISIRY OF JICME AFFAD!S

DEP.>.R.'IMEl'.'T OF cr.'IC AFi' AmS

:tt+!IGRAnON COII'TROL Acr, 1993

PER.'L\Nil!IT RESID~CE P£1t'{IT

(S .. ct:ion 26/R.-&:'~lAt.ion 9)

rffi.'ITT ~'U!-Ulffi: ••••••••••••••••••••••••••••••••••••• REFERENCE: ............................................. ..

!S.S:t:t:D TO:

Su~~: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Firs~ n"""'s (in ruu):

n~t.c of bi r1.h: .••• 0 0 0 0 0 ••••••••• 0 ••• 0 0 •• Citizenship: ................................. . Sc!x: ................. ..

r.lS:i(X.H"l. nu:nl~l'": •••.•••• • •••• o ••••••• o. o o •• o. o o o. o o o • • •••••••• o o o 0ccupat.ion: • o o • • • • •. o o •• o o o • •• o o • o •. o • • •• o •••••

N...., nnd ndc!rcss of ,.,:plcyer: ........................................................................................ .

~nrl who has heen nu~h<n"i~ed in t.enns of section ~6 of !.he Tmnic:rnt:ion Conerol Act:, 1993 (Act i of 1993) -

(a) t.o C".nt.r.r :md 1~ .in N~i1Ji:1; or

(h) if :Jll""e::Jdy in N.:uniiJi.::t. t.o rem.lin in NM~ibi:l,

ror t:he pu,oSP. of f"JC'l.rm.ilnent. rcs.i.Uence the rei~.

,,,,., validity of t:IU. pe.-mit shall lapse if the person to ~ohich it. h:>s bef!n .issued -

(c) fails t.o entl'!r N.:!Dlibia for the purpose of peTT."'.anent~ residence therein on or bt"!fore 1.h~ .•.••...•.•..••••.••.• day

of ................................ . 199 or

(d) witJtout. the cons~t of t.he Ir.m.igration Sel~ion BoanJ engo1.ces in Namibia in uny t:mploy:nent, husin~ss, p1·ofcssi.on

or oc:cup."ltion other theln that stAted Ai)ovft, 011 or before the ••••••••••••••••.•••••••••.•.••••••••••••••••••••. ~ •.

c!Ay of .......................................... 199 ...... .

DAte of issue:------------

l!'sut~ IJy lJ1e Olicf of Inm.ic;:ration, Windhoek.

SICN,\TURE: CIITEF OF I~'IICRATION

NO'TES:

(i) The Above p«!rm.it has been issued without corrections or Pl"ol.Sure.

(ii) This pP.r-mit:. h~s on arriv:Jl t.o be cxhibit.cd to t.he Irnmi&rol.t.ion Offic~r at. the port. of t-!nt.1·y.

(lii) Th~ permi~ hQLder has to retnin this permit ror t.h~ duraeion of his or her st~y In S~mibia.

35


~:_;LGLIC Qi~ :l.:..'·'.:2: . .:.. l-1i~~iS7;{Y or HO~£ ;.rF:d?.S

DE?A~T.'IENi OF ClV!C AFF.~!i!S

1:--"~!Git~TICN CC~nRCL AC7 • 1993

ArFL :c,•,TION FCR '/!SA (Sect1or:s 12 .e.r.d 13/ Regulation !!)

1. Surn~~e: ----------------------------------------------------

2. First ~l!.~es: ---------------------------

3. :-!aide~ nl!.-.e (if e~plicant is or was a marrie' woman):--------

4. Sex:

lo::..U.s 4 oO 10 ,o Bt COMPL£1£0 BV INS£ilo!NG AN "x" ,1, THE APPROPRIATE SPACE

Male I llremalej

5. "!r;ul St!~t:S

I Neve~ ~arri ec! I ll~e,.riedlll~!vorc!:lllwico,.I:O:lc:we,.jj 6. ~ave ycu at any ti::111 ap~i ied fer a permit to settle

in Nami~ia per.:enently?

7. Have you ever been restricted or refused entry into Namibia?

8. Have you ever ~een deported from or ordered to leave ~emibia?

9. Have you tver been convicted of ar.y crime in any country?

EDGJ EDGJ EDGJ EDGJ

FOR CFFlC!Al. USE ONLY Ap;:ro ... ·ed 1 Net Approved Single I Multiple Entry

F11e No.: ..•.•••••.•...•••••••••.•.•..

Date of issue: ....................... .

Date of expiry: ..•.•..••....••......•.

Remarks:

Signature: ••••••••.....••.••••••...••

Date: ..••..••••••...••••••••.••••••••

10. Are you sufferi~g from tuberculosis, or any other conu;ious lung diseue; trechcr.:a, or any other chronic eye infection; frambesia, yaws, scabies or any other contagious bacterial or other skin disuse; syphilis or any other venereal disease; leprosy or acquirEd immune deficie~cy s:tndl"cme virus(aics virus), or any mental illness cr affliction?

No j I 11. If the reply to any onE of questions to 10 is in the affirmative, attach full particulars.

I

12. Birth: (a) Date: (b) Place: Cour.try: ------------------

13. Citizenship:----------- (If acquired by naturalization, state original citizenship)----------

14. Passport: (a) ::umber.: (b) Place of issue: ---------------

(c) iJate of iss~e: (d) Date of expiry: ----------------

(e) Is passport valid for travel to Namibia? EJJEIJ 15. tal Present residential address:

(b) Telephone n..::!:er: (Code: ) No.: -------------------------1€. Address and period of residence in country of which ycc are a permanent resident:

(a) Residenti a 1 address: --------------------------------------------------------------(b) T e 1 ephone nlllllber: (Code: ) No. : ----------------------------------------

(c) ?eriod: -------------------------------------------------------------------------------17. Occupation or Prafe~sion: ------------------------------------------18. Firm, con:pany, university, etc., to which you are attached or which you represent: --------------

(a) lla.-;e and ad~ress of er.-.ployer: ---------------------------------------lol ielepnone ""-:r.oer (Code: ---------- ~o.: --------------------------------(c) llature of o~siness: --------------------------------------(d) ;t a studer.t, rame cf university to which you are attached ar.~ the course pursued: ---------------

19. If ecccmpanied by your wife and children state:

FIRST ~A:·IES

(a) ----------------------

(b) ----------------------------

(c) -----------------------

(a)

(b)

(c)

DATE CF B!HH PLACE OF BIRIH

(a) ------------------

(b) --------------------

(c) ------------------20. (a) llhat ;mount of money will you have available on arrhal in Namibia for your own usE? NS ---------------

(b) :.;ill :tou be in possession of an onward I return ticket?

(N.B. Separate applications have to be completed in respect of your spouse or children over the a~e of 16 years and

children travelling with their own passports.)


!:Cit c:::-iPL!:T( El1'11£R P:,KT A OR B

(A) HOLIDAY I BUSINESS I 0/0RK I TRANSIT V!SA

1. Int.:nded date and port of arrival in Namibia:

2. (~);:hat is the purpose of your visit?--------------------------------(b) if it is for business purposes, explain in ~etail the nat~re of business:----------------

(c) ~uration of intended visit (N~n1ber of days, weeks or months)----------------------3. ?l!ces to be visited in Na..,ibia (full addresses, including tele~hone numbers, to be provided):---------

~- :f ::.~ ~ur?ose cf your visit is for medical treat:oent, please ~rovide the following info:-:oation:

(:) :;a.-:;e cf doctor, hospital cr clinic you will visit:-------------------------

(~) :.lho will pay your medical ex~enses and hospital fees:-----------------------(c) If you are liable for the expenses and fees above, state ~~aunt of fun~s available:------------

5. Proposed residential address in Na.T.ibia: ------------------:----------------

5. !i~T.es and address of relatives in Namibia: NAME

(a)----------------

(~) -----------------

AOCRESS AND TELEPHONE NUMBER RELAT!O:lSHi?

7. Date of last visit, if any, to Namibia:-----------------------------------8. Do yc~ contribute professionally or otherwise to publications, radio, television or films? If so, please give

detai 1 s:

9.(a) Destination after leaving ~lamibia: --------------------------------

(b) r~cde of travel to destination:--------------------------------

(c) !~tended dat! and port of departure:-------------------------------(c) :s ycur entry to that destination assured, e.g. do you hold a visa or a per:ni~ for permar.ent or temporary

residence? (proof to be submitted) --------------------------------lO.Reasons for travelling through Namibia:--------- ------------------------

========z==•==zc:a:aaa.:~~•a•••••a:a:a::~a::::aza•••••••caaaacsaaa•••••••••••••=•=•••••••••••••cac:ac:aaz:zz••••llll••••••.s•:ac::r.c:~aaza,.:

(B) REilJRN VISA

I M ? 0 R. T A N T

An a?pl icant has to:

[i) produce his or her passport or tra·1el document; and

[ii) sub:nit proof of his or her right of residence in Namibia if not endorsed in his or her passport.

l.(a) Kind of Permit and number:-------------------------------------

(b) Cate of departure: -------------------------------------

(c) Expected date of return: --------------------------------------2. Particulars of residence in Namibia:

DATE OF FIRST ENTRY PORT OF ENTRY PERIODS OF RESIDENCE IN NAMIBIA

From To

3. Countries to which you will be trave 11 i r.g:

(a) (b) --------- (c) --------- (d) ----------

4. Purpo>e cf journey (explain fully): ----------------------------------

===a:==:===:: :r:::::::=::z •z :a •• a •• = az:aa ==== z = == = s:c::: a =• •::: :.z~ s11 =~• • = z • z::11 c:z z====• ::11 :a:z • :a•• D :a:• •.::. • •• • • =a= s • == 2:1: z: z: = .11: = .11: = =· = = = ::1

1 solemnly declare that the above particulars given by me are true in substance and in fact and that I fully understand

the meaning thereof.

One: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature: ................................ ·- ............. . (~.9. Only the signature of the applicant will be accepted)

37


RE?UBLlC Cr N,I;~!BIA

MIN!STRY OF HOME AFFAIRS

OE?ARTMENT OF CJV:C AFFAIRS

II<IHIG;;.;.noN CONTROL ACT, 1993

VISA FCR THE REPUBLIC OF NAMIBIA (Section 12/Regulaticn ill

No. 895

Reference no.-----------

Per:::ission is here~y gr~nted to:

Surr.~~e: --------------------------------------------

First n~es: ~-------------------------------------------holder of the following passport:

(a) Nu~ber: -------------------(c) ?ie~e oi issue:---------------

(bJ Issuing authority: --------------

(d) Oate of issue: ------------------(e) Date of expiry:------------'--'---

to proceed to the Republic of ~~:ni~ia subject to the following conditior.s:

I. Numb~r of vise:----------------------------------------

2. O~te of issue : --------------------------------------------

3. Date of expiry: ------------------------------------------------~. Type of visa: Single/Multiple

5. Further conditions:

(a) Holder has to comply with entry conditions at port of entry.

