For Official Use
Please indicate
Visa No.:________________________
NORMAL
EXPRESS
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Single Entry
- CDN $95.00
$150.00
Type of Visa:_____________________
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Multiple Entries
- CDN $200.00
$250.00
Date of Issue:_____________________
PAYMENT SHOULD BE MADE TO THE GHANA HIGH
COMMISSION ONLY BY BANKER’S DRAFT OR
Charges:_________________________
MONEY ORDER.
CONSULAR FEES PAID ARE NOT REFUNDABLE
Issuing Officer:___________________
APPLICATION FOR GHANA ENTRY PERMIT/VISA
GHANA HIGH COMMISSION, # 1 CLEMOW AVE. OTTAWA, ONT. K1S 2A9
TEL: 6132360871 FAX:6132360874 E-MAIL
INSTRUCTIONS:
1. This form must be completed in Quadruplicate and in Capital Letters and submitted (together with a valid passport, four recent
passport-size pictures, a letter of invitation with a copy of a Ghana government issued photo ID of the host or Residence Permit and
Bio-Data page of the host passport if not a Ghanaian. Proof of yellow fever immunization, photocopy of travel itinerary, proof of
Canadian citizenship or resident permit if applicant is not a Canadian) submit application at least 5 days prior to date of departure.
2. Full names and Addresses of references in Ghana should be stated (including Telephone Numbers).
3. Any information stated on the form and subsequently found to be incorrect may lead to visa application rejection.
4. Applications by post should include self-addressed stamped or registered envelopes.
1.
(a)
Surname ___________________________________ First Name(s)___________________________________
Previous Name (if applicable) ________________________________________________________________
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(b)
Marital Status:
Married
Single
Divorce d
Other
(c)
Date of Birth _____________________________(d) Place of Birth ___________________________________
(e)
Nationality (current):______________________ other (former):______________________________________
(f)
Passport No. _____________________________ (g) Date of Issue ___________________________________
(h)
Place of Issue ____________________________ (i) Date of Expiry __________________________________
2.
Profession/Occupation ________________________________________________________________________________
3.
(a)
Business / School Address in Canada____________________________________________________________
_________________________________________________ Tel _____________________________________
(b)
Residential Address in Canada_________________________________________________________________
__________________________________________________Tel_____________________________________
4.
Have you ever been deported from Ghana or refused a Ghana Visa?____________________________________________
5.
Have you ever been charged with a criminal offence? _______________________________________________________
6.
Proposed Date of Departure for Ghana_________________ Proposed Date of Return from Ghana____________________
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7.
(a)
Traveling by:
Air
Sea
Land
(b)
Return Ticket No._______________________ (c) Amount of money applicant is traveling with ____________
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8.
Purpose of Journey:
Business
Tourism
Employment
Official
Volunteer
other - Indicate ______
9.
Names, Addresses and Telephone numbers of Two (2) references in Ghana (very important)
(i) ________________________________________________________________________________________________
___________________________________________________________Tel _________________________________
(ii) _______________________________________________________________________________________________
______________________________________________________Tel ______________________________________
10.
Duration of Stay in Ghana _____________________________________________________________________________
11.
Date of Last Visit to Ghana ____________________________________________________________________________
12.
Where should your passport be returned after processing_____________________________________________________
13.
Applicant’s Signature _______________________________ Date of Application_________________________________