Confidential
DEPARTMENT OF INTERNATIONAL RELATIONS AND COOPERATION
Diplomatic Immunities and –Privileges Act, 2001 (Act No 37 of 2001)
APPLICATION FOR DIPLOMATIC ACCREDITATION INCLUDING MEMBERS OF FAMILY ACCOMPANYING
** NO HAND FILLED APPLICATION FORMS WILL BE ACCEPTED
Country/Multilateral Organisation
Mission
Designation/Categorisation of IO applicant
Duties
Name of Predecessor
PERSONAL DETAILS
Title
Date of Birth
(DD/MM/YYYY)
Gender
Marital Status
Initials
Full Name/s
Surname
TERM OF DUTY (CURRENT)
Date of Assumption of Duty
(DD/MM/YYYY)
End of Term
(DD/MM/YYYY)
NATIONALITY/PASSPORT DETAILS
Country of Birth
Citizenship
Passport type
(Diplomatic / Official
/ Private / UNLP etc
Expiry Date
(DD/MM/YYYY)
Dual Citizenship
Passport Number
RESIDENTIAL ADDRESS
Street Address
Suburb, City, Postal Code
ACCOMPANYING MEMBERS OF FAMILY OFFICIALLY RECOGNISED BY FOREIGN MINISTRY OF SENDING STATE / IO HQ
Spouse / Partner
Child 1
Child 2
Child 3
Child 4
Relationship Type
(Spouse / partner / child)
Title
Initials
Full Name/s
Surname
Date of Birth (DD/MM/YYYY)
Gender
Marital Status
1. Living in household?
2. Official Recognition by
Foreign Ministry of Sending
State / IO HQ?, and
3. Financially dependent?
Country of Birth
Citizenship
Passport Number
Passport Type (Diplomatic /
Official / Private / UNLP etc
Expiry Date (DD/MM/YYYY)
Other/Dual Citizenship
Educational Institution, if
studying
WORKING SPOUSE
Working spouses
Name of Employer
Business address
Occupation
(The DFA to authorise
permission to take up
employment in the RSA)
NB! Attachments required: Diplomatic Missions, Consular Posts and International Organisations
 2 Photographs AND 2 Specimen signatures (on the applicable form using Artline 700 high performance felt pen)
 Copy of marriage certificate
 Copy of Passport pages containing photo, personal details, expiry date of passport and TRP issued at RSA port of entry for
incumbent and member(s) of family
 Letter by Foreign Ministry of Sending State / IO HQ officially recognising member of a family living in a diplomatic household
NB! Additional attachments required: International Organisations
 Confirmatory letter of assignment issued by the head of the office for personnel matters at the Head Quarters.
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Confidential
DEPARTMENT OF INTERNATIONAL RELATIONS
AND COOPERATION
Diplomatic Immunities and –Privileges Act, 2001 (Act No 37 of 2001)
TWO SPECIMEN SIGNATURES TO BE ACCOMPANIED BY TWO
PHOTOGRAPHS REQUIRED TO ISSUE IDENTITY DOCUMENT
NB COMPLETE APPLICATION IN FULL: AN INCOMPLETE APPLICATION WILL BE REJECTED AND
RETURNED
NAME OF OFFICIAL:
…………………………………………………………………………...
NAME OF MISSION :
…………………………………………………………………………...
KINDLY SIGN WITH A BLACK FELT PEN (ARTLINE 700 HIGH PERFORMANCE) INSIDE THE BOX
Paste Photograph
SIGNATURE
Paste Photograph
SIGNATURE
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