(b)

5. Rem~rks: ---------------------------------------------

The holcar e:f this visa has to submit it to the im::1isration officer at the port of entry when ~~plying for entry into

Namibia ~nd has to -

( aa) surrender this vi sa to t~e ir.~~~i grati on officer in exchanse for a vis~ to be stamped in his or hH pas sport; or

(bb) retain this visa.

(delete either (aa) or (bb)]

Vi sa fees paid: NS ••••••.......•.••...........••••.•......

M!N!~iH OF HOME AFFAIRS

ld~lOHOEK

This document is not va I i d un I ess the photograph of the

holder cf this visa hH been affixed to the visa and has

been stamped with the official stat:>p of th~ issuing office

Photograph

c·f he 1 c!er


VISA FOR THE REPUBLIC OF NA,"!IBIA (Section 12/Regulation 11)

To be imprinted in the passport of the visa holder:

Visa for the Reoublic of :\amibia

Xo •..•.....•.•.•..•••.•...••••.•.•••....••.

D;~te cf Is=ue: .•...........................

Date of E.xpiry: •••. _ _. ..•....•....•.•••...•.•

Type cf Visa: Single/:-lultiple

Conc:ijt,:i ens: Visa holder has to coll'.ply with

ent:ry requirements at port. (.lf e·ntry.

Remarks: ..•..•..•........................•.

Official ~ta.-r.p

On behalf of tbe, ~U.nistry cf Hm.e Affairs, Windhoek

39

A..\"XE.XURE K


REPUBLIC OF r;.:."!3IA ~:~HSiRY OF HC~·'E .:..~FAIRS

DE?Ail71-\ENT OF C!'1:: AFFAIRS

IMM!GRATION CONTROL ACT, 1993

ANNEXURE L

REllJRN BY EMPLOrER/EOUCATICNAL INSTITUTION : EMPLOYEES/STUDENTS WHO ARE NOT NAMIBIAN CJT!ZENS

[Section 31/Regu1ation 15)

No. 895

io: The Chief of ::::::i;ratic:-:r:r.e !mi;raticn Officer

WHiOHOEJ(

1. PAATlCULARS OF E.'IFLOYER/EGIJCAT!CfiAL INSTITUTlml

(a) Name: ....................................................................................................... .

(b) Physical address: •.....•••.•..•.••••••••..•.•..••••..•..•.•••••..•••••••••••••••••..•.•••••.••....•••••.....•

(c) ?ostal Address: •••••••.•••....•••••.•••••••••••••••••••••••••.•..••......••.••••..•••••••••.•••••.•.••••.••••

(d) Telephone number: .......................................................................................... ..

2. PARTICULARS OF PERSON CCH?LETWG THIS RETU?.:l

(a) Surname: ••.••••••••••.••••••.•••..•.••..•.•••.••••••••••.•...••.•.••......•.•••.••••••••••••••••••••••...•••.

(b) Full first names: ........................................................................................... .

{c) Designation: ................................................................................................ .

3. Particulars of persons who are not Namibian citizens and who were employed by the employer or were students at the

educational institution en ..................................................... (date) a;>pear on tne re·;crse

hereof. If insufficient space, attach a schedule.

4. Any employer or ar.y other perscn who furnishes ar.y false infcrr.~ation in this return shall in terr.~s of secticn

31(2) of the l11111igration Control Act, 1993 (Act 7 of 1993) be suilty of an offence and on conviction be liable to

a fine not exceeding NSaOCO or to imprisonment for a period not exceeding t~<o years, or to both such fine and such

imprisonment.

SIGNED AT ........................................ : •••••••••••••••••••••• TH!S ••••••••••.••.•.•••.••••••••••••••••••••

0:.'1 CF ........................................................ i99 .... I~ THE PRESENCE CF THE U~DER~IG:IEO \olliNESSES.

SIGNATURE

AS :lliiiESSES:

1.

2.


;"A:~}·.:;.::.JL:dl!.i 01·· P!::!\!;C;;::; ·.,1!~0 .\~!.:: :oCT fl,\;~.:u.:.,;:l CI"r:::~.;S Ml.O 'oiii!U *Si\Z lN TH£ !::XJ"l!..::::V or 7HF.: Et-'!i'l..CY:::;t CH '.r.'~:-!E s·:-t,;LJ:.;UiS t\T 71!£

t·:~:.:Ct\TlVNAL J:~37l'!tJilON ON (OA!E) • , •••.•••••••••• , •••.•.••••••.•••• , •••••••••• , •..••••• , ••.•

S~F.N~.ME

I I-I

I

I I-I

I

I I-I

I fULL FIRST NAMES

I I I I I

I OAT£ OF COM- I TYPE OF PERIHT ISSUED TO EM- I OA;"E OF ISS~E I DATE OF EX- I I MENCE:I.E~T or I PLOYEE: I or Pi::riMl7 f?rnv GF ?En-1 I EMPLOYMENT I (a) PERMA:lEIIT RESIDENCE PERMIT! l>~r':' I I on sruDIES I < sEcnoN 26 > I I I I I (b) E~?tOYMENT PEaMIT (SEC 27>1 I I I I (c) S'!':JDENT'S PERMIT (SEC 28) I I I

I

I -1

I

I

I ---l

I

I

I --l

I

I L---------~----------~~----~~--------------~--------~---~

41


To: The !::r.1igraticn Selecticr. 5:ard

WINDHOEK

PARTICULARS OF THE APPLICANT

!.v:~;GrtATION CONTROL ACT, 1993

APPLICAilON FOR AN EMPLOYMENT PERI'IIT

[Section 27(1)/Reguhtion 17]

No. 895

1. Surna.-ne : ....................................................................................................... .

2. Maiden name (if applicaole): .................................................................................... .

3. ?revious surnar.~es {if a~~iic!.ble): .............................................................................. .

4. First names {in full): .......................................................................................... .

Sta) Date of birth: ....................................... , . , ............. , ............. , . , ......... , ..... , , ......... .

{b) Country and phce cf bir~h: .................................................................................... ..

6. Country of present res ieee.::: ................ , .................................................................. .

7. Citizenship: .................................................................................................... .

8. Sex: FE:'IALE

9. l~arital status: Wi~O:.r III COWER

10.

(a) If married, attach a cc~y of marriage certificate.

(b) !f married to a Namibian citizen, attach proof of citizenship of spouse.

(c) If wicow or widower, a-::tach copy of death certificate of late spouse, or certi'i:.te by 1-las:er.

{d) If separated, attach pr~cf of divorce pr~ceedings instituted, if any. and state whe~ final crder is

expected.

le) If divorced, att!ched co~y of final orCer cf Civorca.

Identity number:

11. Passport or other travel d~cu::~ent:

(a) Number: .................................................................................................... ..

(b) Issuing authority: ........................................................................................ ' .. .

(c) Oate of issue: ............................................. (d) Date of expiry: ........................... ..

{Attach copy of passport cr travel document)

12. Present residential address: ................................................................................... ..

13. Present postal adcress: ........................................................................................ ..

14. Telephone nu.'llber: ............................................................................................... .

15. Occupation of Applicant: ....................................................................................... ..

(If registered with any professional boar~, council or society, attach copy of registration certificate).

16. Details of training, qualifications and experience:

(a l Schoo 1 s at tended:

(i) Prio:ary School

( i i) Secondary Schoo 1

, ___ •::" --------- ---~--------~----------I Hishest examinatic, passed: .............................. . (Attach copy of certificate)

Major subjects:


-2-

(J) Tertiary ecvcation cr s~~ci~1 :.rainir:;:

Na:ne of ur.i'iersity, colle~e cr other educational institution attended: .................................... ..

Prescribed duration of course: ............................•..................................................

Period attended : Fro:::: . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . • . . . • . . . . To : .........•..••....................•...

~ajor s:.:~jects: ............................................................................................. .

Degree, d;i)lor.~a or ce~:ificne obtained: •.•.....••...••....•...•.....•...•••.•••....•.••.•............•..••••

(Attach copies of all qualification certificates)

(cl Other ~u~lificaticns:

irac!e ir wh~ch Clt:CJ1ified: .......•..•.•.••...•..•......•.•......•........•....•.•••...•..••.••...•...••.•.....

<Juration of api)reo~iceship or training: From: ..•..... · ...•..•..•.••••••.•• To: •....•••...•••••••.••.•..•...•

(~ttach copies of a11 q•;al;fication certificates).

(c) ileccrd of employment fer the past 5 years, cor:~~~encing with present or most recent position:

NAME OF 01PLDYER/FIRM ADDRESS WHERE LOCATED FROI>I TO POSITION HELD NATURE OF WORK ~:~r•a:~r:::::=•===•=•=••=••=-~ ••• •• =••••••z===••=•=••=- •••••=•:~r~:aa:~r •••••••=•=•• •:.~~::aa:z:~rssa•••••z ••••••asaliSZ:Ir :~rz::~ra::

(Attach documentary proof of present or most recent employment)

(e) Brief description of duties at prestnt or most recent place of employment:

(f) 'lonthly salary at present or ;r.ost recent place of employment (including fringe ~enefits}, or monthly income:

17. Amount of money applicant -..ill transfer to Namibia: ............................................................. .

(;.ttach certificate by Bank or other financial institution).

18. Particulars of any pension or other additional income of applicant:

19. Occupation or profession applicant intends following in Namibia: ................................................ .

20. Lansuage proficiency of Applicant:

(a} Mother tongue: ............................................................................................. · ·

(b l Proficiency in other 1 anguages:

--------------.--------------.----------·----.-------------·--LANGUAGE SPEAK READ WRITE •:~••••••••••••••••••••••••••••••••••- ••••••••z•••••••••••••••• •••••••••••••••••••c••••• ••••••••••••••••••••••••••

( i) Er.gl ish

(iii

(iii)

43


-3-

21. if :r.uried, furnish t.~e fol:owing particulars relatir.g to spouse:

(a) Surname: •••••• o ooo· oooooooooooooooooooooooooooooooooooooooooooooooooooooooo. Ooo 0 ooo.ooooOOOOOooooo oo, 00000000 (b) Maiden name (if applicable): oooooo. oo OOOOOooOOoooo 0 ooOOOOooooooooooo ooooooooo oooo 0 oooooooOOOOooooo 0. 0 0 Ooooooo

(c) Previous surname (if aoplicable) : oOOOoOoooooo Ooo oooooOOOOoooooooo 0000000000 oooo ooooo ooooooooooooooo 0 oooooooo

(a) First names in full: o o 00 00 0 ° 00 00 00 o 0 o 00 o 0 0 o o 0 o 0. o o 0 o 0 0 0 0 oo o 00 oo o 0 0 00 00 0 00 0 0 0 0 0 00 0 00 0 0 0 0 0 00 00 00 0 0 0 0 0 0 0 0. 0 00 .. 0 (e) Oate of birth: 0 0 0 0 0 o o o o 0 0 0 0 0 0 0 o 0. 0 o 0 0 0 0 o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .. 0 0 0 0 0 0

(f) Country and place cf ~irth: ................................................ · ................................. . (Attach copy of birth certificate)

(g) Country of present residence: 0 o 0 o o o o o o o o o 0 0 o o 0 0 0 o o 0 0 o o o o o 0 o o o 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (h) Citizenship: oo oo o o o o oo .. o o o o o 0 00 oo o .. oo oo oo o o oo o oo 0 oo .... oo .... oo .... 0 .. 0 .. 00 0 00 0 ... 0 .. 0 ...... 0 .. 0 0 0 0 00 0 0 .. 0 0

( i) !cent i ty number:

(j) Passport or other trav!l document:

( i) Number:

(ii) Issuing authority: ....... 00 ................ 00 ..... 00 (iii) Flace of iss•e: .. oo .. OOoooOOOoOooooOooooo .. ..

