Visa Application - Ghana High Commission

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GHANA HIGH COMMISSION - CONSULAR SECTION
VISA APPLICATION
FOR OFFICIAL USE ONLY
Visa No. ____________
Visa Type____________
Single Visa
Attach
Date of Issue ____________________________________
Multiple Visa
Photograph
Transit - Multiple
Visa Fee R__________
Receipt _____________
□ Transit - Single
Transit - Single
Signature of Issuing Officer ____________________
Transit le□
Transit - Mule
APPLICATION FOR GHANA ENTRY PERMIT / VISA
PRETORIA MISSION
– 1038 ARCADIA STREET HATFIELD 0083
INSTRUCTIONS:
1.
This form must be completed in CAPITAL LETTERS and submitted together with four (4) identical recent passport
size photographs, at least three (3)days before the intended date of travel.
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 false may render permit void.
4.
Applications by post should include self-addressed stamped envelopes.
1. (a)
Surname ______________________________________
First Name(s) __________________________________________________
Previous / Maiden Name (if applicable)________________________________________________________________________________
(b)
Date of Birth ___________________________________
(c) Place of Birth ______________________________________________
(d)
Nationality _____________________________________
(e) Former Nationality (if any) ____________________________________
(f)
Passport No. ___________________________________
(g) Date of Issue _______________________________________________
(h)
Place of Issue __________________________________
(i) Date of Expiry ______________________________________________
2.
Profession / Occupation ___________________________________________________________________________________________
3. (a)
Business Address & Tel. No. ________________________________________________________________________________________
(b)
Residential Address & Tel. No. ______________________________________________________________________________________
4.
Proposed Date of Departure for Ghana _______________________________________________________________________________
5. (a)
Is applicant in possession of return ticket? ___________
Flight No. _____________________________________________________
(b)
Financial means at applicant’s disposal _______________________________________________________________________________
6.
Purpose of journey:
Business______________
Tourism________
Employment ____________
Official ______________
7.
Names & Addresses of two references in Ghana (i) ______________________________________________________________________
_______________________________________________________________________________________________________________
ii.
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
8.
If for employment, Name & Address of Employer in Ghana : ______________________________________________________________
_______________________________________________________________________________________________________________
9.
Duration of Stay in Ghana _________________________________________________________________________________________
10.
Date of Last Visit to Ghana _________________________________________________________________________________________
11.
Applicant’s Signature _____________________________
Date of Submission _____________________________________________

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