| For Official Use | ||||||
| Visa No........................................................................................ | ||||||
| Type of Visa............................................................................... | ||||||
| Date of Issue............................................................................... | ||||||
| Charges....................................................................................... | ||||||
| Receipt No.................................................................................. | ||||||
| Signature of Issuing Officer................................................... | ||||||
|
Application
for Ghana Entry Permit/Visa
|
||||||
|
MISSION
- PERTH
|
||||||
| INSTRUCTIONS | ||||||
| 1. This form must be completed in Quadruplicate and in Capital Letters and submitted (together with Four (4) recent passport-size pictures) within at least five days befroe the intended date of departure. | ||||||
| 2. Full names and addresses of references in Ghana should be stated (including telephone number, if applicable). | ||||||
| 3. Any information stated on the Form and subsequently found to be incorrect may render Entry Permit/Visa void. | ||||||
| 4. Applicant applying by post should provide a pre-paid self-addresses envelope. | ||||||
| 1. (a)Surname ........................................................ | First Name(s) ............................................................. | |||||
| Previous Name .................................................................................................................................................. | ||||||
| (b)Date of Birth.................................................. | (c)Place of Birth ......................................................... | |||||
| (d)Nationality...................................................... | (e)Former Nationality (if any) ..................................... | |||||
| (f)Passport Number ........................................... | (g)Date of Issue ....................................................... | |||||
| (h)Place of Issue ............................................... | (i) Date of Expiry ...................................................... | |||||
| 2. Profession/Occupation ................................................................................................................................... | ||||||
| 3. (a)Business Address and Tel.No. ................................................................................................................... | ||||||
| ...................................................................................................................................................................... | ||||||
| (b)Residential Address & Tel. No. ................................................................................................................ | ||||||
| ..................................................................................................................................................................... | ||||||
| 4. Proposed Date of Departure for Ghana ......................................................................................................... | ||||||
| 5. (a)Travelling By: Air ...................Sea ......................Land ........................... | ||||||
| (b)Is applicant in possession of return ticket? Y/N Ticket No ..................................... | ||||||
| (c)Financial means at applicant's disposal ..................................................................................................... | ||||||
| 6. Purpose of Journey: Business...................Tourism.................Employment.................Official.................... | ||||||
| 7. Names and Addresses of two References in Ghana: | ||||||
| (i) | ................................................................................................................................................................ | |||||
| ...................................................................................................................................................................... | ||||||
| (ii) | .................................................................................................................................................................. | |||||
| ...................................................................................................................................................................... | ||||||
| 8. If for Employment, Name and Address of Employee in Ghana ..................................................................... | ||||||
| 9. Duration of Stay in Ghana.................................................................................................................. | ||||||
| 10. Date of Last Visit to Ghana.................................................................................................................. | ||||||
| 11. Applicants Signature................................................................ |
Date ............................
|
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1. Name:...........................................................................................................................................
2. Other Names: (Maiden Name, Aliases):..........................................................................................
3. Occupation:..................................................................................................................................
4. Place and Date of Birth:...............................................................................................................
5. Permanent Address:.....................................................................................................................
......................................................................................................................................................
6. Present Address:.........................................................................................................................
.....................................................................................................................................................
7. Academic Background (Last School Attended):............................................................................
8. Employment History:....................................................................................................................
9. Previous Travel to Ghana:..........................................................................................................
10. Criminal Record:.....................................................................................................................
11. Marital Status:...................................................................................................................
12. Purpose of Travel:....................................................................................................................
13. Name and Address of Personal Reference in Country of Residence with Telephone Number:
..............................................................................................................................................
.................................................................................................................................................
................................................................................................................................................
14. Reference in Ghana:...............................................................................................................
15. Desired Length of Stay in Ghana:.............................................................................................
16. Proposed Date of Departure from Country of Residence:...........................................................
17. Remark(s) if any:.........................................................................................................................
I Certify That The Foregoing Is A Complete And True Satement
______________________________ _____________________________
Date Signature