(iv) Date of issue: .... oooo•oooo•oo .... oo ......... oooooOO (v) Date of expiry: o0oooo ........ oooooo OOOOOOoOO

(Attach copy of passport or travel document)

(k) Occupation of spouse: o .... 0000 o .. o oo 00 oooo•oo 0 oo .... 00 ooooo 00 000 00 00 00 0 00 0 0 0 0 0 0 00 0 0 0 00000 .. 00 00 0 00 0 0 0 0 00 0 000 0

(If registered ~<ith any professional board;council or society, attach copy of re;istraticn ce•tifica~e)

(1) Name and address of present employer of spouse: .. oo .......... oooooooooo• .... oo ... oooo ..... oooooooooooooooooOo

(;n) \/ill spouse accompany applicant? YES NO

!If spouse will not accompany applicant, attach reasons) o 22o Particulars of depender.t children accompanying applicant:

SURNAME AND FIRST NAI'oES DATE AND PLACE CF BIRTH CITIZENSHIP ~ 11: = :::::::::::::: z :1::1:::::::::: :z s• ==:. z ::z ::::&:: zz:a. :zz =•=-:: 1::1:::: •:.: ::: z z az === z z z :::::: ::r:: z s == s"':: 11: ===:::: ::1::::::::::::

23. Name and address of prospective employer of applicant in Namibia: oOoooooo ..... ooooooooooooooooooooooooOOOOOO .... o

24. If applicant is already in Namibia, furnish the following information:

(a) Date cf entry: 00 00 0 oo••oo o .. 00 .. o 0 o o oo 0 00 oo o ..... 0 oo o .. oo .. o ..... 00 oo•" .... o 0 .. 00 0 000 .. oo ...... 0 0 0 o o o oo o o .. o

(b) Port of entry: 0 0 ......... o ..... 00 00 .. o o 0 0 .. 0 o 0 00 .. o 0 00 o .. o 00 0 .. o 00 ... 00 .. 0 00 0 0 0 0 00 0 00 .. 0 .. 0 .. 0 0 0 0 0 o 0 0 0 0 0 0 .. 0 0

(c) Number and date of visitor's entry permit: ........................ oo ........................... 00 ...... 00 oo oo

(d) Date cf expiry of visitor's entry per.nit: oo ...... oo ... oo ... oo .... oo ...... oo .. oo ...... ooooOOOOooooooo 00 .. 00 ..

25o If applicant is already employed in Namibia, furnish the following ir.for::Jation:

(a) Name and address of employer: ................. oo .... 0 .. o o o .............. 0 oo• .. 0 .. o ..... ooO o .... oo .. 0 o o ooooOO o

(b) Residential address of applicant in Namibia and telephone number: ....... oo 00 .. 00 ................. 00 .... 00 .. oo o

(c) Number and date of employment permit: .... 00 ......................... 00 .. 00 ......... 00 00 ........... 00 00 .. 00 000

(d) Date cf (·xpiry of employment permit: oOooO oooooo .. ••oooooooo .... oo .... o .... ooooooo•ooooo .. ooooooooo ooooooo""

25o If the applicant is already e:::ployed in Namibia and is not in possession of a valid eo:ployment per::1it, give an

explanation as to why the applicant is not in possession of an employment permit:

·················································································································· ·················································································································· ··················································································································

270 Give particulars of previous visits to or J:Eriods of residence in Namibia:

(a) frol1):

(b) from:

(c) fro:r.:

to:

to:


(a) ever been con·,icttad of :r"~y offe!'I.Ce, whe:!':e .. insiCe or outside Na~ibia (exclwdir.g

~y-1a·ofl ~r re;wia:icr: .... :-.~r~ a fir:e of ~~S2CO or 1ess, or ~he equiva1ent thereof. was i:::posed)?

t b) ever been depcr:;d frc:::, or refused en:ry i n~o ar.y cc:Jr.~ry?

(c) ever (i) (ii) (iii)

t iv) (v) ('li) (vii)

suff!red, or is a! present suffering fromtuberc"losis or aoy other contagious iung disease; trachorr.a or anl o~ner chronic eye infection; fra::~bes~~. ya·...-s, scabies: or- any ot~er contagious bacterial or other si<in disease; syphi i is or ar:y c~:-.er ver.ereal disease; le;;>rcsy; a-::c;·~ir~: i~:.;~e ::::.:i:i!!:-.:y sy!'\d!"::7.e (~::s); cr ary ::'le!'l:a'! 111 :-:ess or a'f71 ic:.icn?

or

{:} at any : ime a~p i i eo f·jr an eznp 1 oyr:-:ent per~i t or ar.y ot~.er permit under any 1 aw to ta<e up emp 1 cyr.ent or residence in Namibia?

the ccntravent ion of any

YES I I I NO I I YES I I I rw I I

[!!5]] I NO I I YES I I I NO I I

29. •. ti':e 3~piicar.: n=s re~1~e:: ''Y~5" to any cf !.~e questions ir. para;raph 28, full particulars have t:) te attached

to this appiication.

30. The ap;;>licar.t shall, in res;:ect of-

{a} t!1e a;JjJlicant hi:>1seif cr herself;

lb) the spouse of the applicant. and

(c) every dependent child of the applicant named in paragraph 22 (in respect of paragraph (ab). cnly if dependent

child is over 16).

attach to this application the following documents:

(ao; a certificate issued by the police of t~.e cour.try .. here the applicant is resiaing, and the ~alice of eve~y

country ohere the applicant has resided during the past 10 years, reflecting all convictions relating to

crimir.al offer.ces, if any, of the person nal':1ed in the certificate; and

( ac) a certificate is sued by a medica 1 practitioner certifying that the persor. nzmed in the certificate does not

suffer from ar.y of the diseases listed in swbparagraph (c) of paragraph 28.

3i. Is the applicant or his or he~ spouse an unrehabilitated insolvent? YES I I I NO I I 32. If the applicar.t has replied "YES" to the question in paragraph 31, full particulars have to be attached to this

app i i cation.

~3. !f the spouse of the applicant was born outside Namibia, bu~ is residing in Namibia. the appllcant shall attach to

this app 1 i oti on a copy of tne certificate, permit or other document in terms of which the soouse of the app 1 i cant

is er.tit1ed to reside in ~~a:ni~ia.

34. The applicant declares that -

(a) he or she hereby applies for the granting to him or her of an employement permit under section 27(1) of the

!rrr.1igra:;:n Control Act, 1993 (Act 7 of 1993);

(~) the infcr:nation furnished ir. this application is correct and is the truth;

(c) he or she understands that if the application is approved, the employment permit will not entitle him or her

to resiCe in ::a:ii~ia ~e:-::1anently;

(d) he or s~.e understands that upon the expiration of the validity of or the caocellation of the employment

per:'l!it, or the termination of the employment in respect of .,.hich the employment per:::it is granted. the

a~plicant sha11 leave Nar:dbia itm~ediate1y;

45


-:;-

(e) tt;e applicant or his or her employer shall be responsible for the accommodation and maintenance of the

app 1 i cant, his or her spouse and his or her chi 1 dren, and that the Government of Namibia does not accept any

respons i bi 1i ty in respect thereof; and

{f) he or she understar.cs that his or her spouse or crildren may not enter Narni!:ia ur.1ess the !:r.m~S"!:ico

Se 1 ect1on Board. wt:eo author: zing the emp 1 oyment permit app 1 i ed fer by the app 1 i cant, a~thori zes such ~-c·~s~

cr children to enter Na..,ibia ar.d reside with the applicant:

SIGNED AT ...•••..••..•••.••.••••••.••••.•.••.•..•••••...•.••.. TH!S ..•••.•.•••..•...•.••...•.•..•.....•...........•.

DAY CF ................................................... 199 ... IN THE PRESENCE OF THE UNDE~SrG;iE!) WITNESSES.

AS WITNESSES

1.

SIG:::.7URE Of A?PLlCA:n

2.


~~=~':Si~Y CF ~C~E AFF .. ~:RS

C~?,:..rr:"':·1E:oi7 OF CIViC ,:.rr;..I~S

!~Y~G?.AT!C~ C~~r;Ro:.. AC7, 1993

A:;:;EXU'E iO APPLiCATl0~ FOR EMPLOYI~ENT PE,M!T

(Section 27(1)/Re;ulaticn 17]

REPRESENTATIOII BY PROSPECTIVE EMPLOYER

A~!NEXUt\E N

1. Sucnan:e and full first na..,es of a;;:1icant (prospective employee): .••..•.............•.•.......•..••.•....••..•••••

PARTICULARS RELATI~G iO Tr!E ?ROS?ECT!Vi: s~PLOYB

z. Na!71e of ernpioyer: .................................•.......•.........................•...............•.....•....•.•

3. Street address (head-office):

4. Postal address: ..............................................•.........•.....•...........•.•........•.......•....•

5. T e 1 ephone number: ........•.......................................•...............•.......••......•.•.••...........

5. Adcress(esl of branch{esJ:

7. Name(s) and citizenship of o>~ner(s) of employer-undertaking, or if a company or close corporation, name(s) and

citizenship of director(s) or membec(sJ:

S. ~a~e of esta~lishrnent of the busir.I.:!SS of the e~plcyer: ...... ...................................................... .

9. Main activities of employer:

10. Employees at present employed by the employer:

(a) total nur::~er: .........•.....•..•........•..............•...................••............••••......•••....•..•

(b) Namibian citizens(num~erl: ............•....................•.........•..•.••.•.•••..•.•....•••.•...•..•.......

