South African Consulate General, Dubai, United Arab Emirates

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REGISTRATION OF SOUTH AFRICANS ABROAD (ROSA)

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REGISTRATION FORM

The South African Consulate-General maintains a register of South African citizens residing in the United Arab Emirates. The information will be treated as confidential at all times. This register is kept to enable the Consulate-General to communicate with its citizens when necessary. You are encouraged to register with our office by completing the registration form.

Please provide the following contact information:

FIRST NAME(S)

SURNAME

MAIDEN SURNAME

ID NUMBER

PASSPORT NR.

RESIDENTIAL ADDRESS(UAE):

RESIDENTIAL ADDRESS(RSA):

WORK ADDRESS(UAE):

TELEPHONE (W)

TELEPHONE (H)

MOBILE

EMAIL

NAME OF NEXT OF KIN IN THE RSA:

NAME

RELATIONSHIP

TELEPHONE

DATE OF RETURN TO RSA

I HEREBY GIVE PERMISSION THAT MY DETAILS (E-MAIL ADDRESS AND MOBILE NUMBER ONLY) TO BE FORWARDED TO MY WARDEN/DEPUTY WARDEN IN MY DISTRICT: Yes
No

PLEASE INDICATE YOUR DISTRICT (WHERE YOU RESIDE):

DUBAI: JEBEL ALI (INCLUDING ARABIAN RANCHES / THE LAKES)
DUBAI: JUMEIRAH / UMM SEQUIM / AL BASHA
DUBAI: MIRDIFF / BUR DUBAI / AL GARHOUD / DEIRA
SHARJAH: SHARJAH / AJMAN / AL HAMRIYA
NORTHERN EMIRATES & EAST COAST: (RAS AL KHAIMAH / UMM AL QUWAIN / AL DHAIB / FUJAIRAH / DIBBA / HATTA)