Repatriation Request form

1 Application Start
2 Complete

1 of 2 (0%)

Indicates required field

This form seeks consent for the repatriation of the remains of individuals that died in exile and were buried in Angola, Zambia, Zimbabwe, Lesotho or Tanzania, to be reburied within the Republic of South Africa.

Application Screening

Terms & Conditions

Please Choose 'YES" if you agree to the terms and conditions for applications on our disclaimer page click here

Application Role

Please specify whether you are filling in this form as consultant/representative on behalf of the owner or whether you are the owner. If you are the owner then please ensure your SAHRIS profile has your address and contact details completed.

Contact Details

Your contact information

Your Email address

Your Main Telephone Number

Organisation

What is your relationship to the family of the deceased?

Has the family ever applied for Special Pensions?

Please provide the SP number

I confirm that the details provided in my profile are true and correct

APPLICATION DETAILS

Case Title

Please give a short title for the application

DETAILS OF THE DECEASED

Real name of the deceased (if known)

Did the deceased die in exile?

Deceased Exile Information

All names used by the deceased in exile

Date the deceased went into exile

With whom did the deceased go into exile

Via which country did the deceased go into exile

Home address and MUNICIPALITY of the deceased

Date of Birth of the deceased

Place of Birth of the deceased

Home language of the deceased

Organisation of the deceased

INFORMATION ABOUT THE DEATH

Country of death	Town/area of death	Date of death	Period of death (if date unknown)
Country of death	Town/area of death	Date of death	Period of death (if date unknown)

Cause of death (e.g. gunshot, illness)	Description of injuries	Did you see the death and the injuries? Or were you told about it
Cause of death (e.g. gunshot, illness)	Description of injuries	Did you see the death and the injuries? Or were you told about it

Who were the relevant commanders (of operation, camp, front)

Who were the relevant commanders (of operation, camp, front)
	Who were the relevant commanders (of operation, camp, front)	Item weight

more items

INFORMATION ABOUT THE BURIAL

Re-order	Country of Burial	Burial place: name of cemetery, camp or village	Weight	Operations
	Country of Burial	Burial place: name of cemetery, camp or village	Item weight

If informal burial, please upload a drawn sketch with reference points

One file only.
25 MB limit.
Allowed types: jpg, jpeg, pdf, png.

Who conducted the burial

Was the grave marked in any way e.g. tombstone or markers

Who else has good information about this individual, their death and burial

Who else has good information about this individual, their death and burial
	Who else has good information about this individual, their death and burial	Item weight

more items

Re-order	Are there any PHOTOGRAPHS of the burial or grave	Please upload any photographs here	Weight	Operations
	Are there any PHOTOGRAPHS of the burial or grave	Please upload any photographs here One file only. 25 MB limit. Allowed types: jpg, jpeg, pdf, png.	Item weight

PARENTS OF THE DECEASED (NAME AND CONTACTS)

Biological Mother

Full name
Full name

Are they alive or deceased

Main phone number	Address
Main phone number	Address

In which cemetery is the biological mother buried

Biological Father

Full name
Full name

Are they alive or deceased

Main phone number	Address
Main phone number	Address

In which cemetery is the biological father buried

LIVING BIOLOGICAL SISTERS AND BROTHERS OF THE DECEASED

NB: Please state if they share the same mother AND same father. Do not include cousins.

Sibling Details

Re-order	Relationship	Full name	Weight	Operations
	Relationship	Full name	Item weight

more items

SPOUSE (WIFE/HUSBAND) OF THE DECEASED

Spouse Details

Re-order	Main phone number	Address	Weight	Operations
	Main phone number	Address	Item weight

more items

CHILDREN OF THE DECEASED

(born in SA AND in exile)

Details of children of the deceased

Re-order	Full name	Main phone number	Address	Weight	Operations
	Full name	Main phone number	Address	Item weight

more items

DECLARATION

Re-order	Full name	Date	I declare that I have provided truthful information and have not left out any relatives.	Weight	Operations
	Full name	Date	I declare that I have provided truthful information and have not left out any relatives.	Item weight

more items

REPATRIATION CONSENT

Name of Deceased Exile

Exile or Combat Names

Exile or Combat Names
	Exile or Combat Names	Item weight

more items

RELATIVE 1

Full name	ID number
Full name	ID number

Address	Phone
Address	Phone

Relationship to deceased	Date	I hereby give consent for the remains of my deceased relative to be brought back to South Africa.
Relationship to deceased	Date	I hereby give consent for the remains of my deceased relative to be brought back to South Africa. Sign above

RELATIVE 2

Full name	ID number
Full name	ID number

Address	Phone
Address	Phone

Relationship to deceased	Date	I hereby give consent for the remains of my deceased relative to be brought back to South Africa.
Relationship to deceased	Date	I hereby give consent for the remains of my deceased relative to be brought back to South Africa. Sign above

This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 South Africa License.

Warning message

Warning message