Forms

The several forms set out in the Schedule II to these Regulations are prescribed for use in pursuance of the provisions of the Act. Schedule II. 12 SCHEDULE I [Regulation 3] 57 of 2006. DESCRIPTION OF SAVANNAH AIRSTRIP All that lot piece of parcel of land compromising 1.665 acres being a portion of Grant No. 1084 of 1998 belonging to Banana Growers Association situate on the Northern Boundary of the Southern Highway, approximately two miles West of Mango Creek Village, Stann Creek District. It is of the said Grant (Entry 3621, Reg. 21). On the South by the Southern Highway, it is more particularly shown on a plan of subdivision by Department, Belmopan City, Cayo District in Register No. 7 at Entry No. 99485 and is more particularly described as follows: Commencing at a concrete pillar, that said pillar being the North Western corner of said parcel, thence in a North Easterly direction on a Grid Bearing of 70⁰52’43” for Grid Distance of 112.355 meter to a concrete pillar, thence in a South Easterly direction on a Grid Bearing of 160⁰06’29” for a Grid distance of 58.838 meters to a concrete pillar, on the Northern Boundary of the Southern Highway thence along the said Highway in a South Westerly Direction on a Grid Bearing of 69⁰57’21” for a Grid Distance of 113.160 meters to a concrete pillar, thence in a North Westerly direction on a Grid Bearing of 160⁰52’43” for a Grid distance of 60.654 meters back to the point of commencement. Immigration 13 SCHEDULE II [Regulation 15] FORM 1 IN TRANSIT PERMIT (Section 10 (1) (a)) IN TRANSIT Permitted to land and to remain in Belize for a period not exceeding seven days from ........................................... Director of Immigration Belize Permit No. T/.......... /.......... Dated ......... 14 Immigration FORM 2 EXTENSION OF IN TRANSIT PERMIT (Section 11 (2)) IN TRANSIT Permit No. T …………./…………….. issued on ..................................... is hereby extended for a period of ...................... days with effect from .......................... Director of Immigration Belize Dated ............................................... NOTE: Both the above permits are intended to be used as rubber stamps on passports and other travel documents. Immigration 15 FORM 3 Permit No. D/ / (Section 12) IMMIGRATION ACT Dependant’s Permit This Permit entitles……………………………………………………………. (full name) holder of Passport No…………………issued at……………………………… on ……………………………………………..…and said to be a dependent of ......................................... residing at……............................................................. (full name) (address) to enter Belize on or before ................................................................................... (date). and to remain in Belize for only so long as he/she remains a dependant of the aforesaid .......................……………...……………..………....................and the aforesaid………………………………………...……….. remains a resident of Belize. Director of Immigration Belize Belize City, dated........................................................................................... 16 Immigration FORM 4 Permit No. D/ / (Section 13) IMMIGRATION ACT Temporary Employment Permit This Permit entitles …………………….......................................................... (full name) holder of Passport No. .…………..…issued at………..…............................... on …………………………………...………………..…to enter Belize on or before …………………………………and to remain therein for the purpose (date) of engaging in the following employment: 2. This Permit is valid up to and including .................................................. Director of Immigration Belize City, dated …………………………………………………… Immigration 17 FORM 5 Permit No. D/ / (Section 14) IMMIGRATION ACT Student’s Permit This Permit entitles ................................................................ (full name) holder of Passport No. …………… issued at ...……............ on ……....... to enter Belize on or before ..…..................and to remain therein for a period of ....................................... or the purpose of receiving training at: 2. This Permit is valid up to and including. ........................... Director of Immigration, Belize Belize City, dated ............................................... 18 Immigration FORM 6 Permit No. D/ / (Section 15) IMMIGRATION ACT Special Permit This Permit entitles…………………………………………. (full name) holder of Passport No …………………issued at ………….. on …………………. to enter Belize and to remain therein up to, and including .......…………………………. for the (date) purpose of: Director of Immigration Belize Belize City, dated .................................................. Immigration 19 FORM 7 Permit No. D/ / (Section 16) IMMIGRATION ACT Visitor’s Permit This Permit entitles .............................................................................. (full name) holder of Passport No. ……………. issued at............................ on …………………………...to enter Belize and to remain therein up to and including............................................................................... (date) subject to his/her compliance with the provisions of subsection (3) of section 16 of the Act. (See conditions on reverse of this Permit.) Director of immigration Belize Belize City, dated .......................................................... (To be printed on Reverse) 20 Immigration Conditions of Issue of this Permit That you shall not accept employment within Belize without the permission in writing of the Labour Commissioner, and if you accept employment without such permission, you shall be deemed to have acted in contravention of the Act, and the permit may be cancelled by the Director of Immigration. (Reverse of (7)) Extensions (To be typed on the reverse as and when necessary) This Permit is hereby extended for a period of ...