Request For Extension of Visa Template

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Request for Extension or Reprint of Section 22/ 24 visa

Template

Please complete electronically or using black ink:


File number as it appears on the
document:
Full Names and Surname as it
appears on visa:
Cell Number:
Alternative contact number:
E-mail address:
Current physical address:

Please attach to the request for extension:


1. Copy of current visa;
2. In the event of a lost visa, please attach a commissioned affidavit stating the date the
visa was lost. The affidavit must also indicate a SAPS case number, where available.
3. Proof of address (Utility bill, Lease agreement or Affidavit).

I declare the above to be correct

__________________
Signature
Date: __________________
(Note signature to match signature on record)

You might also like