Ministry of Foreign Affairs & Regional Integration

Republic of Ghana Passport Application

Application ID: 2263526A6F755C8 Vetting Appointment

Slip

Applicant's Name: ELLEN ACTTOULEY

Application Type: Standard Application 32 Pages
Application Date: Fri, 21 October 2022 Center: Takoradi PAC
Appointment Date: Fri, 23 December 2022 Reporting Time: 8:30AM
PAC Location: Ghana Immigration Head Quarters (Within the Regional Administration)

You will need to bring the printout of your application data below and the original copy of the Vetting Officer 1
following document(s)

Birth Certificate
Vetting Officer 2
Proof of Profession

Any National ID

Vetting Officer 3
Witness Signature and Stamp: Applicant's Signature:

Vetting Officer 4

ANDREW NANAYAW ADDISON ACTTOULEY ELLEN

(Senior Clergyman / Woman)
Approving Officer
DRESS CODE:
Appplicant's Dress Colour to the PAC should NOT be White

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

OFFICIAL COMMENTS:
 Applicant
Title: Mrs

Surname: ACTTOULEY

First Name: ELLEN

Other Name:

Maiden Name ELIZABETH MANU

Previous Names -

Gender Female

Date of Birth 19 September, 2001

City or town of ELUBO

birth

Country of Birth Ghana

Height 1.59 m

Colour of eyes BROWN

Colour of hair BLACK

Visible - National ID -
Perculiarities
Social Security -

Voter ID -
Nationality Ghanaian

Dual Citizenship -
Telephone 0541502347
Marital Status Single Number

Profession STUDENT Email Address piusawuah9@gmail.com

Previous -
Profession House Number E-12

Street Name METHODIST STREET

Mandatory Document to Present National Identity Card
Postal Address POST OFFICE BOX 69,ELUBO
Document Number GHA-727652912-3

Date of Issue 12 January, 2022 Suburb KOFIKURO

Place of Issue ACCRA City of Residence ELUBO

Country of Ghana (Ghana (00233))

Residence (Zip /
Post Code)

Education
Name of Institution FIASEMAN SENIOR HIGH SCHOOL

From October, 2017

To September, 2020

Address POST OFFICE BOX 27

 Citizenship
Relationship Father Relationship Mother

Full Name PIUS AWUAH ACTTOULEY Full Name ELIZABETH MANU

Living Yes Living Yes

Telephone 0242704661 Telephone 0592629045

Email - Email -

HomeTown ELUBO HomeTown ELUBO

Residential E-12, KOFIKURO (ELUBO> Residential E-12 KOFIKURO (ELUBO)

Address Address

Postal Address POST OFFICE BOX 69(ELUBO) Postal Address POST OFFICE BOX 69

Nationality Ghanaian Nationality Ghanaian

Relationship Grand Parent

Full Name OBAAPANIN AMAHU

Living No

Telephone -

Email -

HomeTown ELUBO

Residential E-12 KOFIKURO (ELUBO)

Address

Postal Address POST OFFICE BOX 69 (ELUBO)

Nationality Ghanaian

Guarantors
First Guarantor Second Guarantor

Full Name AGNES KAKARI Full Name PIUS AWUAH ACTTOULEY

Occupation TRADER Occupation STUDENT

Telephone 0248815728 Telephone 0552477521

Email - Email piusawuah9@gmail.com

Residential E-12 KOFIKURO (ELUBO) Residential E-12 KOFIKURO (ELUBO)

Address Address
 Witness
Full Name ANDREW NANAYAW ADDISON Occupation REVEREND FATHER

Business 0549524279 Position Senior Clergyman / Woman

Telephone
Card NATIDC
Residential 0549524279
Telephone Card Number GHA-003185967-1

Business POST OFFICE BOX 9 Date of Issue 2020-01-31

Address
Place of Issue ACCRA
Residential PARISH HOUSE
Address

Support Lines:
Premium PAC Enquiries - 0302214944
General Information - 0307000575 / 0307008222 / 0302738473