REFERENCE NUMBER : TRW4379479
DEPARTMENT OF HOME AFFAIRS
REPUBLIC OF SOUTH AFRICA
APPLICATION FOR WAIVER
[Section 31(2)(C) OF THE 1IMMIGRATION ACT, 2002 (ACT NO.13 OF 2002]
1. PERSONAL DETAILS OF APPLICANT
1.1 Title: Mr
1.2 Surname: Gwaka
1.3 First name(s): Omegah
1.4 Maiden name (if applicable):
1.5 Other former surnames:
1.6 Date of birth: 23-06-1982
1.7 Country of birth: Zimbabwe
1.8 Nationality at birth: Zimbabwe
1.9 Present Nationality: Zimbabwe
1.10 Passport No: EN642455
Expiry Date: 25-08-2025
Issued by (Country): Zimbabwe
1.11 Marital status: Never married
Date:
1.12 Present Residential Address 755 Ntshixeko Street Nkowankowa Tzaneen
1.13 Postal Address: 0108
1.14 Tel. No: Home 730190451
Work 730190451
Cell: 730190451
Email Address: [email protected]
1.15 Occupation Mechanical engineer
1.16 Type of temporary permit held (if applicable): Critical Skill
1.17 Valid Until: 03-12-2024
Issuing office: Harare Embassy
1.18 Date and place where you entered the RSA: 04-12-2020, Beitbridge
2. DETAILS OF APPLICANTS SPOUSE (If applicable):
Title:
Surname:
Maiden name:
First name(s):
Place of birth
Country:
Nationality at birth:
Date of birth:
Passport Number:
3. DETAILS OF CHILDREN ACCOMPANYING YOU:
Country and Present
Surname First names Date of birth Relationship Occupation
place of birth nationality
4. EMPLOYMENT RECORD OF APPLICANT (to cover full period of employment):
Address: Town /
Name of employer From Date To Date Nature of work
City
5. DETAILS REGARDING APPLICANT AND (if applicable) SPOUSE AND CHILDREN:
-Have you or any of your dependants accompanying you ever been convicted of any crime? NO.
-Is a criminal or civil case pending against you or any of your dependant accompanying you? NO.
-Are you or any of your dependants suffering from tuberculosis or any other infectious or contagious
disease or any mental or physical deficiency? NO
-Are you a member of or adherent to an association or organisation advocating the practice of social
violence, or racial hatred? NO.
If you replied to any of the questions above in the affirmative, please furnish full details.
6. SECTIONS OF THE REGULATION THAT MUST BE WAIVED
SECTION 31 2 C OF IMMIGRATION ACT 13 OF 2002
NOTE: Any incorrect or misleading information or false documents furnished in support of this
application may result in the application being rejected or if discovered after the issuing of the
waiver the applicant shall not be allowed to sojourn in the Republic.
I/We the undersigned, declare that the details reflected in this application and supporting documents are
true and correct and that it is my/our intention to reside/ work in South Africa. I undertake to inform the
Department of any change of address whilst the application is being processed, with the understanding that
in the event of failure to do so the Department will not be responsible for any breakdown in communication.
I/we, furthermore, undertake to inform the Department of any change in relevant information or
circumstances that could influence the outcome of this application.
Signature of applicant: Date:
FOR OFFICIAL USE;
Application checked and all supporting documents verified.
Application tracked and traced.
................................................................................................................................
Signature of official accepting the application for the Department of Home Affairs
Surname and full forename(s): Persal No:
Designation: Office Stamp:
PLEASE READ THE FOLLOWING:
Section 31(2)(c) of The Immigration Act, No. 13 of 2002 stipulates that upon application, the Minister may
under terms and conditions determined by him or her — for good cause, waive any prescribed requirement
or form. Section 31(2)(d) further stipulates that the Minister may, for good cause, withdraw an exemption
granted by him or her in terms of this section
TEMPORARY RESIDENCE VISAS:
A B
I wish to waive
I currently hold the
Tick one only requirements for the Tick one only
following legal status
following visa
Port of entry visa Port of entry visa
Transit visa Transit visa
Visitor’s visa Visitor’s visa
Study visa Study visa
Business visa Business visa
Crew visa Crew visa
Medical treatment visa Medical treatment visa
Relative’s visa Relative’s visa
Work visa Work visa
Retired person visa Retired person visa
Corporate visa Corporate visa
Exchange visa Exchange visa
Asylum transit visa
Section 22 Asylum
Seeker visa
Section 24 Refugee
Permit
I have attached my motivation letter for the waiver application describing the requirements that I'm asking
the Minister of Home Affairs to consider waiving.
PLEASE READ THE FOLLOWING:
Section 31(2)(c) of The Immigration Act, No. 13 of 2002 stipulates that upon application, the Minister may
under terms and conditions determined by him or her — for good cause, waive any prescribed requirement
or form. Section 31(2)(d) further stipulates that the Minister may, for good cause, withdraw an exemption
granted by him or her in terms of this section.
PERMANENT RESIDENCE PERMIT:
A B
I wish to waive
I currently hold the requirements for the
Tick one only Tick one only
following legal status following Permanent
Residence Permit
Section 26(a): - Holder of
a work visa in terms of
Port of entry visa
The Act for five years as
prescribed.
Section 26(b): - Spouse of
a citizen or permanent
Transit visa
resident for five years as
prescribed.
Section 26(c): - Child
under the age of 18 of a
Visitor’s visa
citizen or permanent
resident as prescribed.
Section 26(d): - child of a
Study visa
citizen as prescribed.
Section 27(a): – Received
offer for permanent
Treaty visa employment within the
specific professional
category as prescribed.
Section 27(b): –
Possesses extraordinary
Business visa
skills or qualifications as
prescribed.
Section 27(c): - To
establish or has
Crew visa established a business in
the Republic as
prescribed.
Section 27(d): - Refugee
Medical treatment visa referred to in section
27(c) of the Refugees Act.
Section 27(e): Retire in
Relative’s visa the Republic as
prescribed.
Section 27(f): - Prescribed
Work visa
minimum net worth.
Section 27(g): - Relative
of a citizen or permanent
Retired person visa
resident within the first
step of kinship.
Corporate visa
Exchange visa
Asylum transit visa
Section 22 Asylum
Seeker visa
Section 24 Refugee
Permit
I have attached my motivation letter for the waiver application describing the requirements that I'm asking
the Minister of Home Affairs to consider waiving.
