GHANA HIGH COMMISSION - CONSULAR SECTION

1 GHANA high COMMISSION - CONSULAR SECTION offline visa APPLICATION visa Type Business Work Tourist Transit 1. Surname First Name Previous/Maiden Name (If applicable): Date of Birth (DDMMYY) Place of birth Nationality Former Nationality Passport Number Date of Issue Place of Issue Date of Expiry 2. Profession/Occupation Email address Cell Phone Telephone (Home) Telephone (Work) 3. Business/Institute Name and Address Residential Address *Please add province and country 4. Proposed date of entry into GHANA 5. Do you have a return ticket? Yes No Flight Number Financial means at applicants disposal ($) 6. Purpose of journey: Business Tourism Employment Official Educational Educational Diplomatic Transit Joining Spouse/Parents Other Single Entry visa Single Entry visa Express Multiple Entry 6 months Multiple Entry 6 months Express Multiple Entry 1 year Multiple Entry 1 year Express Transit Single Entry Transit Single Entry Express Transit Multiple Entry Transit Multiple Entry Express 7.

2 Full Name, Full Address (including the Region), Contact Number & Email Address of two references in GHANA * **2 references are compulsory Full Name Contact Number Full Physical address Email address Full Name Contact Number Full Physical address Email address 8. If for employment, state Full Name, Full Physical Address & Contact Numbers of Employer in GHANA Full Name Contact Number Full Physical address Email address 9. Duration of Stay in GHANA * (Days) 10. Date of Last Visit to GHANA (DDMMYYYY) 11. Confirm Application* (Please tick the confirmation Box: I have read the visa Terms and Conditions and agree to be bound by it.) 12. Signature.

3 Date.