BI-1155 Visa Invitation - Affidavit

BI-1155 (GP)

DEPARTMENT: HOME AFFAIRS REPUBLIC OF SOUTH AFRICA

AFFIDAVIT FOR VISA PURPOSES Reference No. ____________________________ I, _____________________________________________________________________________________________ (full names and surname)

holder of identity document/Immigration permit No.______________________________________________________ residing at _______________________________________________________________________________________ (street address)

________________________________________________________________________________________________

(street address) Herby declare under oath that (a) should the application in respect of Mr. / Mrs. /Miss _________________________________________ be approved for a bona fida visit of __________________ weeks/months, no extension of stay will be applied for. (b) I will be responsible for his/her maintenance whilst in South Africa and undertake to pay the South African Government all expenses incurred or to be incurred by it for arising out of repatriation of the said person from South Africa. (c) I further declare that the applicant will on arrival in South Africa be in possession of a valid return or onward ticket and that his/her passport is valid to the RSA. ______________________________________ Signature 1.

___________________________ Date

I certify that before administering the oath/affirmation. I asked the deponent the following questions and wrote down his/her answers in his/her presence.

i)

Do you know and understand the contents of this declaration? Answer __________________________________________

ii)

Do you have any objections to taking the prescribed oath? Answer __________________________________________

iii)

Do you consider the prescribed oath to be binding on your conscience? Answer __________________________________________

2. I certify that the deponent has acknowledge that he/she knows and understand the contents of the declaration which was sworn to/afforded before me and that the deponent’s signature/thumb print/mark was placed therein my presence.

_______________________________ Commissioner of oaths Full names ______________________________________________________________________

UMNYANGO WEZASEKHAYA LEFAPHA LA DITABA TSA LEHAE DEPARTEMENT VAN BINNELANDSE SAKE

INVITATION FOR VISA PURPOSES REPUBLIC OF SOUTH AFRICA

I _____________________________________________________________________________________ (full names and surname)

Holder of identity document/ Immigration permit No. __________________________________________ residing at _____________________________________________________________________________ (street address)

and working at _________________________________________________________________________ (street address)

Hereby invite ___________________________________________________________ (herein referred to as the said person), holder of a _________________________ passport no. _________________________ (name of country)

residing at _____________________________________________________________________________ (street address)

and working at _________________________________________________________________________ (street address)

to visit me/my business in the Republic of South Africa for ______________ days to _________________ ______________________________________________________________________________________ (give details as to why and to what the said person has to visit South Africa)

______________________________________________________________________________________ My relationship with the said person is ______________________________________________________ ______________________________________________________________________________________ (give details of relationship and if an acquaintance, how and when it originated)

I, hereby undertake to pay the South African Government all expenses it may incur for, or arising from the contravention of any conditions of the said person’s temporary residence permit and/or the tracing, detention and removal of the said person from South Africa.

Signed in this _______________day of ____________________200____ at ________________________ ________________________________ Tel No. ______________________________ _______________ Signature

(home)

(code)

Business capacity if applicable _______________________ ___________________ (work)

_______________ (code)