Zuid-Afrikaansche Boer Republieke

Voorname (First Name)

Noemnaam (Nickname)

Stam van (Surname)

Gebore (Born)

Amptenaar (Official)

Geslag (Gender)

Datum Geskep (Date Created)

Fiesiese Adres (Physical Address)

Dorp (Town)

Leêr Nommer (File Number)

Provinsie (Province)

Volksgenoot (Nationality)

Koördinaat Suid (Coordinate South)

Koördinaat Oos (Coordinate East)

Selfoon (Mobile)

Sosiale Platform (Social Platform)

Beroep (Profession)

Ondervinding (Experience)

Kwalifikasies (Qualifications)

E-pos (Email)

RSA ID

Jurisdiksie (Jurisdiction)

Geteken (Signed)

🤖 AI Detection System

This form includes behavioral analysis to detect automated submissions

Human Probability: 40%

Voorname (First Name)

Noemnaam (Nickname)

Stam van (Surname)

Geslag (Gender)

Amptenaar (Official)

Selfoon (Mobile)

RSA ID

Geboorte Datum (Birth Date)

Leêr Nommer (File Number)

Datum Geskep (Date Created)

Kinders onder die ouderdom van 21 (Children under 21)

Kind 1

Volle name en Stam van (Full Name and Surname)

Geslag (Gender)

Geb. Datum (Birth Date)

Tyd Geb. (Time of Birth)

Geb. Sert. No. (Birth Certificate Number)

Dorp Gebore (Town of Birth)

RSA Provinsie Gebore (RSA Province of Birth)

Buiteland Gebore - Land (Foreign Born - Country)

Kind 2

Volle name en Stam van (Full Name and Surname)

Geslag (Gender)

Geb. Datum (Birth Date)

Tyd Geb. (Time of Birth)

Geb. Sert. No. (Birth Certificate Number)

Dorp Gebore (Town of Birth)

RSA Provinsie Gebore (RSA Province of Birth)

Buiteland Gebore - Land (Foreign Born - Country)

Kind 3

Volle name en Stam van (Full Name and Surname)

Geslag (Gender)

Geb. Datum (Birth Date)

Tyd Geb. (Time of Birth)

Geb. Sert. No. (Birth Certificate Number)

Dorp Gebore (Town of Birth)

RSA Provinsie Gebore (RSA Province of Birth)

Buiteland Gebore - Land (Foreign Born - Country)

Kind 4

Volle name en Stam van (Full Name and Surname)

Geslag (Gender)

Geb. Datum (Birth Date)

Tyd Geb. (Time of Birth)

Geb. Sert. No. (Birth Certificate Number)

Dorp Gebore (Town of Birth)

RSA Provinsie Gebore (RSA Province of Birth)

Buiteland Gebore - Land (Foreign Born - Country)

Kind 5

Volle name en Stam van (Full Name and Surname)

Geslag (Gender)

Geb. Datum (Birth Date)

Tyd Geb. (Time of Birth)

Geb. Sert. No. (Birth Certificate Number)

Dorp Gebore (Town of Birth)

RSA Provinsie Gebore (RSA Province of Birth)

Buiteland Gebore - Land (Foreign Born - Country)

Pa (Father)

Ma (Mother)

Geteken (Signed)

🤖 AI Detection System

This form includes behavioral analysis to detect automated submissions

Human Probability: 40%

Stam van (Surname)

Voorname (First Name)

Geboortesertifikaat (Birth Certificate)

Datum (Date)

Gebore (Born)

Geslag (Gender)

Landgeboorte Datum (Country Birth Date)

RSA ID #

Lêer Nommer (File Number)

Amptenaar (Official)

Datum ID Geskep (Date ID Created)

ZABR ID #

Status

Nasionaliteit (Nationality)

Eiendom op my naam (Property in my name)

Plaas (Farm)

Dorp (Town)

Besigheid (Business)

Ek het dokumentasie ingedien om my Status te herstel na die van die ZABR

Ek erken en is verbind tot die Verklaring van Getrouheid, hierby aangeheg

Afskrif van RSA ID is aangeheg

Ek erken en is verbind tot die Gelofte van 16 Des 1838 en 1880

U handtekening moet in rooi ink wees en mag nie die buitelyne raak nie

🤖 AI Detection System

This form includes behavioral analysis to detect automated submissions

Human Probability: 40%

ZUID-AFRIKAANSCHE BOER REPUBLIEKE

🤖 AI Detection System

Kinders onder die ouderdom van 21 (Children under 21)

Kind 1

Kind 2

Kind 3

Kind 4

Kind 5

🤖 AI Detection System

Eiendom op my naam (Property in my name)

🤖 AI Detection System