Submit two hard copies with original signatures appended
DEPARTMENT OF INTERNATIONAL RELATIONS AND
COOPERATION
Diplomatic Immunities and –Privileges Act (Act No 37 of 2001)
CERTIFICATE OF IDENTITY DELIVERY AND COLLECTION SLIPS
To: The Receptionist, Directorate Diplomatic Immunities & Privileges, Room NE2B ground floor
From:………………………………………………………………………………………………..
Name of Mission / International Organisation
DELIVERY AND COLLECTION OF CERTIFICATE(s) OF IDENTITY
Enclosed is the following application for issuance or renewal of Certificate(s) of Identity
NAME/S OF DIPLOMATIC IDENTITY CARD
APPLICANT
TYPE OF APPLICATION (new
application, cancellation, etc)
1
2
3
4
5
FOR USE BY THE DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION ONLY
DIRCO DATE STAMP HERE
……………………………………………………..
Signature (Receptionist):
This serves to confirm that this office received
the above ID Card(s) on the indicated date.
……………………………………………………..
Signature (Responsible DIRCO Official):
The bearer of this document whose details appear below is duly authorised to collect the above ID Card/s
MISSION OFFICIAL STAMP
DETAILS OF PERSON COLLECTING
CERTIFICATE OF IDENTITY
Name:
…………………………………
Surname:
…………………………………
Identity Number:
.………………………………..
Signature:
….……………………………..
FOR DIRCO USE ONLY
Signature
Signature of Head of Mission /
authorised signatory
Date collected by Mission: