Ministry of Foreign Affairs & Regional Integration

Republic of Ghana Passport Application

Application ID: 2262E3162954CC8

Vetting Appointment Slip

Applicant's Name: CYNTHIA GYAMFUAH KYEREMEH

Application Type: Expedited Application 32 Pages
Application Date: Tuesday, 16 August 2022 Center: Sunyani PAC
Appointment Date: Wednesday, 26 October 2022 Reporting Time: 9:00AM
PAC Location: Adjacent to Jubilee (shares a wall with the Park)

You will need to bring the printout of your application data below and the original copy of the following
document(s)

Birth Certificate

Proof of Profession

Any National ID

Witness Signature and Stamp:

KWAME SAKYI YEBOAH

(Senior Civil / Public Servant)

Applicant's Signature:
M

KYEREMEH CYNTHIA GYAMFUAH

m

DRESS CODE:
Appplicant's Dress Colour to the PAC should NOT be White
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WARNING:
Making a statement which is, to your knowledge untrue for the purpose of procuring a passport for yourself
or any other person is an offence under Criminal Offences Act, 1960 (Act 29) and is liable on conviction to a
fine not exceeding five hundred penalty units or to a term of imprisonment not exceeding two years or both
the fine and the imprisonment. Such wilful false statements and the like may jeopardise the validity of the
application or submission or any use resulting therefrom.

For help call these numbers: 030 700 8222 (tel:030 700 8222)

OFFICIAL COMMENTS:

F
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JUSTICE
M
FREEDO

AND
Vetting Officer 1

Vetting Officer 2

Vetting Officer 3
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 Vetting Officer 4

Approving Officer

PRINT SLIP (HTTPS://PASSPORT.MFA.GOV.GH/APPLICATION/A04080E0-FC36-4BE0-AD2E-E8CE0F11ADA0/APPOINTMEN

APPLICANT
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TITLE SURNAME FIRST NAME OTHER NAME

Mrs KYEREMEH CYNTHIA GYAMFUAH

MAIDEN NAME PREVIOUS NAMES

- -

GENDER DATE OF BIRTH CITY OR TOWN OF BIRTH COUNTRY OF BIRTH

Female 12 August, 1990 DORMAA AHENKRO Ghana

HEIGHT COLOUR OF EYES COLOUR OF HAIR VISIBLE PERCULIARITIES

1.6 m BROWN BLACK -

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NATIONALITY DUAL CITIZENSHIP MARITAL STATUS PROFESSION PREVIOUS PROFESSION

Ghanaian - Married BUSINESS WOMAN -

MANDATORY DOCUMENT TO PRESENT DOCUMENT NUMBER DATE OF ISSUE PLACE OF ISSUE

National Identity Card AS4886266 5 September, 2020 ACCRA

NATIONAL ID SOCIAL SECURITY VOTER ID

GHA-726441342-7 - 8042016991 (tel:8042016991)

TELEPHONE NUMBER EMAIL ADDRESS

0248948063 (tel:0248948063) kwame.yeboah1290@gmail.com

DIGITAL ADDRESS CODE HOUSE NUMBER STREET NAME POSTAL ADDRESS

RACHEL'S MATERNITY HOME

BS-0032-39 NK 46, NKWABENG SOUT OKOMFO AFRIYIE STREET P. O BOX 10, WAMANFO
BONO REGION

SUBURB CITY OF RESIDENCE COUNTRY OF RESIDENCE (ZIP / POST CODE)

NKWABENG SOUTH SUNYANI Ghana (+233)

EDUCATION

NAME OF INSTITUTION FROM TO

ZENITH UNIVERSITY COLLEGE, ACCRA September, 2011 August, 2014

ADDRESS

ZENITH UNIVERSITY COLLEGE, LA EDUCATIONAL CENTRE, P. O. BOX TF 511, TRADE Fair CENTRE, LA ACCRA

CITIZENSHIP
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 RELATIONSHIP FULL NAME LIVING

Father GEORGE KWAKU KYEREMEH No

TELEPHONE EMAIL HOMETOWN

- - DORMAA AHENKRO

RESIDENTIAL ADDRESS POSTAL ADDRESS NATIONALITY

TRUE FAITH CHURCH

HOUSE NUMBER NK 46, NKWABENG SOUTH, SUNYANI, BONO REGION P. O BOX 1885 Ghanaian
SUNYANI, BONO REGION

RELATIONSHIP FULL NAME LIVING

Mother RACHEL AMA OWUSUAA Yes

TELEPHONE EMAIL HOMETOWN

0559343134 (tel:0559343134) - SEIKWA

RESIDENTIAL ADDRESS POSTAL ADDRESS NATIONALITY

RACHEL MATERNITY HOME

PLOT NUMBER 1032, WAWA ROAD, WAMANFO, BONO REGION P. O. BOX 10, WANAFO Ghanaian
BONO REGION

RELATIONSHIP FULL NAME LIVING

Grand Parent HANNAH KUMA No

TELEPHONE EMAIL HOMETOWN

- - SEIKWA

RESIDENTIAL ADDRESS POSTAL ADDRESS NATIONALITY

RACHEL'S MATERNITY HOME

PLOT NUMBER 1032, WAWA ROAD, WAMANFO, BONO REGION P. O BOX 10, WAMANFO Ghanaian
BONO REGION
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 GUARANTORS

FULL NAME OCCUPATION TELEPHONE

EVELYN SAKYIWAA AMOAH REGULATORY OFFICER 0247262308 (tel:0247262308)

EMAIL RESIDENTIAL ADDRESS

eveamoah39@gmail.com HOUSE NUMBER J17, KOTOKROM, GPS-0395-6428, SUNYANI-BONO REGION

FULL NAME OCCUPATION TELEPHONE

CHARITY AMPOMAA KYEREMEH NURSE 0200244233 (tel:0200244233)

EMAIL RESIDENTIAL ADDRESS

- BE-0070-4114, WAMANFO, BONO REGION

WITNESS

FULL NAME OCCUPATION POSITION

KWAME SAKYI YEBOAH REGULATORY OFFICEE Senior Civil / Public Servant

BUSINESS TELEPHONE RESIDENTIAL TELEPHONE

0265062697 (tel:0265062697) 0556997900 (tel:0556997900)

BUSINESS ADDRESS RESIDENTIAL ADDRESS

FOOD AND DRUGS AUTHORITY

PMB, SUNYANI HOUSE NUMBER NK46, NKWABENG SOUTH, SUNYANI-BONO REGION
BONO REGION

CARD CARD NUMBER DATE OF ISSUE PLACE OF ISSUE

NATIDC GHA-716304369-1 2019-12-05 ACCRA

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