South Africa Visa Application

South Africa — Visa Application (Sample HTML Form)

Save this file as sa-visa-application.html and open it in your browser. This is a pure front-end sample; connect it to a server endpoint (e.g. PHP/Node) to store submissions securely.

Personal details

Given name(s)

Family / Surname

Date of birth

Nationality

Passport number

Passport expiry date

Phone

Residential address

Travel details

Planned arrival date

Planned departure date

Visa type

Purpose of visit (short)

Host / Invitee details (if applicable)

Documents (upload)

Passport biodata page (PDF or image)

Recent passport photo

Supporting documents (invitations, flight booking, proof of funds)

Accepted files: PDF, JPG, PNG. Max file size not enforced client-side — enforce limits on your server.

Declarations & consent

Declaration

I declare that the information provided in this application is true and correct to the best of my knowledge.

I confirm and agree to the declaration above

Typed full name (signature)

By submitting you consent to the processing of your personal data for visa assessment. Do not submit sensitive medical information in this form unless requested by the embassy/consulate.

This sample form is for demonstration only and is not an official South African government form. Always check the Department of Home Affairs or the nearest South African embassy/consulate for the official application process and required documents.

South Africa — Visa Application (Sample HTML Form)

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