(c) non-citizens:

(i) per:::anent residents (numbed:

( i i) :.c1Cers of ~r.:?1oy:;:~nt pe~its (nuO>ber J: •......••............•................•...•••••....•..•.•........

(iii) others ...•.......•..............•....•......•.••...•.•...•..•...•••••.••••••..••.•••...••...••••.•.•••..

PARTICULARS OF THE VACANCY CCNCERNED

11. Job title: ...........•..•..••...................•.....••.•...•.•.........•.•...•••••••••..•..... • .. • • .. • • • • • •• · · · •

12. 6rief job cescripticn: ...•.......•.........•..•.•............•...•.....•.•.....•.....•.••.......•••..••..•.••..•.•

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

13. Date on which vacancy occured: .•......................•......•................•..••..••......•.•.•.••......••.•.. ·

14. l~otivate why vacancy has to be filled (attach motivation, if necem:ry)): .••.•••.....••.........••......•.•.••••••

···················································································································

15. Details of enquiries made at privata employment agencies (attach proof):

···················································································································

47


18. ReHons why r:a.:•ibian citi::os or ~e,sons in possession of pe•-:~nent residence pernits are not c:nsidered suitable or- cannot be ccnsidered fer the ~csiticn (attach motivation, if necessary):

No. 895

19. Reasons why the position ca"not be fi 11 ed by promct i.ng any of the other emi)l oyees of the er.:~ 1 oyer: ............... .

20. Will the t!:lployer be prepared to er.:ploy a suitable Namibian citizen, if avail~ble? L...-v_Es...1........JII NO I 21. !f the repiy to ;ar~gl""arn Z~ is "~;O", ;i'Je reascns:

22. Are Namibian citizens beir.; trained to fill the position? II NO

23. lf the reply to paragraph 22 is "'I£S", give details. If "NO", motivate (att<::ch details of motivation, 1f

necessary):

24. £;r.ployer's requirements fc~ en a~;ointr.:ent to the position (qualifications, training, ex~erienc! etc.):

··············.·····································································································

25. Place in Nmibia where er::i):oyee will be employed (town/district/farm): .......................................... ..

26. Proposed date of c011111ence.or.ent of e:np 1 oyment:

27. Conditions of service agree~ u~on:

(a) remuneration per week/:::onth/ynr: NS ................................. .

(b) other tenefits: ............................................................................................. .

(c) period of employment: ...................................................................................... ..

PARTICULARS RELATinG TO THE /.??LICANT

28. Reasons why the app 1i cant 1s considere~ to be a sui tab 1 e candidate for the position (in respect of the following)-

(e) qualifications and training: ................................................................................. .

(b) experience : ................................................................................ • · .... ·. · · · • · · • · · · (c) other reasons (be specific): ................................................................................ ..

29. Is the a~plicant in possession of any qualification or training or experience not obtainable or cnilable in tlamibh? ---•.....,

I YES I llrw I I 30. ;f the reply to ~aragraph 29 is "YES", give details (attach ~etails, if necessary):

·················································································································· 31. Wi 11 the applicant train c:~~r employees?


- 3 -

32. Reasons for ycur re~ly to t~e qu~stior. ln para;nph 31: ......•••......•....•...•................................•.

33. :e~ails cf training prograr.mes for local inhabitants (attach details, if necessary): ......•.....................•.

UNCF~7AKWG BY PROS?ECTIVE Ei4?LOYER

I/~e . ................................................................................................................ . actir.g in my/our personal c~pacity/capacities/actir.; fer a~d cr. ~ehalf of ....•.......•.•...•...•.•.••.•.•.••••..•...•.

duly authcri zed thereto, hereby accept full responsi bi 1 ty for a i i costs pertaining to the return of the app 1 icant ar.d

his or her spouse and his or her dependent children to his or her or their respective countries of dcmicile at the

expiration of the applicant's period of employment in Namibia referred to in paragnph 27(c), or any extension of sL·ch

period.

S!G11ED AT ••••••••••••••••••••••••••••••••••••••••••••••••••• TH!S •••••••••••••••••••••••••••••••••••••••••••• DAY OF

••.••.•..•.•.•.•........•.•..•••.•....•.••.•••••.•• 199 ...•.•

AS WITNESSES:

1. ·········•····•·················· ................................................. i

FROSPECi!VE £i~?LOYER/FOR OR ON BEHALF OF

PROSPECT! VE E!~PLC•YER

2 ••••••••••••••••••••••••••••••••••

49


REPU~'-:C OF N.:.:·•:~!A

~Z:HSTR'i CF HCME .t=i'AlRS

QE?ARnlE~: Oi' C!V:C AFFAIRS l)'J~ZGRAi;C:I CQiliRCL ACT, 1993

EliPLO'fMENT PE~!T

[Section 27/Reguletion 17]

No. 895

Permit Number: ----------------------- Reference: --------------

1. Issue~ to:

Surn~e: ---------------------------------------------First n~es (in full):--------------------------------------whose particulars are as fellows:

Ce:e of b~rt~: ---------------- Ci~i:e~ship: ----------Sex:------

Pass~crt r.urr.!ier: -------------- ?-rofess~or./C·ccupetion: -----------------

who has in ter:r.s cf sec~ion 27 cf the Immigraticn Cortrol Act, 1993 (Act 7 of 1993), been a~t~orized-

{a) to enter ar.d be 1r. ~i!.~.il:lia; cr

(~) if alrea~y i~ Na:ni~ia, to r!'.':ain in NIJI'.i!:lla,

for the pur>ose of taking up employment or practising an occu;ation or prcfessicn as set o.:t ir par:~raph 2 telow.

2. (a) N~e of employer: --------------------------------------(b) Address of employe~:----------------------------------

(c) If self-emplo)ed -

( i) profession or occ::~ttio~: -------------------------------------(iii address where prcfessi'n or ccucpation will be prac~ised: --------------------

(d) Contemplated date of cc:m:encement of employment or practice: --------------------

3. T~e validity of this permit shall lapse -

(a) cr the....,..---------- day of ----------------199 __ , ur.less renewed prior to. that date; or

(b) if the pErmit told£r -

(1) fails to commence employment or to corr411Ence ~ractising before the------- day of-----199 __ _

(ii) fails to ccn.ply with th£ provisions of the Irnnigration Control Act, 1993; or

(;ill without bei r.g authorized thereto ty the I:rr.~igrati on Selection Beare:, changes his or her employment,

profession or cccupation.

4. The permit holder may be accc .. ~anied by------------------------------

1ssued by the Chief of ir.::~igratioro, llindhoek.

Date of issue: ........................... . Signature: Chief of lrnnigration

( i) This per:ni t has beer. issued without corrections or erasure.

( i i) This permit has or. arri va 1 a~ a port of entry to be presented to the Ir::ni grati on Officer.

(iii) Th~ permit holder has to retain this permit for the duration of his or her stay in Nami!:lia or may exchan~e it

for the imprint of a rubber stamp in the form of Annexure "N" in his or her pass>·crt at the Chief of

Imi grat ion, Wi ndtoe~.


EMPLOYMENT PERMIT [Section 27/Regulation 17]

ANNEXURE P

To be imprinted in the passport of the permit holder.

EMPLOYMENT PERMIT

No. _____ _ Date of issue: ------

ALthorized in terms of sectio~ 27 of the Immigretion

Control Act, 1993 {Act 7 of 1993) to enter or to remain

in Namibia for the purpcse of ----------------------

The holder mc:y not be err.ployed or remain in the Republic

cf Namibia after ----------------------------unless this permit is renewed upon application to the

Permanent Secretary.

Conditions/remarks: --------------------

CHIEF OF IMMIGRATICN

51


l:-'.'•I!G~AT:O:I CONT~CL ACT, 1993

APPL!CATlCN FOR A STUOE~T'S PERMIT

[Section 2S(l )/Regulation 18]

No. 895

TO: Tha Chief of Inrnigration

WIN:lHOEK

PART!CULARS OF THE APPLICANT

1 • S.r~ame : ••.•.•••.••••.•••••.••..•••••.•••.•••••..•••.•••.•••••••••••.••••.••••••••.•.•....•.•.•.••....•.•••..•.•

2. Vaicen name (if appllcable): •••••..•.•.••..••.•..••••••.•••.•.•....•.•••••••.•.•••••.•••.•.••••••••••..•••••.••.•

3. Previous surnames (if ep~lica!:>le): •••...•...•.•.•..•.•••..••.•.•••.•••••..•.•••••.••.••..••....••••••••.••..•••••

4. First nemes (in full): ••••••••.•••.•••••.••••••.•••••.••••••••.••..••.••••.••••.•.•.••••..•••••••••.•...•••.•.•.•

S(a) Oat~ of birth: ••••••••••••••••••..••••..•••.•••••.••••••.•.••••...•.•••. , ••..••.••••••..•••.•...•.•...•.•.•••••.•

(b) Country and place of birth: ••••••.•••••••••.••••.••.••••.•..•••••..•..•..•••••••.••••••••.••••.••••••••..••••••.•

(.<ttach copy of birth certificate)

6. :c~r.try of present residence: .•••••.•.•••••••.••••••••.••.•••••••.••••....•••.••••••••••.••.•••••.••.•••.•..•••.•

7. Citizenship: •.....•••••.•••••••••.•••.••••.••...••..••.•••.•••••..••••••...•••..••.•••.••.•••....•....•••••••••••

e.

9.

Sex: [ MALE J FEMALE

'..iiiJC.._ flarital status: NEYER MA~R I ED w:COWER

(e) If married, attach 1 copy of marriage certificate.

(b) If married to a Nu.~ibian citizen, at·tach prcof of citizenship of spo~se.

(c) If a widow or widower, attec~ ccpy of dee-th certificate of hte spcuse, or certificat~ by Mes~er.

(d) If separated, attach proof of divorce procee(ir.;s institute~. if any, and state wher final cr1er is expected.

(e) !f divorced,· attache~ copy of fir.al order of divorce.

10. identity numter: •.•••.•••••••••••.•.••••.••••.••.••..•..•.•••.••....•••...••..•.•.•••••..•..••••..••....••...•...•

11. Passport or other travel document:

(a) Humb(or: ........................................ o ......................................... o .. 0 •••• o .•.....•.••

(~) Is!uing authority: .......................................... (c) Plate ~f issue: ............................ ,.

(d) Dot~ of issue: ............................................. (e) Date of expiry: ............................ .

(Attach copy cf ~~sspc·rt or tra\fl dccument)

12. Present residential address: ..................................................................................... .

13. Pre!er.t ~cstal address: ................................................ o ... 0 .................................... .

..................................................................................................................... 14. T~le~hone r.un:ber: ........................................................................................ • • • .... •

15. Occupation of Ap~·litant: ........................................................................................ .

(If registered ~ith any professional board, council or scciety, attach copy of registraticn certificate).

