Application For Ghana Entry Permit/visa - Embassy Of Ghana, Washington Dc
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1Please check applicable box
For Official Use
Visa No.: _______________________________
Affix passport
Single Entry -
$60.00
Type of Visa: ____________________________
Picture here
Multiple Entries -
$100.00
Date of Issue: ____________________________
Single Entry (Rush) - $100.00
Charges: _______________________________
Multiple Entries (Rush) $200.00
Issuing Officer: ___________________________
(Don't mail
cash)
Application for Ghana Entry Permit/Visa
Embassy of Ghana, 3512 International Drive NW - Washington DC 20008
Website:
Tel: (202) 686-4520
______________________________________________________________________________________________________
INSTRUCTIONS:
1.
This form must be completed in
and in capital letters and submitted (together with two(2) recent passport-
size pictures) at least Fourteen (14) days before the intended date of departure.
2.
Full names and addresses of references/hotel (place of stay) in Ghana should be stated (including telephone numbers, if
available).
3.
Any information stated on the form and subsequently found to be incorrect may render entry permit/visa void.
4.
Applicants applying by post/mail should provide trackable return self-addressed envelopes.
______________________________________________________________________________________________________
1.
(a) Surname:___________________________________ First Name (s): ___________________________________
Previous 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. in the U.S.A:
______________________________________________________________________________________________
(b) Residential Address & Tel. No. in the U.S.A:
______________________________________________________________________________________________
4.
Proposed date of departure for Ghana: _______________________________________________________________
5.
(a) Traveling by: □ Air □ Sea □ Land
(b) Is applicant in possession of return ticket? ____________________________ Ticket No.:_____________________
(c) Amount of Money Applicant is traveling with_________________________________________________________
6.
Purpose of Journey: □ Business
□ Tourism
□ Employment □ Official
□ Student □ Transit
7.
Names, Addresses and Telephone Numbers of Two (2) references or place of residence in Ghana/Name(s) of Hotel: (very
important)
(i) ____________________________________________________________________________________________
______________________________________________________________________________________________
(ii) ____________________________________________________________________________________________
______________________________________________________________________________________________
8.
If for employment, name and address of employer in Ghana ______________________________________________
______________________________________________________________________________________________
9.
Duration of stay in Ghana: _________________________________________________________________________
10.
Date of last visit to Ghana: _________________________________________________________________________
11.
Applicant’s signature: _____________________________________ Date of application: _______________________
NB: PLEASE ENSURE YOU ENCLOSE YOUR PASSPORT WITH YOUR APPLICATION
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Parent category: Business