……………………. with effect From…………….. It will cease to be valid as from ………. Director of Immigration Belize Belize City, dated ........................................................ Immigration 21 FORM 8 Permit No. D/ / (Section 18) IMMIGRATION ACT Re-entry Permit This Permit entitles……………….......................................... (full name) Holder of Passport No. ………………….issued at ………... on …….…………. and who is an alien domiciled in Belize, to re-enter Belize after a temporary absence outside Belize. 2. This Permit is valid up to and including Director of Immigration Belize Belize City, dated ........................................................ 22 Immigration FORM 9 Permit No. D/ / (Section 24) IMMIGRATION ACT Order to Leave Belize To: ………………………………………………………….. (full name) You are a “prohibited immigrant” within the meaning of section 5 of the Immigration Act. By virtue of the power vested in me by section 27 of the Immigration Act I hereby order you to leave Belize within ......................... hours/days. Dated this day of , 20 , at Director of Immigration Belize Belize City, dated ...................................................... Immigration 23 FORM 10 Permit No. D/ / (Section 25) IMMIGRATION ACT Notice of Prohibited Immigrant To: .......................................................................................... (full name) You are hereby notified that you have been………………... ………………..as a prohibited immigrant under section 27 of the Immigration Act on the grounds that.......................................................................................... Dated this day of , 20 . Director of Immigration Belize 24 Immigration FORM 11 Permit No. D/ / (Section 25) IMMIGRATION ACT Notice Forbidding Landing of Passengers To:…………………………………...1Master/Owner/Agent (Name) of …………………………………………………………… (Vessel) You are hereby notified that ……………................................ who arrived in your vessel is forbidden to land in Belize and you are hereby required in accordance with the provisions of section 27 of the Immigration Act, to remove the said ..............................................................................from Belize within...................................................................2days/hours. Dated this day of , 20 ,at Director of Immigration Belize 1 Strike out whichever not applicable. 2 Strike out whichever not applicable. Immigration 25 FORM 12 Permit No. D/ / (Section 27) IMMIGRATION ACT Removal Order Belize, To Wit: In the ………………………………… District. Before the Summary Jurisdiction Court sitting at ................................ the …………………………...day of …………………20 ………………… To …………… and to each and all the constables and peace officers of Belize and to the Keeper of the District Prison at ........................................... Whereas application has been made before me, by ............................................................an immigration officer for the removal of ………………..................................... a prohibited immigrant, from Belize. These are therefore to command you, such constable or peace officer to take the said ……………………... and him safely to convey to the District Prison at .......................................................................................................... ...................................... aforesaid, and there to deliver him to the Keeper thereof together with this precept; and I do hereby command you, the said Keeper of the said District Prison to receive the said …………………………… into your custody in the said District Prison, and there safely keep him until he shall be thence delivered for removal from Belize on board the ............................ Magistrate 26 Immigration FORM 12 Permit No. D/ / IMMIGRATION ACT Warrant to convey Prohibited Immigrant back to Ship (Section 28) Belize, To Wit: In the ………………………………………District. Whereas application has been made before me by .......................... the Master of ……………..... for a warrant to arrest and convey back to his vessel ………………………. a deserter, prohibited immigrant, or stow-away therefrom for the purpose of removing such person from Belize. These are therefore to authorise you ………………………………. the Master of the said ………….…………......... to arrest and convey the said ……………………. and to detain him on board for the purpose of removing him from Belize. Dated this day of , 20 , at Magistrate Immigration 27 FORM 14 Permit No. D/ / IMMIGRATION ACT Security Bond Belize. Know All Men by These Presents that I, ................................. of ....................................................................................................... ..........................in Belize (hereinafter referred to as the Surety) am held and firmly unto the Minister of Finance for the time being of Belize in the sum of ……………………...dollars to be paid to the said Minister, for which payment well and truly to be made I hereby bind myself my heirs executors and administrators by these presents. Dated this day of , 20 , at Whereas …………………………………………..........who lately (name of immigrant) arrived in Belize by the vessel/aircraft ................................................... And whereas the said Surety desires to enable the said immigrant to land in Belize: Now the above written bond is conditioned to be void if the said Surety do on demand forthwith pay to the Minister any charges which within three years from the date hereof may be incurred in respect of the said immigrant. In witness whereof the said Surety hereto hath hereunto set his hand and seal the day and year first hereinabove written. Signed sealed and delivered in the presence of ...................................... ……………………………………... 28 Immigration FORM 15 BELIZE TOURIST CARD Surname................................................................................. Christian names...................................................................... Nationality.............................................................................. Document produced on proof of Nationality ............................................................................ Age …………………… Sex ……...…….………................. Permanent address................................................................... Proposed address in Belize ..................................................... Port of embarkation ................................................................ 1. The holder may remain in Belize for a period of one month, and applications for extensions may be made to the Director of Immigration. 2. The holder will not be permitted to accept employment in Belize. 3. The holder will retain this card for the purposes of identification in Belize and surrender it to the Immigration Officer when he/ she embarks. Date of Arrival: .................................................... Immigration 29 FORM 16 60 of 2010. 18 of 2017. IMMIGRATION REGULATIONS [Regulation 8(4)] APPLICATION FOR DIGITAL BORDER CROSSING CARD THIS FORM IS FOR USE BY BELIZEANS, GUATEMALANS AND MEXICANS ONLY. NOTES: (1) The fee for a digital border card is BZ$20.00 per year; and the fee payable in Belize currency and is non- refundable. (2) The form must be submitted along with copy of proof of identity (e.g., birth certificate, passport, social security card, proof of citizenship, electoral ID, etc.). (3) Applicants below the age of sixteen must be accompanied by a parent or legal guardian. That parent or legal guardian must sign the form. (4) Your fingerprint and photograph will be taken at the Immigration Office at the time the application is submitted. (5) The form must be completed in English, using blue or black ink only. (6) Decisions on your application may be taken without an interview with you. Therefore, please ensure that you submit all relevant documents, certified copies and supporting documentation. 30 Immigration (7) It may harm the credibility of your application if you supply false information on this document. Section 1. Section 2. Citizens by naturalization are to complete this section Number of nationality document Date of Issue of document Place of Issue of Document Section 3. Declaration TO: Director, Immigration and Nationality Services, I hereby apply for digital border card for travelling to border towns and villages of Guatemala/Belize/Mexico. The information I have given is complete and true to the best of my knowledge. I declare that the form of identification submitted with this form is a true copy of the original identification. I confirm that if, Immigration 31 before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I will inform the Department of Immigration. I am aware that it is an offence under the Immigration Act to make a statement which I know to be false, in order to obtain a digital border card. I am also aware that I may be banned if I have breached Immigration law of Belize. I am further aware that should I use a false document, lie or withhold relevant information my details may be passed to law enforcement agencies. I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I understand that Immigration authorities may make reasonable checks to confirm the accuracy and authenticity of evidence I have provided and documents I have submitted with this application. I am aware that the information I provide will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities, foreign governments, and other bodies, to enable the Immigration authorities or those bodies to perform their functions. I understand that I am required to provide a record of my fingerprints and a photograph of my face as part of my application. If I refuse to do so, my application may be treated as invalid and, if so, will not be considered further. I declare that the information given on this form is correct to the best of my knowledge and belief. I also consent to the processing of information provided by me by the Immigration Department. 32 Immigration Signature :___________________ Date: ____/____/____ MADE by the Minster responsible for Immigration this 21st day of February, 2017 GODWIN HULSE Minister of Agriculture, Fisheries, Forestry, the Environment, Sustainable Development and Immigration (Minister responsible for Immigration) Immigration 33 FORM 17 IMMIGRATION REGULATIONS [Regulation 8(2)] Digital Border Card Belize Temporary Border Crossing Permit Document Number Sr/Names Names Sex Date of Birth Nationality Place of Birth Date of Issue Date of Expiry Authority Signature Travel Card