SA Immigration Assessment - Breytenbachs Immigration Consultants

Please use this form for all SA Immigration & Nationality queries; including permit, visa, residence and citizenship issues. By filling out this form, we will be able to do a quick assessment of your circumstances. You can expect a short written response or telephone call from us within two working days. By submitting this form you agree to our Privacy Policy. You can read our full Privacy Policy on our Terms & Conditions page.

Please provide us with a detailed summary of the areas in which you require advice, and your present options as to what you wish to do in SA

Personal Details

Untitled

Title

First Name*

Last Name*

Gender*

Date of Birth

Place of Birth

Nationality*

Age

Phone*

Email*

Enter Email Confirm Email

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Other addresses where you have lived during the last 10 years other than your current address. Please also add peroids of residence at each address, and area codes

Marital Status*

Spouse's Nationality

If married to a SA citizen or permanent resident, how long have you been legally married?

If you are in a life partnership with a SA citizen or permanent resident, how long have you been in a family unit?

Proof of co-habitation must be available to proof such a relationship

Do you have children?

Yes
No

If yes, what are their ages?

Present Occupation*

Spouse's Occupation

Have you or an of your immediate family had any criminal convictions?

Yes
No

If yes, please provide details

Have you or any of your immediate family had any serious health problems?*

Yes
No

If yes, please provide details

Visits, Stays and other South African Ties

Have you lived in South Africa before?

Yes
No

If yes, on what basis did you live in SA and what dates?

Have you ever been refused a entry clearance or entry into SA?

Yes
No

If yes, please provide details

Do you have South African ancestral ties?

Yes
No

If yes, please indicate whether it is a:

Parent
Grandparent

Emloyment / Self-Employment & Retirement in SA

Do you have the intention to take employment or self-employment in South Africa?

Yes
No

If yes, please provide details

Please use this area to upload your CV, alternatively please use the spaces below to list your educational qualifications and work experience

List of your educational qualifcations

Short summary of your work experience

Should you wish to start a company, how much capital do you have available to invest into the book value of the proposed company?

If you wish to establish a new company in South Africa, do you already have a comprehensive business plan?

Yes
No

Should you wish to apply for a work permit, do you:

Already have a work offer from a SA company?
Qualify for a company transfer?
Only wish to travel to SA in order to obtain a work offer?

Should you wish to retire in SA, what is the amount of your current monthly income?

This section is only to be completed by South Africa Citizens with British Nationality

If you are a SA citizen and you took up UK nationality by means of naturalisation and not direct descent, and you did not obtain permission from SA authorities beforehand to do so, when did you obtain your UK naturalisation certificate?

For what purposes are you planning to travel to South Africa?

Additional Information

If you have any additional information which is not mentioned above and that you feel is relevant to your application, please provide a short summary.

Marketing and E-newsletter Communication

Where did you hear about us?*

Do you wish to receive our free monthly e-newsletter with immigration updates?*

Yes
No

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