Application For Ghana Entry Permit/visa Page 2

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(if for employment, provide
10. Name, Physical Address, Telephone number and Email of TWO References in Ghana
details of Employer)
(a) Name
Address
Telephone No.
Email
(b) Name
Address
Telephone No.
Email
11. For Applicants under 18 years of age : Name, Nationality, Telephone number of parents
(a) Names of Parents
(b) Nationalities
(c) Telephone Number(s)
(
)
12. Have you ever been deported from Ghana or refused a Ghana visa? No
Yes
Date
DD-MM-YYYY
(
)
No
Yes
13. Have you ever been charged with a criminal offence?
Date
DD-MM-YYYY
14. Where should your passport be returned after processing?
(
)
15. (a) Applicant’s Signature
(b) Date of Application
DD-MM-YYYY
NB: PLEASE ENSURE YOU ENCLOSE YOUR PASSPORT TOGETHER WITH THE APPLICATION
FOR OFFICIAL USE ONLY
Visa No.
Type of Visa
Date of Issue
Charges
Issuing Officer

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