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Visa Application Form - Namibian Home Affairs Form

Visa Application Form - Namibian Home Affairs Form

Ratings: (0)|Views: 1,614 |Likes:
Published by miltonlouw
Namibian Home Affairs Form
Namibian Home Affairs Form

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Published by: miltonlouw on Apr 05, 2011
Copyright:Attribution Non-commercial

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08/15/2013

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3-1/0033
REPUBLIC
OF
NAMIBIA
Ministryof
Home
Affairs
and
ImmigrationImmigration
Control
Act,
1993
APPUCATION
FOR VIS
 A
(Sections
12 and 13 /
Regulation
11)
hems
4to
10 to
be
completed by inserting
an "X".
in
the
appropriate
box.
1.
Surname:
2.
First
name*:.
3.Maiden name
(if
applicant
is
or
was
a
married
woman):
PSkNoj.
FOROFFICIAL
USE
ONLY
Approved
/
Not
Approved
Single/Multiple
entry
Pate
of
issue:.
Date ofexpiry:.
Remarks:
Signature:.
Date:
4.
S«x:
Male
P«n.V
5.
Marital
status:
Never Married
6.
Haveyoaatanytir«apDlicdforaDOTnittosettleperinanenliyinNaniibia?7. Have you
ever
been
restricted
or
refused entry
to
Namibia?
8. Have you ever been
deported
or
ordered
to
kave
Namibia?9. Have you ever
been
convicted of any crime
 fin
any country?Married
Yesl
1
%sl
Yes
Yes
[NO
No
i
r
DivorcedWidow/Widower
=
Nol
ran
f
11
.If
me
reply
to any
one ofmequestions
6to
10
ism
me
affirmative,
attach
fnD
particulars.
12.
Birm
(a)
Date: (b)
Place:
,
_
13. Citizenship:
_:
14. Passport (a)
Number:
(c)
Date
of
issue:
'.
Country.
(D)
Place
of
issue.
(d)
Date of
expiry:.
(e)
Is passport valid for travel to Namibia:
IS.
(a)
Present
residential
i
16. Address
and
period
of
residence
in
country
of
which
you
are a]
(a)
Residential address:
,
Cb)
Telephone
no.:
( )
17.'Occupation
or
Profession:
-
_(b)
Telephone
no.:
(.
t
resident:
.(c)Period:.
18.
Firm,
cainpany.uinversny,
etc,,
to
wrrich
you are
attach
(a)
Name
and
address
of
employer:
^
(b)
Telephone
no.:
(_
)
,
.
(c)
Nature
of
business:
' ;
<d)
If
a
student, name
of
university
to
which
you
are
attached
and
the
coarse
pi
19.
S
accompaniedby
your wife
and
children state:
First
Names
to
0>)
<c)
DateofBirta
Place
of
Birth
20.
(a)
What
amount of money
wul
you haveavailableon
arrival
inNamibia
for
your own
use?
 V
N$.
(b)Wm
yon be
m possession
of an
~
a^a^K
a^f
1C
V^aW
a

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