South African Embassy Abu Dhabi United Arab Emirates

Registration Form:

All South Africans residing in Abu Dhabi or Al Ain - complete the registration form and submit electronically to the South African Embassy in Abu Dhabi.

Please provide the following contact information:

Name:

Organization:

Spouse Name:

Children: Name, Age:

Hometown and Province in SA:

UAE Postal Address:

City:

Mobile:

Work Phone:

Home Phone:

Fax:

E-mail:

Enter the approximate date of arrival in the UAE... :

-- mm/dd/yy

Would you like your contact details to be given to selected members of the South African community, to arrange community activities?

Yes No

Enter your sponsor contact details:

	Company Name:
	PO Box:
	Tel :
	Emirate:
	Fax:
	Position held in Company:
	Profession:
	Title/Area of Responsibility: