E-Visa Application
Visa On Arrival
E-Visa Requirements
South Africa eVisa for Belgian Citizens
South Africa eVisa for Canadian Citizens
South Africa eVisa for French Citizens
Tourist Visa
Business Visa
☰
Apply for your official EVisa South Africa
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Apply for your EVisa South Africa
Before you submit your application, review it carefully. Make sure it is complete and accurate.
Entering incorrect information could lead to a delay or even a refusal of your eTA application and/or prevent you from boarding your flight.
Important:
Please check all information entered before submitting your application.
All errors will be irreversible after payment as your eTA application will already be under process
Is this application being completed on behalf of a minor, not accompanied by yourself?
*
Is this application being completed on behalf of a minor, not accompanied by yourself?
--
Yes
No
Please indicate the type of application you wish to apply for:
*
Please indicate the type of application you wish to apply for:
Application for waiver
Is this application being completed on behalf of a child or minor?(child or minor is the principal applicant)
*
Is this application being completed on behalf of a child or minor?(child or minor is the principal applicant)
--
Yes
No
Please state the number of people you are applying for including yourself (spouse and children under 18 years of age only)
*
Please state the number of people you are applying for including yourself (spouse and children under 18 years of age only)
PERSONAL INFORMATION
Temporary Resident Visa Application Category
*
Temporary Resident Visa Application Category
--
Given names
*
Given names
Surname
*
Surname
Maiden Name
*
Maiden Name
Any other Former name
*
Any other Former name
Select your date of birth as shown on your passport
Day
*
Choose the day on which you were born. The day of birth is required to complete the application or to check the status of your application.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Choose the month in which you were born. The month of birth is required to complete the application or to check the status of your application.
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Choose the year in which you were born. The year of birth is required to complete the application or to check the status of your application.
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Select your country of birth
*
Choose the country in which you were born. The country where you were born is required to complete the application.
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Enter your place of birth
*
Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet where you were born is required to complete the application. If you do not know the city in which you were born, enter UNKNOWN.
Nationality
*
Nationality
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Country of Residence
*
Country of Residence
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Sex
*
Choose your gender, either male or female. The sex (gender) is required to complete the application.
Male
Female
Undefined
Home Tel No
Bus/Work Tel No
Cell No
Contact Email
Facebook Handle
Twitter Handle
If your spouse and/ or other dependents are not accompaning you, do they intend to enter the country at a later stage?
*
Yes
No
PASSPORT INFORMATION
Enter your passport number exactly as it appears on your passport
*
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application.
Select the issuing country as shown on your passport
*
Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application.
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Select your nationality as shown on the passport you will be travelling on
*
Nationality shown on the passportNationalité indiqué sur le passport
ANDORRA
ARGENTINA
AUSTRIA
BAHRAIN
BELGIUM
BRAZIL
BRUNEI
BULGARIA
CANADA
CHILE
CROATIA
CYPRUS
CZECH REPUBLIC
DENMARK
ESTONIA
FINLAND
FRANCE
GERMANY
GREECE
HONG KONG
HUNGARY
ICELAND
IRELAND
ISRAEL
ITALY
JAPAN
KOREA
KUWAIT
LATVIA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MALAYSIA
MALTA
MAURITIUS
MEXICO
MONACO
NETHERLANDS
NORWAY
OMAN
POLAND
PORTUGAL
QATAR
ROMANIA
SAN MARINO
SAUDI ARABIA
SEYCHELLES
SINGAPORE
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SPAIN
SWEDEN
SWITZERLAND
TAIWAN
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
VATICAN CITY
Select the expiry date as shown on your passport
Day
*
Choose the day on which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The day on which the passport expires is required to complete the application.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Choose the month in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The month in which the passport expires is required to complete the application.
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Choose the year in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The year in which the passport expires is required to complete the application.
2044
2043
2042
2041
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
EMPLOYMENT INFORMATION
Do you have a current or previous employer?
*
Indicate whether you have a current or previous employer by selecting yes or no. Answering this question is required to complete your application.
Yes
No
Occupation
*
From the drop-down menu, select the occupation type that best describes the industry in which you work. If you are a student, retired, a homemaker or unemployed, select the appropriate option from the list.
If you are a high-ranking government or political official, select "Management occupations" from the list.
Art, culture, recreation and sport occupations
Business, finance and administration occupations
Education, law and social, community and government services occupations
Health occupations
Management occupations
Manufacturing and utilities occupations
Military/armed forces
Natural and applied sciences and related occupations
Natural resources, agriculture and related production occupations
Sales and service occupations
Student
Trades, transport and equipment operators and related occupations
Job title
*
From the drop-down menu, select the job title that best describes the type of work you do.
If you are a high-ranking government or political official, select "Legislators and senior management, including political officials" from the list.
Employer Name
*
Enter the name of your current employer. If you are not currently employed, enter the name of your previous employer. Employer name is required to complete the application. You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY-AT-HOME PARENT, or any other word to describe your employment status.
Address
City
*
In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application.
Country
*
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Start date
*
Select the year you started to work or study for the employer, or school.
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
SA Physical Address (Details within the Republic of South Africa where you will be residing)
Unit Number
Complex
Street No.
*
Street No.
Street / Farm Name
*
Street / Farm Name
Suburb / District
City / Town
*
City / Town
Postal code
Country Code
*
Country Code
Home Physical Address (Details of current residental address)
Unit Number
Complex
Street No.
