BI-529 Determination of your Current Status form

1 DEPARTMENT: HOME AFFAIRSREPUBLIC OF SOUTH AFRICADETERMINATION OF CITIZENSHIP Status (NB: This form must accompany all applications initiated from outside South Africa)INFORMANON TO AE FUBNISHED IN FULLIN OFDEFTOASSIST IN DETEHMININGYOUB CITIZENSHIP UNDERTHE sourH AFFTCAN ctTtzENsStP acT, 1995 (ACT 8a OF 1995), WHICH CAME INTO OPERATION ON 6 OCTOBEB 1995A. PERSONALPAFTICULAFS1 SURNAME 2. MAIOEN NAME3. FORENAMES (in tu )4 OAIE OF BIR1H5. PLACI OT AIFTH7. Tl bom ootsid sollh Air please sl8tF(a) Dale on which ltu ti6l enteed South Alr lor pemandl ,e.

2 '() NuFb'r ol 'n4'grcnor pernir rnd da|c ol { bom in Namlbia, p 6e slare yolr p manenl residsdial add ss as tr It you were absenl lron Soulh Alnca slale-i") or'e(s)o'yoJrdFpanurerb) fl6d"o1(sl ro, your depart!'e..(c) ! @p marn|| 0 Padicutars n r sp@t ot to@ign .itizenshlp:(a) cihzenshp acquned (couniry).. (bl oare and or acquis i6(c) Means or acquisillon or toGisn otrenship, e. maftase .aluralisali@, dosenl or regislralion? ( Did you apply tor lhe relenltodre lnshlerunl ot SoLrlh Ari n cilizeGhiP? YEYNO. l, YES.)}

3 Altach a copy ol rh bldad cenfcaie11. Dare ol fram ge ol y@, p .. 12 ol madage ol your parenls ..,..6 IOENTITY NUMBER(O IDENTIIY NUMBEF OI" YOUA SPOL] lhe tollowing padrcula6 n rc5pecl ol ydrspouse:la) .. {b) MAIDEN NAME.() rOcaNAMrS (ir'J/L)(d) DAIE OF BIRIH. ( ) PLACE OF BIRTN ..(q) Dare on he/sheenler d SoulhAkica lor lhe lihe Jor resdence ..(hr Fp'odk/' \'dha,. as4,{ Al .11D Dale o'yo!. maiiaro (j) Placc(k) Ll"e dare ol yolr r'!sbanc'e&ras doalh or v.!r d' \"loarlily o / r '/ '' uq. FATHEF'S PARTICULABSBt{291 SUFNAM 2.}}}

4 FOFENAMES )..5. IDENII'Y NUMBEF6. {r) n hs ras bom oubld s4tl Aftica. rh6 &i6 d whlch h. odordd sdxh arrlca ior tE nd tm6 tor p :(b) (s) (dar6) or @ n sourh Alricq{c) Ndnber of id'igElim prnl! h {ar absnl trom Sqih Alrie srab-(a) trab(s) ol his !rc .lb) ior nb d psrluParlclla6 rr Gsp ct ol lorslgn ciliz nship:(a) Chizo6hip acqoned (b) ! .. (c) Meam ofacqubirion ol toirig. cni. r6nap, i,s. madaqp, nerlralistin, do&sr or . IIOTIIEF's PAFTICULAFS3 FOFE{A{ES(lnlull)..6 roENlw NUMaEF I llll ll lll7. (a) It she M.}}}}}

5 Bm ouGid sdth Alrica. $ dat6 on nntn 3he .nt r d solrh aliis lor rie liFt tnrE !0. redda@:(b) oonodl6' ( ) ol h* Eid6M in Soulh AlrE'c' Nunbor of immlg'alio. pemi ol '$u5It she was abs / lrom gouth Alri stato(d) Dare(5) or hor dep8riu .(br F43dG) lor h r ..(c) Dar s which sh t lunPantlb6 m rc6p6cl ol iorsgn ) cirponship&qurBd( ).. ,.., ..,,, (b) Ird. md pl|c! d * ..,.,,(c) Moans ot acqoisiri, ol tobion , mariigo, naluElisaiion, d s. ni or r69is$alim?.,.. , ,,,..,.., ,..CEFTIFIEO IHAT IHE INFOFMAIION FUFNISIIEO AgOVE IS CORf|ECI