ANNEXURE 1
I. PERSONAL DETAILS
o
NAMEIS:
CI DATE OF BIRTH:
NATlONALITY/IES
BI-1590
REPUBLIC OF SOUTH AFRICA
DEPARTMENT OF HOME AFFAIRS
ELIGIBILITY DETERMINATION FORM FOR ASYLUM SEEKERS
SURNAME /FAMILY NAME:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . ,
PLACE OF BIRTH
COUNTRY OF BIRTH
CURRENT
ETHNIC GROUP
PREVIOUS
NATIONALITY
(IF ANY)
RELIGION
LANGUAGE
OTHER LANGUAGES
RESIDENCY DURING
THE LAST TEN
YEARS