application for ghana entry permit / visa berlin mission

Embassyof the Republicof Ghana
Stavangerstraße
L7&19
10439Berlin
E-mail: [email protected]
Website:www.ghanaemberlin.de
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* Formsto be
filled only in Englßh
* Verwenden
Sienur EnglischbeimAusfillen
APPLICATION FOR GHANA ENTRY PERMIT / VISA BERLIN MISSION
pictureswithin
1. This form mustbe completedin Quadruplicateand in Capital Letters and submittedtogetherwith Four (4) recent Passportsize
three (3) month of the intendeddate of departure.
2. Full namesand Addressesof referencesin Ghanashouldbe provided(includingTelephoneNumber, if available).
3. Any informationstatedon the Form and subsequentlyfound to be incorrectmay renderEntry Permit^/isavoid.
4. Travellersto Ghanamust be in possession
of an internationalHealth Certificatefor Yellow Fever.
5. Applicantsapplyingby post shouldprovide Self-addressed
envelopeswith stampsof value not lessthan 4,- € for a singlepassport.
1.(a) Surname I Nachname
First Name(s) / Vomame(n)
Previous Name (if applicable) / vorheriger
Name(wennvorhanden)
(b) Date of Birth / ceburrsdatum
(c) Place of Birth / ceburtsort
(d) Nationality lstaatsangehörigk€it
(e) Former Nationality (if any)
(f) Passport No. / Reisepas-Nr
(g) Date of Issue / Ausgestetlt
am
(h) Place of Issue / Austeltungmrt
(i) Date of Expiry I ctttiguis
(wennvorhanden)
EhemaligeStaatsangehörigkeit
2.
Profession/Occupation
/ seru
3.(a) BusinessAddress & Tel. No. / ceschäfrsanshrift
& Tel.-Nr
(b) Residential Address & Tel. No. / Privatanshrift
& Tel.-Nr.
Proposed date of Departure for Ghana / geabsichtigtes
Datumfür Einreisnachchana
4.
5.(a)Travellingby/Einreisemit
l-l
Air/nugr"u,
f]
Sea/s"nin
(b)Isapp|icantinpossessionofreturnticket?/HatensieeineRückflugka'te?-
l-l
Land reuto
Ticket No. /KarteNr.
(c) Financial means at Applicant's disposal I Finanzmiuel
desBewerbers
Purpose
of Journey:Business!
Diplomatic!
Om"i"t !
Tourism/HolidayAr'isit
f Employment! JoiningParents! Educationalf
Transit! othe.s ! singteEntry! MultipleEntries
!
VoluntaryWork
!
Names & Addresses of two References in Ghana / Name& Anschrift
vonryei Referenzen
in chatra:
8,
If for Employment, Name & Address of Employer in Ghana / rü, erueitsaufnahme,
vomArbeitgeber
in Ghana:
Name& Anschrifr
9.
Duration of Stav in Ghana / Aufenthaltsdauer
in Ghana
10.
Date of Last Visit to Ghana I Datum desletztenBesuchsin Ghana
11. Applicant'sSignature
Untemhrift desBewerbeö
12. Accompaniedby:
(a)Name
Date of Birth
(b)Name
Date of Birth
(c) Name
Date of Birth
Date of Application
Datumder Anmeldung
For Official Use
VisaNo.
Typeof Visa
Date of Issue
Charges
Signatureof IssuingOfficer