South African Embassy, Seoul

REGISTRATION OF SOUTH AFRICAN CITIZENS VISITING OR RESIDING IN SOUTH KOREA

[NOTICE] (1) The items marked with an asterisk (*) are compulsory. (2) You are kindly requested to notify any change of contact numbers, address, especially when you leave Korea permanently. (3) A separate form should be completed for persons 16 years and older. (4) The information is required for safe use by the South African Embassy in Seoul. It will be treated as confidential and only to be used in case of emergency situations.
1. Title (e. g .Mr., Mrs., Ms, Prof, Dr., etc)
2. Surname *		3. First names (in full) *
4. Profession or occupation		5. Sex(Male/Female)
6. Date of birth *		7. Place & country of birth *
8. South African ID number *
9. Passport No *	issued at on valid to
10. If you are a South African citizen by registration or naturalization in South Africa, please enter your certificate No. dated issued at
11. If you are also a citizen of another country, please state which country, and on what grounds
12. Marital Status	single married widowed divorced
13. If married, name of spouse		Nationality of spouse
14. Children under 16 years	- Name 1 : - Nationality 1: - Age 1: - Address 1 : --------------------------------------------- - Name 2 : - Nationality 2 : - Age 2: - Address 2 : --------------------------------------------- - Name 3 : - Nationality 3 : - Age 3: - Address 3 : --------------------------------------------- - Name 4 : - Nationality 4 : - Age 4 : - Address 4 :
15. Your residential address in Korea *
16. Contact number *
17. E-mail address *
18. Name and address of employer	- Company/ School: - Address: - Telephone No: - E-mail:
19. Name and address of person to be notified in the event of emergency *
	in South Africa
	- Name of the person: - Relationship to the person: - Address: - Telephone No: - E-mail:
	In Korea
	- Name of the person: - Relationship to the person: - Address: - Telephone No: - E-mail:
20. Date of arrival in Korea
21. Korean Alien Registration Card *	Number issued at on valid to
22. Reason for coming to Korea	tourism visiting family or friends business meeting studying working others (Please specify)
23. Expected date of departure from Korea permanently
24. Any further information you may wish to furnish
25. Date *		26. Place *