APPLICATION FOR PERMANENT RESIDENCE …

1 APPLICATION FOR PERMANENT RESIDENCE permit [ section 5A of the Immigration Act] APPLICATION FORM FOR INVESTOR / SELF-EMPLOYED / PROFESSIONAL section 1: PERSONAL DETAILS OF APPLICANT Surname First Names Maiden Name (If any) Any Previous Name Gender: Male Female Marital Status: Single Married Divorced Other Date of birth Day Month Year Place of birth Present Nationality Any other nationality held Date acquired Day Month Year Passport No. Issuing country Date of issue Day Month Year Date of expiry Day Month Year Occupation permit or RESIDENCE permit No.

2 Date of issue Day Month Year Date of expiry Day Month Year Residential address in your country of origin or last RESIDENCE outside Mauritius Tel No. Fax No. Mobile No. Residential address in Mauritius Tel No. Fax No. Mobile No. Email address: section 2 DETAILS OF EMPLOYER/BUSINESS Business/ Company name: Business/ Company address: Tel No. Fax No. Email address Company Incorporation No. Business Registration No. section 3 DETAILS OF ACCOMPANYING SPOUSE AND DEPENDENTS (IF ANY) Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry.

3 Full name: .. Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No: .. Date of issue: .. Date of expiry: .. 2 section 4 - SUPPORTING DOCUMENTS CHECKLIST Please tick ( ) the relevant boxes to show which documents have been submitted along with your APPLICATION . You should provide original and one copy of each document. Photocopy of bio-data page of passport (The passport must have a minimum validity period of six months.)

4 The original passport should be produced while submitting the APPLICATION . It will be retuned when the APPLICATION is accepted) Four recent identical colour passport size photographs (not older than three months) Original Occupation, Work and/or RESIDENCE permit (will be returned after verification) Certificate of Income/turnover from the Mauritius Revenue Authority to cover annual turnover or income for the last 3 consecutive years Certificate from a medical practitioner in Mauritius that you are not suffering from any infectious or contagious disease A sworn affidavit to the effect that the applicant has not been convicted in his country of origin or RESIDENCE of any criminal offence for the past 10 years covering the last 10 years. APPLICATION fee of MUR 1,000 payable by crossed cheque drawn to the order of Government of Mauritius.

5 section 5 - DECLARATION I declare that all the information given in this APPLICATION form as well as in the attached documents is true and correct. I understand that making a false statement may lead to prosecution and cancellation of my PERMANENT RESIDENCE permit . Full name of applicant: Signature of Applicant: .. Date: Day Month Year 3 APPLICATION FOR PERMANENT RESIDENCE permit [ section 5A of the Immigration Act] APPLICATION FORM FOR RETIRED NON-CITIZEN section 1: PERSONAL DETAILS OF APPLICANT Surname First Names Maiden Name (If any) Any Previous Name Gender: Male Female Marital Status: Single Married Divorced Other Date of birth Day Month Year Place of birth Present Nationality Any other nationality held Date acquired Day Month Year Passport No.

6 Issuing country Date of issue Day Month Year Date of expiry Day Month Year RESIDENCE permit No. Date of issue Day Month Year Date of expiry Day Month Year Residential address in your country of origin or last RESIDENCE outside Mauritius Tel No. Fax No. Mobile No. Residential address in Mauritius Tel No. Fax No. Mobile No. Email address: section 2 DETAILS OF ACCOMPANYING SPOUSE AND DEPENDENTS (IF ANY) Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.

7 Date of issue: .. Date of expiry: .. Full name: .. Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport No.: .. Date of issue: .. Date of expiry: .. Full name: ..Relation: .. Gender: .. Date of birth: .. Place of birth: .. Passport : .. Date of issue: .. Date of expiry: .. 2 section 3 - SUPPORTING DOCUMENTS CHECKLIST Please tick ( ) the relevant boxes to show which documents have been submitted along with your APPLICATION . You should provide original and one copy of each document. Photocopy of bio-data page of passport (The passport must have a minimum validity period of six months.)

8 The original passport should be produced while submitting the APPLICATION . It will be retuned when the APPLICATION is accepted) Marriage Certificate (for accompanying spouse only) Four recent identical colour passport size photographs (not older than three months) Original RESIDENCE permit to be returned after verification. (Not applicable to accompanying spouse and dependents) Certificate from a medical practitioner in Mauritius that you are not suffering from any infectious or contagious disease A sworn affidavit to the effect that the applicant has not been convicted in his country of origin or RESIDENCE of any criminal offence for the past 10 years covering the last 10 years. Certificate from your bank attesting that you have transferred a minimum of USD 40,000 or its equivalent in convertible currency annually to Mauritius during the last 3 years.

9 (Not applicable to accompanying spouse and dependents). APPLICATION fee of MUR 1,000 payable by crossed cheque drawn to the order of Government of Mauritius. section 4 - DECLARATION I declare that all the information given in this APPLICATION form as well as in the attached documents is true and correct. I understand that making a false statement may lead to prosecution and cancellation of my PERMANENT RESIDENCE permit . Full name of applicant: Signature of Applicant: .. Date: Day Month Year 3 APPLICATION FOR PERMANENT RESIDENCE permit [ section 5A of the Immigration Act] APPLICATION FORM FOR SPOUSE AND DEPENDENTS section 1: PERSONAL DETAILS OF APPLICANT Surname First Names Maiden Name (If any) Any Previous Name Gender: Male Female Marital Status: Single Married Divorced Other Date of birth Day Month Year Place of birth Present Nationality Any other nationality held Date acquired Day Month Year Passport No.

10 Issuing country Date of issue Day Month Year Date of expiry Day Month Year RESIDENCE permit No. Date of issue Day Month Year Date of expiry Day Month Year Residential address in your country of origin or last RESIDENCE outside Mauritius Tel No. Fax No. Mobile No. Residential address in Mauritius Tel No. Fax No. Mobile No. Email address: section 2 DETAILS OF SPOUSE/PARENT/NEXT-OF-KIN HOLDING THE OCCUPATION/WORK/ RESIDENCE permit Surname First names Relation to Holder of permit Holder of Occupation/Work/ RESIDENCE permit No.