For Official use Signature of issuing Office APPLICATION FOR GHANA ENTRY PERMIT/VISA - NEW DELHI MISSION Instructions 2 3 4. This form must be completed in Quadruplicate and in Capital letters and submited, together wit four (4) recent pessport-size pictures, within at least three (3) days before the intended date of departure. Full names and addresses with telephone No. of references in Ghana should be stated. Any information stated on the form and subsequently found to be incorrect may renderEntry Permit/ViscVold. Applicants applying by post should provide self-addressed stamped envelope. (a) Sumame. First name(s (0) Place of Birth (@) Former Nationality (if any). (9) Date OF ISSUE oe () Date of Expiry. (a) Business Address & Tel. No.. (b) Residential Address & Tel. No. Proposed Date of Departure for Ghana (a) Traveling by:Air(] Sea] Land] (0) Is applicant in possession of return ticket? Yes/No (c) Ticket No... (0) Financial Means at Applicant's atsposal. Purpose of Journey: Business [ Tourism () Transit (] Employment ( official other ... i Names & Addresses of two References in Ghana: Y w 1# for employment, Name & Address of Employer in Ghana: Date of last Visit to Ghana: Date of Application: