FORM 22 APPLICATION FORM FOR A VISA - KHC ?· FORM 22 APPLICATION FORM FOR A VISA (To be completed in…

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    26-Jul-2018

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  • FORM22APPLICATION FORM FOR A VISA

    (To be completed in Block Letters) 1.Visarequired(specify) Single Multiple Transit2.(a)Surname/FamilyName

    (b)OtherNamesinFull

    (c)Sex Male Female

    (d)FullNamesofParent(s)/spouse(s)

    3.(a)DateofBirth DD MM YYYY(b)CountryandPlaceofBirth.(c)Profession/occupation.4.(a)NationalityatBirth..

    (b)PresentNationality,ifdifferent..

    (c)CountryofResidence..

    (d)ContactAddressintheCountryofResidence(Physicaladdress)

    .

    Telephone.

    Email

    5.Passport/TravelDocumentheld:(a)No.(b)PlaceofIssue(c)DateofIssue.(d)Expirydate.(e)Issuedby.6.(a)SpecifyreasonsforEntry..(b)ProposedDateofEntry(c)Durationofstay.

  • 7.FullnamesandaddressesofHotels/Places/Firms/FriendsorRelativestobevisitedinKenya(Physicaladdress).

    Telephone/Cellno..

    Email

    8.DatesandDurationofpreviousvisitstoKenya9.WillyoubereturningtoyourCountryofResidence/Domicile?...........................................10.HaveyoubeenpreviouslydeniedentryintoKenya?Ifyesstatewhenandreasonsgiven..11.Haveyoueverbeenconvictedofanyoffenceunderanysystemoflaw?Ifyesgiveoffenceandpenalty?............................................................................................................................ I,(insertname)understandthatifanyoftheparticularsfurnishedabovearefoundtobeincorrectorifanyrelevantinformationisfoundtobewithheldorsuppressed,thevisaisliabletobecancelled.(Signatureofapplicant).. Date.NOTE:

    (a) Incompleteapplicationswillberejected(b) ThepossessionofavisaisnotthefinalauthoritytoentertheRepublicofKenya(c) Engaginginanyformofbusinessoremploymentwithoutarequisitepermitorpass

    isanoffence.

    FOROFFICIALUSE