Basic Information Name*
Email Address*
What is your nationality?* - South African citizen South African dual citizen Foreign (non-South African) citizen
Please specify* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
In which country do you perform services* - South Africa Other
Please specify* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
In which country do you currently reside?* - South Africa Other
Please specify* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
When did you leave South Africa?*
DD slash MM slash YYYY
When did you leave South Africa?*
DD slash MM slash YYYY
When did you leave South Africa?*
DD slash MM slash YYYY
When did you leave South Africa?*
DD slash MM slash YYYY
When did you first enter South Africa?*
DD slash MM slash YYYY
When did you first enter South Africa?*
DD slash MM slash YYYY
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Intention What is your current intention in terms of where you will be living and / or working in the future (long-term)?* - My intention is to reside in South Africa on a permanent basis in the future My intention is not to reside in South Africa on a permanent basis My intention is not clear at this stage.
Did you take any steps which would indicate a degree of permanency pertaining to your departure from South Africa (e.g., sold vehicles, closed policies / accounts, etc)?* - Yes No
Please specify*
Are you currently married or single?* - Married Single
Where does your spouse reside?* - Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands
Has your spouse been employed at any time since your departure from South Africa?* - Yes No
Has your spouse submitted SARS tax returns whilst outside South Africa? - Yes No Other
Please specify*
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
Income Are you currently an employee, an independent contractor, or both?* - I am an employee. I am an independent contractor. I am both an employee and an independent contractor. I am not currently working. I am not entirely sure.
Please provide the name of the company that you are working for.*
Is the company based in South Africa?* - Yes No
Are you currently paying tax on your income (either within or outside South Africa)?* - Yes No
What countries are you currently paying tax in?* - None. Only in South Africa. Only outside of South Africa. Both in South Africa and abroad Other
Please specify*
Please specify the countries in which you are subject to tax.*
What is your current gross annual salary in Rands (average, due to fluctuating exchange rates) including fringe benefits and allowances?* - Under R1,25 million Over R1,25 million I would prefer not to mention
DTA Do you have a tax residency certificate or documentation of a similar nature?* - Yes No
Do you own any immovable (fixed) property within South Africa?* - Yes No
Is your property vacant or is it let to tenants?* - My property is vacant when I am not in South Africa. My property is let to tenants. Other
Please specify*
Please provide the approximate date from when your South African property has been let out.*
MM slash DD slash YYYY
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)? Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Assets and Liabilities Do you currently own any of the following assets (inside and outside South Africa)?* Please specify*
Do you form part of a trust (as a trustee, beneficiary, or otherwise)?* - Yes No
Please specify whether the relevant trust is a South African or a foreign trust.*
Do you form part of a local or foreign company (not as an employee)?* - Yes No
Please specify whether the relevant company is / companies are South African or foreign, and your connection with the company / companies.*
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Civic Services Questions Do you need assistance with unabridged birth / marriage / death certificate(s)?* - Yes No
Please specify*
Do you need assistance with passport renewal(s)?* - Yes No
Visas and Immigration Questions Do you hold a permanent residence permit for South Africa?* - Yes No
Have you obtained or applied for a non-citizen ID?* - Yes No
When did you obtain permanent residency in South Africa?*
MM slash DD slash YYYY
Do you intend on applying for South African citizenship?* - Yes No
Do you hold a temporary residency visa for South Africa?* - Yes No
Please select the type of visa that you hold for South Africa.* - Visitor’s visa (<90 days) Visitor’s visa (>90 days, < 3 years) Study visa Business visa Medical treatment visa Relative’s visa General work visa Critical skills work visa Intra-company Transfer work visa Retired person visa
Please specify the type of visitor’s visa that you hold.* - Volunteer visa Research visa Accompanying spouse visa Accompanying child visa Spousal visa
Please confirm the expiry date of your current South African visa.
MM slash DD slash YYYY
Kindly note that, per South African Immigration Regulations, visa extensions or renewal applications are to be submitted at least 60 days prior to the expiry date of your current visa.
Do you intend to renew or extend your current visa?* - Yes No
Please specify*
Do you intend on applying for permanent residency in South Africa?* - Yes No
Visas and Immigration Questions Do you hold a permanent residence permit for South Africa?* - Yes No
Have you obtained or applied for a non-citizen ID?* - Yes No
When did you obtain permanent residency in South Africa?*
MM slash DD slash YYYY
Do you intend on applying for South African citizenship?* - Yes No
Do you hold a temporary residency visa for South Africa?* - Yes No
Please select the type of visa that you hold for South Africa.* - Visitor’s visa (<90 days) Visitor’s visa (>90 days, < 3 years) Study visa Business visa Medical treatment visa Relative’s visa General work visa Critical skills work visa Intra-company Transfer work visa Retired person visa
Please specify the type of visitor’s visa that you hold.* - Volunteer visa Research visa Accompanying spouse visa Accompanying child visa Spousal visa
Please confirm the expiry date of your current South African visa.
MM slash DD slash YYYY
Kindly note that, per South African Immigration Regulations, visa extensions or renewal applications are to be submitted at least 60 days prior to the expiry date of your current visa.
Do you intend to renew or extend your current visa?* - Yes No
Please specify*
Do you intend on applying for permanent residency in South Africa?* - Yes No
Visas and Immigration Questions Do you hold a permanent residence permit for South Africa?* - Yes No
Have you obtained or applied for a non-citizen ID?* - Yes No
When did you obtain permanent residency in South Africa?*
MM slash DD slash YYYY
Do you intend on applying for South African citizenship?* - Yes No
Do you hold a temporary residency visa for South Africa?* - Yes No
Please select the type of visa that you hold for South Africa.* - Visitor’s visa (<90 days) Visitor’s visa (>90 days, < 3 years) Study visa Business visa Medical treatment visa Relative’s visa General work visa Critical skills work visa Intra-company Transfer work visa Retired person visa
Please specify the type of visitor’s visa that you hold.* - Volunteer visa Research visa Accompanying spouse visa Accompanying child visa Spousal visa
Please confirm the expiry date of your current South African visa.
MM slash DD slash YYYY
Kindly note that, per South African Immigration Regulations, visa extensions or renewal applications are to be submitted at least 60 days prior to the expiry date of your current visa.
Do you intend to renew or extend your current visa?* - Yes No
Please specify*
Do you intend on applying for permanent residency in South Africa?* - Yes No
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Outbound Visas Do you work frequently outside African countries?* - Yes No
Please confirm the list of countries you frequently visit:*
How do you travel to these African countries?* - I travel on a business visa. I apply for work permits. Other
Please specify*
What is the nature of work you conduct in Africa?
In Africa, work activities are prohibited on a business visa, hence It is important to make sure to consult with an immigration expert prior to making travel arrangements in this regard.
Additional Information Do you require financial planning advise on your current Investment / Insurance/ Medical aid portfolio?* - Yes No
Please select the items you would like to have a discussion in relation to Please provide any other information which may be relevant to understanding your circumstances.