16. Details of trainin;, qualifications and experience:

(a) Schools attended: FRO~ TCo

Primary Sct,ool I I Secor.dary school c 1...--~-_ _,_ __ ]

Hishest examination ~I!Sed: ............................... .

l~ajc•r subjects:

·················································································································· ·················································································································· {;..t,tach ::-;.1 cf cer:if1c~te)


\::· \.:n.1.:.r;~ e:.!~cJ~h:!'". ~':"' s:ec~-!1 tra~:";~~:J:

'.,:;:;.e cf ;;r:H·ersity, c::~~;e Qr c~!'";!~ i~stitu~~on attendee: .................................................. .

;:::'"~S::"H:e~ :~ratic:1 :f ::;.;rse:

:er~:;.:! at:e:-:.:cc : fr.:-:;: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . io : ...................................... .

······························································································ Ce~,;ree, diplor.ta cr C!!"~ificate obt.:ined: ..•........••............•....•...•...•..•.•.......•.......•.•••..•..

(~ttach copies of ail c;~al:fic~tion certificates).

(c) ::"e~ c•·a1ifica~;oos:

-ra::e or- vocation in ...,n;::~ qualified ......•....•.••.•.•.••••....••••.•••..•..••.•..•.•.•....•..•••..••.•••.•••

:ur~ti;.r:. 'CJf training cr !;lprer~ticeshi~: From; •••••..•.•.•.•..••••.••.•• •o. To; • 0 ••••••••••••• o ............. . L!.t:a:h c::::~~es of !ii c;u~Hfication certificates).

1i. !..!~;:.:!;e ~~:ficie!':cy of ;.;;:ii:a:-:t:

{~) ?r:fi.:ie!'1CY in other lz:-:;:.:ages (state "good". "fair'" or "poor• J:

1 ...... ~.~-~l.:.~.~.:.~ ............... _ ....... ~.~-=-~-~ ........ . R E A D W R I T E

I

l(i) Ee~11sh I

l(ii)

[<iii)

18. :;:;licao: is rnarrie~ u.:l hi! or her spcuse will accompany him or her to Namibia, furnish the following

part~c~lcrs relc.tins to t:-:e s~:~se:

{ ai S~.o:-r.ar..e: •.•.•••.•..•..• o ••• o •• o ••• o. o ••••• o •••••••• o o ••••• o o o •••••••••••••••• o ............................ 0 •••

(b) ~aicen nall!e (if a~;lica~le): •.•••...••.•.•.••.....•••••.•••.•.•••••.•••..••••.•.•••.•...••••••.•.•.•..•..••••

{:} j)revic~s s:.;rr:am! (if !;:'jj1ic!.~le) : ·····•o••o•••o••···•·o·•···········o••o••·•••o·o·o·o···················o•o•

(d) 'First na:::es in fu1:: .. o •••••••• o ............ o ....................... o o •• •o•. o•••··· ................... •o ·•o• oo ••

(e) Dztt cf ~irth: ......•....••. o o ...... o •••• o o• ••••••••••••••••.••••• o .0 ••••••••• o ••• 0 •••••••••• 0 ••• •o 00 0 0 •• o •• 0.

l f) :="r.tey ~":: ~ 1 ace cf bi r~h: ...••••••••••••••.••••...••.•.• ; •.•.•••••••••••••••••••.•••••••..•••••••••••••••••

(~t-.:l.ch cocy c.f tirth certificate)

~g) Ccun:.ry of presEnt rEs~cer.ce: ............... •o ........... o •••••••• o• •• •o. Oo•• ••••••• o• ................ o•o. 0. 0 o• 0 0 ••

\i':i c~~ize~ship: ...•••• 0 0 ...... 0 .... 0. 0. 0 0 •• 0 0 0. 0 •• 0. oo. 0 000.0. 0 oo •••••••••• oo ••••• 0 ••• 0 oo 00.0 ......... 0 •••• 00 00 0 ••••

( i l Iceotit:t number: ...................•..•.•.•.••..••..•...•.••...•••••.•.•••••.•••••.•...••.•••.•.••••••••..•.•

{;) r c! spcrt or other tr!.ve 1 docurr.ent:

(i)

(ii)

( i v)

:h~rr:~er:

Issuing

Datt of

(Attach

authority: ..•.........•...•............••.••. (iii) Place of issue: .•.•...•••••••••••••••.•••••••

issue: ...••.........••....•.•....•••••••••.• (v) Date of expiry: ..••••••.••.•••••...••.••••••

copy of pas s~or~)

19. ? ar:; cuhrs of ceper.cent c~n :!ren accc:::panyi ng app 1 i cant to Na::~i ~i a:

SURNAME AND FIRST NA.'IES DATE AND PLACE OF BIRTH z • ~rs s •• z • s • • s • c • • z c :c • •• • c- • • az • • • •: c • • • •• • • • •• • • • • •••• • •• :1 a c aaz s •• •:z ••==:z as: ••• • a a ccsa :z: :11: == ••= ~rc:a •• a a • • • • •••• •

r----------------------------------r----------------------------------~

-------------------------

2~. If a;>;>licant is already i"' :.ac:;i~ia, furr.ish the following inforr:~aticn:

(a) Date of entry: ...•.•...•............•...•..•..........••••.•...•••.••.•....••••.•.......•.•..•.•...•.•••••••.

(b) Pert of entry: .•......................•.....................•.••.•.••.....••••.••.•.....•.........•..•....•..

(c) :;umber ar.d date of visi~:r's Ent:-y per11it: ········••o•••••o••·•·········o············· ...................... . {dJ ~ote of expirr o~ vis~~:r's entry per:nit: ................ o ........ o ......................................... .

it) ,"..CC:res!. in Namibia ~t"e!"'e ~!:iplicar.t is rrsiding: ........ o•······o···•·o• ....................................... .

(f) i:le;:h:r; rL::::ber in ~~~c:i~ia where applicant can te contacteo: ................................................ .

53

~ ill :! 54 Government Gazette 29 July 1994 No. 895

::: ~:~:::e anC a:::dre~s of e~.;1oyer:

\:: Resi:entia1 address of a~piica~~ in Na:r.~b~e: ............•..................................................•..

(:~ Te1ephcne r.urr.!::er: ........................ ..................................................................•..

(-::· :~u:nt.er and da:e of e:.:;::1oymer:: ;;er~~:: ....................................................................... .

( c j DatE· of expiry of e:::9l oym;mt permit: •...............•.......•............•.•...•............................•

22. :~ the applicant is e!:':p1oyed in i~arr.i:1t' ar.d is not in possession cf a valid e~;::1cy:7.ent ~er:1~t. attac~ an

ex:1aration as to why the applicant is r.ot in ;JOSSHsion of an employment permit.

23. Give particul!rs of previous visits to or periods of r€si.C.€nC'e in Namibia:

( e} frcm: {:; from: (c) from:

to:

to:

to:

24. Has u.e applicant or his on her spouse or any of his or her de~er.cent children accorrpar.ying him t·r her •

(a) ever been convicted of any offence, wrether iuide or outside Namibia (excluding the ccntraver.tion of any

by·law or regulation where a fine of NS200 cr 1ess, or the equivaler:t t::ereto, iVa! ir.:poscc'·?

(b) ever teen deport!(, from, or ref~sed entry into any cour.try?

(c) ever (i) (ii) ( ii ii

(iv) hl (vi) (vii)

suffered, or is at present suffering frc:::· tuberculosis or any other conHgious lung. disease; trachoma or any ot::er crrcnic eye infection; framte!i<•, yaws, scabies or any other contagious ~acteriel or other skin disease; syphilis or ary other venereal disease; 1 eprosy; acquired irrJI'.UfiE- (eficiency syndrome virus (aids); or any mental illness or affliction?

or

(d) at any time uncer any law applied for any permit or other authcrization to st~dy cr to take up employment or r!si~er.ce in Na:nit=ia?

m I I QOJJ YES I I [im"]]

YES I I ~-'] m IJ QJJ

25. !f the applicant has replied "YES" to any of the questions in paragraph 24, f~ll particulars have to be attac;,ed

to this cpplication.

26. The a~~ 1 i cant sha 11 , in respect of •

(a) the applicant himself or herH·lf;

(~)the spt•use of the applicant, if he or she accoa.panies the applicant; and

(c) every.dependent child of the applicant naroed in ~z.ragraph 19, (in respe-ct of para;rapr. (at.), only if the child

is over the age of 16 years),

attach to this applicaticr. the following documents:

(ab) a certificate issued ty the police of the country ~tu·~ the ap~licant i! residing, ar.d the police of £\ery

cocntry where the applicant has resided during the pa~l 10 years, reflecting all ccr.victions relr.tin9 to

criminal offences, if any, of th~ person nzn.ed in the certificate; and

(ad a certificate issued by a medica 1 practi t i cr-u certifying that the person nar.:ed in tr.E cert i f1 cate coe s not

suffer from any of th~ di~eases listed in sut~aragraph (c) of paragraph 24.

Pf,RTICULARS RELATING TO PROPOSED TRAINING, INSTRUCTION OR EDUCATION

27. Na..,e of educational institution in Namibia where applicant intends to st~C:y c•· er•der~o trzining cr instr•Jction: ..................................................................................................... .

·················································································································· ................................................................................................................ (Attach proof of registration with the institution concerned).


2J. ; .. :.encled cour!.e of trainir.s. instruction or s~udy, and the c;!Ja1ifica~ion the a~p~icar:t ir.:!~:s cot!inins: ........ .

29. !":ended period of trainin;, instruction or study: •••••••••••.•..•.•...•...•••••. years/:::c"ths, commencing on:

......•....••........•.•.•.•••....•....•..•.... and endin; on: •..•••.......•.......••.•.•.•........••.....•••...•

30. Esti:nated costs pertaining to intended trainin;, instruction or study·for t~e entire period: •:s ...........•...... :::ace up as follows:

(al Tuition fus payable to the educational institution concerned: NS ••••••.•....•.••...•.•...•••••.•.•.••••.••••

(!:)Text books, stationery and other study materlal: NS .•••.••••••••••.••.•.•.••••.••.•••••••.•.•••.•.•••.•••••••

(c) Soard and lodging: 115 •••••••.• ; •.••• , •••••••••••••••••••.••••••••.•••.•••••..••...••.••••••.••••.••.•••••••••

(::) :r~nsport: KS ••••••••••••••••.••••••••••••••••••••••••••••...•••••••••••••••••••••••••••..•••••••.•••.•••••••

(e) Ct~er (specify): •••••••••.•.••••••••..••••••.•••..•••••••••.•••.•.•••••..••••••.•..•••.•••.•....••.•••.•••.•

31. A,.,ount of money available to ~he applicant to defray the costs set out in paragraph 30: NS •••••••.••.•.•.•.•.••..

(Attach certifica~e by Bank or other financial institution).

