Relocation and Immigration Support to South Africa

GENERAL ENQUIRY FORM

Please fill in the questionnaire bellow to the best of your ability in order for us to determine what your needs are.

Personal Details:
Name:
Sex:	Male Female
Current work entity and address:
SA work entity and address:
Position held:
Person responsible for account:
Nationality and Identity:
Passport number:
Name of Spouse / Partner:
Children:
Email:
Work telephone number:
Home telephone number:
Mobile telephone number:
Pre-Assignment Visit:
Airline flight #:
Arrival date:
Departure date:
Will your family be accompanying you?	Yes No
Do you need assistance with accomodation?	Yes No
Have you obtained the necessary visitor's Visa for this trip?	Yes No
Settling-in information:
Neighbourhood Orientation	important not important no opinion
Banking Services	important not important no opinion
Insurance	important not important no opinion
Health Care and Emergency Care Facilities	important not important no opinion
Expatriate Organisations	important not important no opinion
Security	important not important no opinion
Cost of living	important not important no opinion
Telecommunications, Internet etc.	important not important no opinion
Postal Services	important not important no opinion
Driving Information, Licenses etc.	important not important no opinion
Sports clubs and gyms	important not important no opinion
Shopping	important not important no opinion
Language Training	important not important no opinion
Colleges / Universities	important not important no opinion
Religious Worship (please specify)	important not important no opinion
Other
Services Required
Immigration Assistance	Yes No
Housing	Yes No
School Search	Yes No
Cultural Orientation Courses	Yes No
Expatriate Family Intergation Courses	Yes No
Expatriate Management Courses	Yes No
Other Comments:
Additional comments/requirements:
	We respect your privacy and we will not sell or disclose your details to anyone.