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Annexure C SUGGESTED FORMAT PARENTAL CONSENT AFFIDAVIT CONSENT FOR PERSON UNDER THE AGE OF 18 TO TRAVEL TO OR FROM THE REPUBLIC OF SOUTH AFRICA 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. Day of. 20. OFFICE STAMP Commissioner of Oaths May be attested free of charge at any embassy or mission of the Republic of South Africa First name s Surname Capacity. Place Both parents whose details appear on the UBC or Equivalent Document shall consent to the child s travel. Where only one parent s details appear only such parent s consent is required. Delete whichever is not applicable. The child is accompanied / will be received in South Africa by delete appropriately Surname Name Relationship I. D. no. Passport no. 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 Signature Date Father Attach copy of father s ID or passport. Legal Guardian Date of birth Attach legal guardian s appointment letter or court order and ID or passport. Copies of the following documents are attached Unabridged Birth Certificate UBC or Equivalent Document of child travelling ID or Passport and Visa of person receiving child in the Republic Court Order where applicable Death Certificate of any deceased parent reflected on the UBC or Equivalent Document ID or Passport of parent s or legal guardian s Thus signed and sworn/solemnly affirmed before me on this. day of. 20. OFFICE STAMP Commissioner of Oaths May be attested free of charge at any embassy or mission of the Republic of South Africa First name s Surname Capacity. Place Both parents whose details appear on the UBC or Equivalent Document shall consent to the child s travel* Where only one parent s details appear only such parent s consent is required* Delete whichever is not applicable. An Equivalent Document is any official document or letter issued by a foreign government including a foreign embassy or a letter issued by the Director-General of the Department of Home Affairs in lieu of an unabridged birth certificate and which serves as a confirmation of parentage of a person below the age of 18. The child is accompanied / will be received in South Africa by delete appropriately Surname Name Relationship I. D. no. Passport no. 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. D. no. Passport no. 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 Signature Date Father Attach copy of father s ID or passport. Legal Guardian Date of birth Attach legal guardian s appointment letter or court order and ID or passport. .

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