32. P!~ticulars of bursary or scholarship granted ~o the applicant, if any: .•.••.••..•••••••••.••...••...••••.••••.••

(Att~ch prcof of scholarship or bursary)

33. Other funds available to the applicant during his or t.(·r intended stay in Namibia (specify): ••••.•.••.•••.•.••.•

(Attach proof of availability of the funds)

34. The applicant dEclares that -

(a) he or she hereby applies fer the granting to him or her of a st~dent's pernit under section 28(1) of the

bnigration Control Act, 19~? (Act 7 of 1993);

(b) the information furnished in this application is corr(·ct and is the truth;

(c) he or she understands that if the applicaticr. is approved, the student's permit issued t~ U.E applicant shall

net entitle the applicant to reside in Namibia permanently, !nd that upon the expiraticn cf the validity of the

permit the applicant shall in.mediately leave Namibia;

(d) he or she understar.ds that the Government of Namibia does r.ot accept responsibility for the maintenance of the

a~plicant or his or her spouse or his or her dependent children; and

(e) he or !he understands that neither his or her !J:C~H· nor any of his or her children nzy ~r~e~ Nami~ia and n~ide

with the applicant, ur.IE ss the Chief of lmmi grati on, when authorizing the student's per::: it app I i ed for by tt.e

applicant, c.cthorisES in that permit the SJ:O~se and dependEnt children of the applicant to enter N1n:ibia and

reside with the applicant.

S!G~IEO AT •••••••.•••••••••••••..••..•.•...•.••••.••••••••••.•• THIS •••••••••.•••••••••••••.••••••••.•••.•••..••..•.•

DAY OF .••••••••••••••••••••••...••••.....•••••••••••••••• 199 ••• !:: THE PRESE~ICE OF THE UNDERSi~:;r:o wm;ESSES.

AS WITNESSC:S

i. S!GNP.TLRE CF APPL !CANT

2.

55

l I


1. :sa~P.d to:

F'L:-st namP.s (in full):

ST"J!)ENT Is PERMIT

[Secticn 28/Regulation 18]

I/NN£XUA.£

who has in tf!:"r=:!. of SI!C:tic~ 29 o! t!'le !=-.ii:-at!:::-: Co~t:-cl Ac":, 1993 (.r..c: 7 cf 1993). b~f'!n authorizf'!d -

(~) if al:"ll!:ady in Nu.i~la, to rl!r.-.ai:-a in Na.':l.itia,

!o:- thl! purposft of attendl:-:.i a trainina cr f!~~cat!t;r.al !r.stit1,;ticn in ~l2. .. !:t!.Oie as !r.t c-..:t ~:1 para{l;ra::h 2 bP.lo.,.,

2. (a~ ~l&r.ll'!: of trai.ntr.a or "~:.:catio:-.al instit'.Jt!b:"':

(b) Addr••• of the ins~it'-l~ior.:

{ci Co~.::-s~ to Oil!- t£it.fHO cr tra.tr.ina, instructicn or ftc!ucation to 'ell! o.Jr.df!r[Or.l!:

(d) Cont~•~platl!d c!atl! of c:c~e~.cem~tnt ef trair.in&:, ir.structic.·n or ~td:,;ca.tion:

(1'!:) Ouratton of ccur·sf!:

3. Thtt validity of thi.s permtt shall lapsA -

(e.) on thft ------------day o! _______________ lS9

to that dat.~; c.r

(~) If th~ ~·r,.it l",oldo.~ -

(1) fai.ls to com.T.ence with tht! trainin&, instr-uction or ecil•Ct.ticn b~!"ort! thA ---.,.-..,..-------- day of

!59

·[l.t) fails to comply wit..~ tt,(l: ;..t·ovisio~s of thft I:mnia;ration Cont:-ol Act, 1993; or

( iii)c!iscontinues the trainir.i, ins";.r".Jc';ien or t!ducation contt!::plated in paragraph 2(r:); or

(C"') wit.~out ~eir.i aut.her!zeC t:hft:"~to by t.'"lft I:n.:r.iiration s~lec~ic·n aoard, accf!pts ftmploymnnt or ccmmP.r,c:t!S to

practisP. any pr-offtsEicn or- occupation in :'fa."Dibia.

4, 7t~t pe.r.nit hclC!er may bl! acccmpanit!d by:----------------------------------

Issued by thtt C~i,~r of Im:':li&!"&tion. WindhcF.k..

Dntn: of itSYft!

IIOTES:

( i) This permit has been issued without cor-rec tiona or P.racure.

(ii) On arrival at a port of entry t~is per·mit hao to bf! prnsented to thft IIMiigratlon Officer on duty.

!.:.il) Thr. pl!nn.it holC~r hos t'J r~'::Jin thi.s J;~rro:i.t for thfl!ll duration of his on hP.r stay in N:ar.-:.it:lla, or mOly ~~;xtt:t.r•&~

it 3t the ChiP.! of l:""r.:iaration, Win~hoek, for the impr-int of a rubbft:" stamp in his or her passport in thfl:

for:n c:r A:"'nr.xure "T".

5


STUDENT'S PERMIT [Section 28/Regulation 18]

To be imprinted in t~e pass~ort of the permit holder.

STUDENT'S PE~~IT

No: DATE OF ISSU:C::

Authorization in terms of section 28 of the Immigration

Centre! Act, 1993 (Act 7 cf 1993) to enter or tc re~•in

in Na~ibia for the purpose of ----------------------------

The holder ~ay not remain in the Republic of Namibia after

and may net take up

employment in Nami~ia.

Conditior.~/remarks:

CHIEF OF IMMIGRAITON

57

ANNEXURE T

58

To:

SURNAl4E:


RE?USLIC CF NA~I3IA

~I~!S7?Y 0~ HC~E AFFAIRS

DEPARTMENT OF CIVIC AFFFAIRS

I~~IGRATION CONTROL ACT, 1993

NOTICE OF APPLICATION FOR AUTHORIZATION TO REMOVE

PROHIBITED IK~IGRANT FROM Nfu~IBIA

[Section 44iRegulation 19]

.O.NNSXL'?.::: \.J

FIRST NAI4ES: ............................................................... .

ADDRESS: ..•••............•..... ; · .• · · · · · · · · · · · · · · · · · · · · · · · · · · • · · · · · · · · · · · · · ·

Take notice that an application has been made in ter~s of sectio~ 44(1) of

the Immigration Control Act, 1993 (Act 7 of 1993), to rerr.ove you frcm l\:ami!:lia

on the groundE l~at yo~ are a prohibited immigrant as defined i~ t~e said

Act.

Ta:-.:e further notice that the application referred to above will be he-u·d a~d

determined by an Irr.migration Tribune,! 0n the ................. day of .....•.

. . . . . . . . . . . . . . . . . . 199 •........•...... at ...•...... (time) at the follo· ... ing

venue .•.....•............•...........•••............•...•.....•...........•.

at which hearing yoL may be prese~t and may be represented by an attorney or

by counsel.

DATED AT .....•...•....................... THIS .............. DAY OF ...•••.

.................................. 199 .......... .

IMIHG~ATION OFFICER

No. 895

No. 895 Government Gazette 29 July 1994 59

I!o!:,!G~ATION COU!RC!.. ACT, 1993

S!.'loll~ONS 70 APPEAR BEFORE AN IMl4ICltA=ION TRIBUNAL AS A WITNESS

[Soc::ion 45/Roaula::c~ 19(1)]

Ftrs: naml!s: ------------------------------------------------------------------------------------------------

i'akfl!. nctt.r.~ that you a:-f'l :"1'!~-..:.~:-t!d to a~pf'lar bA!cr~t an In'lliarat!.cn '!'ribunal on ~hf'l ---------------- ~ay or ---------

at -------------------------------(timA) at thfl!! follc·•in~ Vl'!:'ll:t~e:

to attl'!:r.c! as a \l·itnf'lss ti'":P. hf'larin~ ar.d dfltRrmt.nation by ttft aaiC :mmitr·etJon Tribunal of a:t a~plication fc.r·

in tl'!:-=s c.f t.."f'l !::tt::it:aticn C:::ttrol Act. lS93, (Act 7 of 1993) or any othf'lr law, and to thl'ln and thl!lrfl ~ivA fllvidP.ncf!

bi'!!'Orf'l t."::~e said l:mia:--ati.cn ':'ribunal and to prcCuctt to the said I::--J:iaraticn Tribunal the Cor.c::ttmt!. l\stl'!:d b~.low,

rf!lat.i:-:; to or conc~trr.ina t!":f'l •l.cn:~t hear-ina ar.c! df'ltf'lr:nination.

Tak111 fu:-thl'!r notice that 1! you shoul~ fail to appftar "t the ztove vP-nue at the datil and tim.f! stat"d abov~ to aiv"

r:vlCP-:'\CI"!, or i!' you should fail to p;cCuee tc the said lr.c;iarat1on Tribunal thl"! docum,~ts listf!d bl'llow, that you shall

b~~~: auilty or o.n '=>ff~nc~~~: and en convicticn be lia~!.'! to a. f'ir,fl! r;,ot fi!XCftt:Cina N$2000 or to imp:-isonmfl!nt fer a pi'!:-Lod not

l'lXCf!f!~tna 6 mont.l-:s, or to both such finft anc! such i::'l;:~rLscnrr.ent.

LIST OF DOCUMENTS:

ISS~E~ A7 ----------------- THIS -------DAY CF ______________ 1!!9 __ _


r~~!"liGi\,;i:G~I CO:Hr\OL ACT, 1993 R.?USL!C OF NA.~:BIA

.~:~i!Siil'i OF HC!<iE AFFAIRS CEPAR7MENT OF CI':IC AFFAIRS

RE7t:R:I BV ~EulCAL OFF!CEi! CR MASTER [Section IS/Regulation 23)

No. 895

Voyage frc"': .........................................•... to: ....•.................................................. ~ate anc' time of deperture: ............................. . DHe and time of arri 1al: 00 00 00 00 00 00 00 00 00 00 .. 00 .. 00 00 ...