*
Street No.
Street / Farm Name
*
Street / Farm Name
Suburb / District
City / Town
*
City / Town
Zip / Postal code
Country Code
*
Country Code
Citizenship Details
Present country of citizenship
*
Present country of citizenship
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Is present citizenship acquired by birth?
*
Yes
No
Do you hold citizenship of another country?
*
Yes
No
State country of citizenship
*
State country of citizenship
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Citizen acquired by
*
Citizen acquired by
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Do you have any other Passport or identity document?
*
Yes
No
Total number of the passport or identity documents
Marital Status Details (If part to a legally organized spousal relationship with a citizen or permanent resident and certified copy of the marriage certificate or spousal affidavit must be attached )
Marital Status
*
Marital Status
--
Not Married
Married
Widowed
Divorced
Separated
Life Partner
Spousal Relationship
Principal Applicant's Parent Details - Parent A
Status
*
Status
--
Alive
Deceased
Unknown
Given names
*
Given names
Surname
*
Surname
Date of birth
Date
*
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Initials
*
Initials
Country of birth
*
Country of birth
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Nationality at birth
*
Nationality at birth
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Present Nationality
*
Present Nationality
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Principal Applicant's Parent Details - Parent B
Status
*
Status
--
Alive
Deceased
Unknown
Given names
*
Given names
Surname
*
Surname
Date of birth
Date
*
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Initials
*
Initials
Country of birth
*
Country of birth
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Nationality at birth
*
Nationality at birth
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Present Nationality
*
Present Nationality
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Details of any visas issued to you, valid or expired, in the last 5 years (Visas for the Republic of South Africa and Other Countries)
Do you have any visas issued to you(valid or expired) in the last 5 years?
*
Yes
No
Total number of other visas held
Do you hold the right of re-entry into your country of origin and/or country of residence if this differs?
*
Yes
No
Specify Present Status
Specify Period
Days
Weeks
Months
Years
Details of other Addresses where you have lived before / during the last 10 years other than your current address
Do you have other Addresses where you have lived before / during the last 10 years other than your current address
*
Yes
No
Total number of other addresses
Asylum Seeker / Refugee Status
Have you ever applied to Asylum / Refugee status in the Republic of South Africa or any other country?
*
Yes
No
Issuing Country
*
Issuing Country
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Do you currently hold an Asylum Seeker or Refugee Permit?
*
Yes
No
Asylum Seeker/Refugee Permit Reference number
Asylum Seeker/Refugee Permit Issue Date
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Asylum Seeker/Refugee Permit Expiry Date
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Contact person in your country of residence
Relationship
*
Relationship
--
Friend
Business Associate
Relative
Other
Given names
*
Given names
Surname
*
Surname
Maiden Name
*
Maiden Name
Any other Former name
*
Any other Former name
Unit Number
Complex
Street No.
*
Street No.
Street / Farm Name
*
Street / Farm Name
Suburb / District
City / Town
*
City / Town
Postal code
Country Code
*
Country Code
Home Tel No
Bus/Work Tel No
Cell No
Details regarding contact persons in the Republic of South Africa
Do you have any contacts in the Republic of South Africa?
*
Yes
No
Number of Contacts
Intentions/Proposed duration of stay in the Republic of South Africa
Date of departure for the Republic of South Africa
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Place of departure for the Republic of South Africa
Date of arrival in the Republic of South Africa
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Place of arrival in the Republic of South Africa
Travelling By:
*
Travelling By
--
Air
Road
Rail
Sea
Carrier
What is your intended duration of stay in The Republic of South Africa?
Days
Weeks
Months
Years
Intended date of departure from the Republic of South Africa
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Outline your proposed activities whilst in the Republic of South Africa
Maintenance / Deportation
State what funds you have available funds (Foreign Currency) Type/Currency
*
State what funds you have available funds (Foreign Currency)
--
Amount
*
Amount
South African Rand Equivalent
*
South African Rand Equivalent
Do you have a valid return ticket?
*
Yes
No
Valid return or onward ticket no
Expiry Date
Day
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
Month
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Year
--Year--
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Employment Record of Applicant (To cover full period of employment)
Have you been employed or are you currently employed?
*
Yes
No
Total Number of Employers
Application for Waiver of Prescribed Requirements ( Section 31 (2)(c) and regulation 29 )
Please state the sections of the regulation that must be waived:
Security / Health Questionnaire
Have you ever been refused entry into or deported from The Republic of South Africa?
*
Yes
No
Have you or any of your dependents accompanying you ever been convicted of any crime in any country?
*
Yes
No
Is a criminal or civil case pending against you or any of you dependents accompanying you in any country?
*
Yes
No
Are you or any of your dependents suffering from tuberculosis, any other infectious or contagious disease or any mental or any physical deficiency?
*
Yes
No
Are you an un-rehabilitated insolvent?
*
Yes
No
Have you ever been judicially declared incompetent?
*
Yes
No
Are you member of adherent to an association or organization advocating the practice of social violence or racial hatred?
*
Yes
No
Any additional information you wish to bring to the department's attention ?
Declaration
I declare that the information I have given in this application is truthful, complete and correct.
I agree that by typing my name and clicking sign, I am electronically signing my application
You must confirm the following:
I have read and agree to this declaration
Please select I agree before proceeding
You are not eligible for an NZeTA. Apply for a Visitor Visa.