South Africa Parental Consent Affidavit Form printable pdf download

South Africa Parental Consent Affidavit Form

Annexure C

SUGGESTED FORMAT: PARENTAL CONSENT AFFIDAVIT

(CONSENT FOR PERSON UNDER THE AGE OF 18 TO TRAVEL TO OR FROM THE REPUBLIC)

I/We* hereby declare my/our consent that my/our daughter/son whose Unabridged Birth Certificate (UBC) or

**Equivalent document is attached may travel to and from South Africa:

Surname: ______________________ Name: ______________________ Date of birth _______________________

Identified by Passport no: _____________________ is travelling from ___________________________________ to

____________________ for the period _________________ to _____________________ 20_______________****

and / or** is a student / cared for at ________________________________________________________________

situated at (address) ____________________________________________________________________________

______________________. Contact number of learning institution/place of care: ____________________________

The child is accompanied / will be received in South Africa by (delete appropriately):

Surname, Name

Relationship

Residential Address

Work Address

Contact No: Work

Mobile

Residence

Attach copy of South African ID or if a foreign national attach passport and visa of person receiving the child in SA.

Mother:

Surname, Name

Residential Address

Work Address

Contact No: Work

Mobile

Residence

Signature and date

Attach copy of mother’s ID or passport.

Father:

Surname, Name

Residential Address

Work Address

Contact No: Work

Mobile

Residence

Signature and date

Attach copy of father’s ID or passport.

South Africa Parental Consent Affidavit Form