~.--:·ler,:ers of crew, passensers and all other persc~s on boar~ who have suffered curing. the voyage frcm infectir.ns or d~seases, particularly leprosy, tuberculosis, trad:~r.;a, favus, frambesia, scabies or venerial dise~se:

CRtW OR PASSENGE> NAME (RATING OR CLASS TO BE ST,\T£0) NAT~RE OF DISEASE RE!"..t.RKS

................................ ***********'****'*"****"*"*'***'*•*•* ·········~•.-•••*******"* ............ *"* ... *•****"*'*******········

B.--Mtm~ers of the crew, passengers and all persons en board who have during the voyase suffered from physical or mental infirmity or afflictions:

CRE'.I OR PASSENGER ~iA."!E (RATING CoR CLASS TO BE STATED) NATURE OF DISEASE RE.'IARKS

***'***'**"**"**'*'***************** •••••• ,.... ......... "'"*"'"'.***'****'*** ........................... '*'*"*** ****'*'*'* ... '*'**'**''******'****'******'*'*

l················································································································ 00 0 .... 0 00 00 .. 0 0 oo_ .. _oo_·_oo_oo_· .... ·_· _ .. _00_0 _ .. _00_0 _00_00_0 _00_00_._ .. _00_00 0 0 0 .. 00 .... 00 0 0 0 • 00 .. 00 0 0 0 0 0 0 0 0 0 0 00 0 00. 00 0 0 00 0 0 0 0 00 00 0 ..

I hereby certify that t~e above list cf pErsons ccrr:prises aii case:·s of ir.fectiol..!s or infe~tious or other (iseases, and zll cases of physical or ~.ent<.l ir.firmity or affliction which have corr.e to rry notice ~"rin<; tre voyage amcngst the crew, passengers and all other ptnons on board.

C.--1 al~c ctrtify that the following is a true znd cc:;;plete list cf births and deaths of perscns on board during the vo)age since leaving my last port of call and that I have lodged the form of ir-for::~ation in respect of each ca~e. as ;Jrescr~tEd by the Eirths, )larriages and Deaths Regi~trztion Act, lSf~ (P.ct 81 of 1963), of the Republic cf r<amibia.

BIRTH DATE DEATH DATE. ***********************'******• ........ "'********* ......... ******•*'***'*** ......................... **'* '* ................................... * ****

.............................. ······························ ····················· ·································

······························ ······························ ····················· ·································

Certified by me at 000000 ........ 00 .oo 00 oooOooooooooo• 00 .. 00 this .... oooo .oo .. oo,oo,oooo 00 oo ........ oo .... 00 .. day cf 00 .. 00 .... 00 .. 00 00 00 00 00 ....... 00.00 •• 00. 19 00 00.00 00 00. in the pre!ence of the uncersi~r.ed ii!J!Iigration officer.

lf~)oi!GRATICN OFF ICE~ MEOlCPL OFr ICEf: OR HASiER

NAHE OF SHIP: 0000 • 00 00 00 •• 00 oo oo oo •• oo. 00. oo •••••••••••••• oo •• 00 ••• oo .. 00 .... oo oo oo 00 .... oo .......... oo ..... oo • oo • .. oo

COl'NTRY GF REGISTRATION: ......... oo oo ••• oo. oo. 00 00 •••• oo. 00 00. oo. 00 ... 00 ••••••••• oo .......... oo oo oo. 00 oo oo •• oo. oo oo oo.


~l'i!SiRY OF HC:·:i: ~;o~i;lS

CE~,: .. ;-;-:.·t:IT OF C~':!C ;,FF~!~S

PROVISIC~I;.l PEitHIT TO ENTER NAMIBIA

[Section 11(1) and Regulation 25)

FE;::.::: NO:------------------- REFERE~CE: -------------------

rssu::J To:

Surna~e: ------------------------------------------------------------------------------First na~es (ir. full):----------------------------------------------------------------------------------

whose particulars are as follows:

:: :;; :; f b i "~r.: ---------------------------------------- ? 1 ace of birth'-----------------------------------

(a l '1:.;::-:~er:

(b) Issuing authority:

(c) :ate of issue: Date of expiry: -----------------------------------

a~~ who has failed :o satisfy the imigraticn officer th3t he or she is not a prohibited i:::ni;r!r;t in terr.1s of the

Ii7.mi grat ion Contra 1 Act, 1993 (.t.ct 7 of 1993},

authcr~sir:g t!":e sai~.~en(.n in terms cf se-:tion 11{1) of the said ~ct, to enter and res~de in Namibia for a period of

--------------------- days, co:rmenc i ng on --------------------------- and er.d i ng on ------------------'subject to the conditions that the said person shall -

(ab) re·si::!e at the fc11cwir.; adCr~ss in Nar.:ibia:

and

( ac ) re~cr t tc :r:e i :-:-.:nigra t ion officer at --------------------------------------------- before -------

----------------------------- and thereafter on and (ad) not leave the distric: (s) of and

(ae) not enter ir.~o ar.y e::;::cy;;~ent, co:'lduct any business, carry on any profession cr occ~;:aticr:. or receive any

training, instruction or educaticn in any training or educational ir.stitution in Namibia; ar:d

(afl at all times upon de.'T:and produce this pemit o~ fcr:n .. ith s"rrender it to an irrmigration officer; and

( a g) not eng age in any of the fo 11 owing activities --------------------------------------------------------

( ah) tra'le ~ through :~ ~~H:i a a 1 eng the route, at the times ar.d us i r.g the conveyance specified over 1 eaf; and

(ail cc,ply with all such further conditions as may be specified overleaf; and

and

(aj) leave Namibia en or before at the---------------------port and 'present this ~er"'it to the irrmigration officer at such port; and

(ak) --------------------------------------------------------------------------------------

If the person to who::. this permit was issued acts in conflict with the purpose for which this permit was iss~<ed or

fails to cor::~ly with any condition of this perr::it, he or she shall be guilty of ar offence and on conviction be liable

to a fine not exceeding RSOCO or to imprisonment for a period not exceeding ~we years, or to ~oth such fine and such

in.pri sonment.

PLACE OF ISSUE: -------------------------------------------------------------------------------DATE CF ISSUE:

!SS:.:;D S'f

?·:~r ~,.~;- £:;rr ~: -------------------------------------------------------------------·--------

61


R~~U~LIC OF NA~I3IA :HNIS1FY OF HO:'<E AFFAIRS

DE?ART~E~T OF CIV!C AFFAIES

I~HGF:P.!ION CONTROL ACT, 1993

APPLICATION FOR A CERTIFICATE OF IDENTITY [Section 38/Regulation 25]

To:. The Chief cf I~~igration WINDHOEK

PARTiCULARS OF APPLICANT:

ANNEXUF:£: Y

1 . SUR..'\A:o!E: ••..••..•..•••••..........•..••.•...•.•.....•.......•••...•.. 2. l4AlJ:oEN NAi~E (if applicable t: ........................................ . 3. FIRST NAMES (in fell): ............................................... . 4. DATE OF BIRTH: ..•..•......•.....•••••.•..•••...••.•..............••..

5. SEX: I iMLE IJ 6. PASSPORT OR OTHER 'iRI,\'EL DCCt!YENT:

(a) 1'\umb~r: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••• (b) Issuing authority: •..••..•..••. (c) Place cf ~ssce: ...•........... (d) Date -of issue: ............. _ ...... (e) Date of expiry: ............ ..

7. Present resicent.ial address: •.....••••.••..•••....•.••••..•.. · ..••..•. . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,; .......................... •.• .. .

8. Nar..e and address cf" employer: ...•..•••.•••.•.•......•.•.......•.•..•.

.---!·EVER ',t,IJ:CW

9. Marital st8tcs: MARRIED MARRIED WIDOWER SEPARATED DIVORCED -

10. Resident H1 Nc.:nibia since (date): .................................. .. 11. PERMIT OR OT!i:SR DOCUMENT" AU7HORIZING ENTRY INtO AND RESIDENCE IN

NAMIBIA: •.•.....•••..••..••••••••••..••• , ••.••.•••••••••.••..••.•.••. (Attach co~y of dccument)

The applicant declares that -

(a) he or she hereby appl5.Bs for authorization for the issue of a certifi= cate of identity referred to in section 38 cf the Im~igration Control Act, 1993 (Act 7 of 1993); and

(b) the information furnished ~n this applicaticn is correct and is the truth.

SIGNEt; AT •••.••••••.••...•.•.•••.•.•.•.•••••••• THIS .••.•••.••...•..••. DAY OF .. • .. .. .. .. • .. .. .. .. .. .. .. .. .. . .. • .. • 199 ...... IN THE PRESENCE OF THE UNDERSIGNED WITNESSES.

AS WITNESSES: 1 .............................. .. 2 ••••••••••••••.••••••••••••••••• APPLICANT

No. 895


RSPUELIC Or NA:HBIA 1HNISTF.Y OF HOME AFFAIRS

DEPPRTMENT OF CIVIC AFFAIRS

Il.W.IGRATION CON'i'ROL ACT, 1993

CERTIFICATE OF IDENTITY [Section 38/Regulation 26]

CERTIFICATE NO: ..•.•••.••.•••. REFERENCE:

ANNFXURS Z

It is he~e~y ce~~ifis~ that the Minister of Home Affai~s has under secticn

38 of t~e Imrrig~ation Control Act, 1993 (Act 7 of 1993) authorized the

issue of a ce~~ificate of identity to:

SURNAME:

FIRST NP.J4ES (i:-1 :"ull): ................................•.•.............•.

DATE OF BIRTH: ............................ SEX: .......•.........•.•..•.

FASS?ORT NUMBE:t:

DATE OF ISSUE OF PASSPORT: ..............•...•...........•...............

PASSPORT ISSUE:J BY: .................................................... .

DATE OF EXPirtY OF P.~SS?ORT: .............................••....•.........

who is lawfully resident in Namibia and who may, subject to the other

provisions of the Immigration Control Act, 1993 (Act 7 of 1993), lawfully

en te.r Namibia en his or her return thereto.

DATE OF ISSUE: •..•........••...••.......•.......•.......•..•.•.••.....•

DATE OF EXPIRY: ........•..................•............................

ISSL:ED AT : ..........................•....•...............•............

PHOTOGF~:JDH OF

HOLDER CHIEF OF IMl~IGRATION

63


REPUBLIC OF NAMIBIA MINISTRY CF hCt;,E AFFPJ ES

DEPARTMENT OF CIV!C AFF'AJ?.S WMIGRATICN COl'iTFiOL f..CT, 1993

REMOVAL WARRANT [Section ~4(9)/Regulation 27(1)]

~-------------------------------------------------------------------~

To: THE INSPECTOR-GENEP~L

THE NAMIBIAN POLICE

THE CHIEF OF

IMMIGRATION

WherE! aS the Imrnigraticn Tri t-unal of --------------------

after havir:g heard an application for authorizaticn fc·r· tr.e removal

from Namibia of the followine person:

SURNA?<lE: ..•...••••..•..•.•••.•••••••..•..•.....••...••....•...•......

FIRST NJ.!f.E;S (in fulJ): •••...•.•••.•••...•.••............•..........•.

