JOHAN BROIDO

1724 MARBLE TOWERS

JEPPE STREET
JOHANNESBURG
TEL: 011 333 2141
FAX: 011 333 2222

NOTARY CONTRACT

BETWEEN

MPHAILANE NONTLANTLA

AND

FARUK MOHAMMED OMAR

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NOTARY
PUBLIC
 JOHAN BROIDO
1724 MARBLE TOWERS
JEPPE STREET
JOHANNESBURG
TEL: 011 333 2141
FAX: 011 333 2222

PROTOCOL NO| 171496

NOTARIAL CONTRACT

In terms of

SECTION1 (1) OF THE IMMIGRATION ACT OF 2002

NOTARY
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That on the 22th of April 2015 appeared before me

JOHN EDWARD BROIDO

Or the JOHANNESBURG, GAUTENG PROVINCE Notarial public by law authority duly

admitted, sworn and practicing at in the JOHANNESBURG, GAUTENG PROVINCE and in the
presence of the witnesses hereunder subscribe personally came and appead.

FARUK MOHAMMED OMAR

PASSPORT NUMBER | EH0198376
Date of Birth | 1986/07/25
(hereafter referred as “the foreign partner” )

and

MPHAILANE NONTLANTLA
IDENTITY NUMBER: 880323 0858 085
Date of Birth: 1988/03/23

(hereafter referred as “the South African Citizen”)

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Whereas the South African Partner is desirous forming a HETEROSEXUAL RELATIONSHIP
with the Foreign Partner.

Now therefore the parties agree as follows.

A. The parties agree to cohabit and live together as common spouses albeit married,
with exclusion of any other person from the said relationship.

B. The parties hereby agree to mutual financial help and emotional support

C. The parties hereby state that they were never married prior to entering into this
contract.

DOMICILIUM CITANDI EXECUTANDI

WARD NO: 09
NEWREST VILLAGE
STERKSPRUIT
9762

JURISDICTION

The parties hereby consent to the jurisdiction of the magistrate court JOHANNESBURG.
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NOTARY
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FULL NAME | SIGNATURE

FARUK MOHAMMED OMAR | ______________________________________

MPHAILANE NONTLANTLA | ______________________________________

Witness

1) __________________________________________________________________

2)___________________________________________________________________

QOU ATTERSTOR

NOTARY
PUBLIC
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