1、DEPARTMENT:HOMEAFFAIRSREPUBLICOFSOUTHAFRICA部門：南非共和國民政局APPLICATIONFVISATRANSITVISA[Section7(1)(g)readwithsection10A10BRegulation8(1)]簽證或過境簽證申請表簽證或過境簽證申請表Failuretocompletethisapplicationfminfullmayresultinthevisabeingdelay

2、edrefused.Pleaseuseblocklettersblackinkonly.如申請表沒有填寫完整，則會造成簽證被推遲或拒絕。請使用大寫字母、黑色墨水填寫表格。PERSONALPARTICULARS個人資料Surname姓Firstname(infull)名（全名）Maidenname婚前姓（女子）Previousname曾用名Y年Y年Y年Y年M月M月D日D日Dateofbirth出生年月日Cityofbirth出生城市………

3、….Countryofbirth出生國家…………………………………………………………………………Gender性別Male男female女Nationality國籍……………………Ifacquiredbynaturalizationstateiginalnationality如移民，原國籍為………………Wherewhenwaspresentnationalityobtained何地何年取得此國籍……………………….Particularso

4、fchildrenendsedonyourpassptaccompanyingyou:隨行兒童的詳細資料：Surname姓Firstname(s)名Dateofbirth出生日期Placeofbirth出生地（1）（2）（3）（4）VisitToSOUTHAFRICA簽證到南非ExpecteddateofarrivalintheRepublic預期到達時間Y年M月D日Placeofarrival到達地點………………………….Purpos

5、eofvisit訪問目的…………………………….Durationofstay(monthsweeksdays)停留期限（幾月，幾周，或幾天）………………………Numberofentriesrequired要求進入次數(shù)single一此multiple多次two二次Proposedresidentialaddress(physical)intheRepublicincludingthefullname(s)ofyourhosthotel計劃

6、在南非暫居的地址，包括東道主全名，入住酒店全稱…………………………………………………………………………………………………………………………………………………………………………………………………………NameofganizationspersonsyouwillbecontactingduringyourstayintheRepublic在非期間聯(lián)系的組織或個人的詳細信息Name姓名Address地址Relationship關系Ident

7、itydocumentnumberpermanentresidencepermitnumberofSouthAfricanhost永居南非的證明文件或許可證號…………………………………………………………IndicatebymeansofanXwhicheverisapplicable指出通過何種方式申請HaveyouatanytimeappliedfapermittosettlepermanentlyinSouthAfrica是否曾申請

8、永居南非？yes是no否HaveyoueverbeenrestrictedrefusedentryintoSouthAfrica是否曾被限制或拒絕進入南非？yes是no否HaveyoueverbeendeptedfromderedtoleaveSouthAfrica是否曾被驅(qū)逐或命令離開南非？yes是no否Haveyoueverbeenconvictedofanycrimeinanycountry是否曾被某國判邢？yes是no否Isac