DATE OF BIRTH:

tas clete:rJT.ined that the said person is ;:, prchiti.ted lmrn::.s_!'a:".t ir, tE>:r..s

of the provisions of the Immig~ation Control Act(~ct 7 c~ 1993) ar:d that

reascm;:,ble grounc~: exist to cause him or her to te rf.-mcyr,cl frc•rr. r-·amibia;

Now therefore you are hereby authorized to take the said person into

custody and to remove him or r.er from 1'\amibia by deli.ve:-ing him or her

at the fcllol•dng adcress cr ~lace: •••..•.••••.••••.••.•••••• , , .••••••

For ,.-hich tr.is shall be your wc.rrant.

DATE OF ISSUE: •••.•.••••••••.•••.••••.•••.•.....•...••••••.•••.••...

PLACE OF 1 SSUE : .•••••••••••••.......•..••.••.•...•..•....•.••..••..

CHAIRPERSON OF THE IMMlGrtA11CN TRIBUNAL

No. 895

No. 895

To :


REPUBLIC OF NA:.UBIA MINISTRY OF HOME AFFAIRS

DEPARTMENT OF CIVIC AFFAIRS I~~IGRATION CONTROL ACT, 1993

REMOVAL WARRANT [Section 49{1)/Regulation 27(2)]

THE CHIEF OF

THE NAMIB!~ POLICE DiMIGP.ATION

ANNEXURE AC

Whereas the ~ecurity Commission established urder Article 114 of the

Nc-mi tian Constitution has 1.:r.~e:- tt.e r.rcvisions of section 49{ 1) of

the Immigration Control Act, 1993 {Act 7 of 1993) recommended that the

following person:

SURNAME: •.••.••...•••..••••••••••....•••••.........•••••••.•••..•.••...

FIRST NAMES (in full) : •.••••.••..••.••••••••••.•••••.••••.••....•••.••

DATE OF BIRTH: ..••.•..•••••••••••••••.•.•••••• • •• · • • • • · •• • · · · • • • · · · · · •

be removed from Namibia;

Now therefore you are hereby authcrized tc take the said person into

custody and to remove him or her frcrr Namibia ty delivering him or her

at the fcllowing address or place: ••••••••.••.••••••••••••••.•••.•••.. ,

And, pending the removal c f such persc·r. frcm Namibia, to detain such

person at ..••.••....••.•••••••..•..••••.. • .. • ..•.. •• • • • • • · • • • · • • · • • · • ·

For which this shall be your warrant.

DATE OF" ISSUE:

FI.ACE OF l~SUE: ....................................... .; .............. .

DATE STJI~P MINISTER OF HOME AFFAIRS

~~-------------------L-----------------------------------------

65

66

To:


RE?UELIC CF ;;.!.:.!IBIA MINISTRY OF HOMZ AFFAIRS

DEPARTi~ENT OF CIV:C AFFAIRS

IMMIGRATION CONTROL f..CT, 1993

REMOVAL WARR.4Jn' [Sectior. 50{2){b)/Regulation 27{3)]

THE INSPECTOR-GENERAL THE NAMI3IAN POLICE

THE CHIEF OF IMMIGP.f..TION

Whereas the !cllcwing p~rsc•r.:

SURNAME:

ANtlEXURi:: AD

FIRST NAMES (in full) : ••••••••••••••••••••.••.•••••.•••••••...•.•••••

DATE OF BIRTH: •••••••••••••••••••••••••..•••••••••...•••••.•.••••••••

has been found in Namibia subsequent to !:>eing rerr.cved from I ordered

to leave Namibia, and not being in possession of an authority to

return to/to re~air. ir. Namibia;

Now therefore you are under the provisions cf section 50(2)(b) of the

Immigrati.or. Control Act, 1993 {Act 7 of 1993) hereby authorized to take

the said person into custody and to re::!O'Je him cr her from Namibia

by delivering him or her at tl:e fcllC•Idng acdress or place: •.•.•.•...

. . . . ... . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. Fc·r 11;hich thiE shall be your warrant.

DATE OF ISSUE:

F l.A.CE OF lSSUE : ••••.••.••••••••••••••••••••.•••.•..••••.••••••.•••..•

DATE STA!v'.P IMMIGRATION OFFlCER

No. 895

No. 895

To:


REPUBLIC OF NA.'IIBIA


DEPARTMENT OF CIVIC AFFAIRS

IMMIGRATION CONTROL ACT, 1993

NOTICE TO PERSON REFUSED ENTRY

INTO NAMIBIA

(Section 10/Resulation 28)

AmiEXURE AE

TAKE NOTE that in terms cf section 10(1) of the Immigra~icn Control Act, 1993

(Act 7 of 1993) you are hereby t'F.ft.:sF.cl entry ir.tc Namibia on the grounds that

ycu hc:.ve !"ailed to satisfy the imr.tigration officer that yet.: are not a

prchibi 1:ed immisrant ir, respect cf Namit-ia.

FURTHER T~~E NOTICE that if ycu should enter Namibia in contravention of this

notice, you shalJ be gu~ ~ ty of an cffence £'.nd on conviction be liable to a

fine not exceedins ~i;. 20 000 or to imprison::tent for a period r:c·t exceeoc.ing

five years, or to both such fine and such irr.prisonment.

Date

Place

DATE STAMP

IMM!G~ATION OFFICER

I hereby acknowledge receipt of the original cf this notice.

Date: ::IGNATURE

67

68

No. 135



IMMIGRATION CONTROL ACT, 1993 DETERMINATION OF MAXIMUM AMOUNTS

Under the powers vested in me by-

1994

(a) paragraph (a) of section 11(2) of the Immigration Control Act, 1993 (Act 7 of 1993), I hereby determine the amount of N$2 000,00 for the purposes of that paragraph;

(b) subsection (3) of section 16 of that Act, I hereby determine the amount of N$5 000,00 for the purposes of that subsection;

(c) paragraph (b) of section 16(5) of that Act, I hereby determine the amount of N$5 000,00 for the purposes of that paragraph;

(d) section 17 of that Act, I hereby determine the amount of N$5 000,00 for the purposes of that section;

(e) subsection (2) of section 18 of that Act, I hereby determine the amount of N$5 000,00 for the purposes of that subsection;

(f) paragraph (a) of section 27(4) ofthat Act, I hereby determine the amount of N$2 000,00 for the purposes of that paragraph;

(g) paragraph (a) of section 29(3) of that Act, I hereby determine the amount of N$1 000,00 for the purposes of that paragraph;

(h) paragraph (a) of section 42(3) of that Act, I hereby determine the amount of N$2 000,00 for the purposes of that paragraph.

H. POHAMBA MINISTER OF HOME AFFAIRS Windhoek, 12 July 1994


No. 136

REGULATIONS UNDER THE DEPARTURE FROM NAMIBIA REGULATION ACT, 1955

DEPARTURE REGULATIONS

1994

The Minister of Home Affairs has under section 9A of the Departure from Namibia Regulation Act, 1955 (Act 34 of 1955)-

(a) made the regulations set out in the Schedule; and

(b) repealed Government Notice R.827 of 1963.

No. 895


SCHEDULE

Interpretation

1. In these regulations, unless the context otherwise indicates, an expression in the Act has a corresponding meaning, and -

"conveyance" includes any vehicle, train, aircraft or ship;

"Immigration Control Act" means the Immigration Control Act, 1993 (Act 7 of 1993);

"immigration officer" means an immigration officer defined in the Immigration Control Act;

"port" means a port defined in the Immigration Control Act; and

"the Act" means the Departure from Namibia Regulation Act, 1955 (Act 34 of 1955).

Departure from Namibia

2. A person wishing to depart from Namibia, excluding a person referred to in paragraph (b) of section 2 of the Act, shall at a port present himself or herself to an immigration officer on duty at such port.

3. A person referred to in regulation 2 shall, when presenting himself or herself to an immigration officer as contemplated in that regulation -

(a) submit his or her passport or permit, as the case may be, to the immigration officer referred to in regulation 2;

(b) at the request of such immigration officer, complete and sign a de~arture form substantially in the form of the Annexure; and

(c) allow such immigration officer to examine his or her luggage or the conveyance in which he or she is travelling.

Powers of Immigration Officer

4. An immigration officer may -

(a) refuse to allow any person who-

(i) is not in possession of a valid passport or permit issued or endorsed for such purpose; or

(ii) refuses to comply with the provisions of regulation 3, or fails to comply therewith to the satisfaction of such immigration officer,

to depart from Namibia; or

69


(b) seize any passport, permit or other document, if-

(i) he or she has reasonable grounds to believe that such passport, permit or document has been obtained by any fraudulent act or false representation, or is a forgery;

(ii) the passport, permit or document has been defaced or mutilated to such an extent that it, or any part thereof, is illegible;

(iii) any amendment or endorsement has been made to, or inserted in, the passport, permit or document by any person other than an official duly authorized to do so,

and may transmit such passport, permit or document to the authority which issued it or on behalf of which it was so issued.

Penalties

5. Any person who contravenes, or fails to comply with, the provisions of regulation 2 or 3 of these regulations shall be guilty of an offen~e and on conviction be liable to the fines prescribed by section 8(l)(c) of the Act.

No. 895


REPUBLIC OF NA.'4ISIA MINISTRY OF HOME AFFAIRS

DEPARTMENT OF CIVIC AFFAIRS

DEPARTURE FROM NAMIBIA REGULATION ACT, 1955

(Act 34 of 19551

DEPARTURE FORM

(Section 9A I Regulation 3)

To be completed by every passport or permit holder upon departure fr0111 N1111ibia and handed to the innigration officer at the port of departure concerned.

1. ~~- of passport or permit ho 1 der in fu 11 :

2.

3.

4. 5. 6.

7.

(a) Surn11111: ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

(b) Halden nllllt (where applicable): ·························~·················································· (c) First niiDts: ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

Date and country of birth: ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• : • ••••••••••

Sex : Hale I I Female I Citizenship:

Country of present residence: ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

Occupation: ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••

Passport or permit details:

(a) Number: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.•••••••••••••••••••••• , ••••••••••••••••

(b) Issuing authority: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.••

(c) Place of issue: •••••••••••••••••••••••••••••••••••••••••••••• • ••••••••••••••••••••••• • •• • ••••••• • • • • • • • • • • (d) Date of issue: •••••••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••••••••

(e) Date of expiry: •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

8. Children without own passports accompanying passport or permit holder:

(a) male : number •••••••••••••••••••••••••••••••••••••••

(b) female: number ••.••••••••••••••••••••••••••••••••••••

9. Hodt of travel (mark with an "X"): -

Air Flight no

Road Registration no of vehicle

Rail Train no

Sea Nue of ship

Other

age ••••••••••••••••.••••••••••••••

age ••.••••••••••••••.•••••••••••••

I hereby certify that I understand the contents of this declaration and that it is the truth.

SIGNATURE OF DECLARANT

FOR OFF ICtAl USE ONLY

DEPARTURE STAMP

71

GOVERNMENT GAZE1.1'E REPUBLIC OF NAMIBIA

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