HONORARY CONSUL GENERAL

REPUBLIC OF LIBERIA

KAMPALA, UGANDA Photo

Tel. (+256) 200-964-023 | (+256) 784-072-134

Email: info@liberianconsulateuganda.com
www.liberianconsulateuganda.com

Visa Application Form

VISA FEES
Please fill in the form below with accurate information. Ensure that you have all the
necessary documents ready for your Visa Application ALL COUNTRIES

Single: 3 Months $ 100.00

First Name: Middle Name: Last Name:
Multiple: 6 Months $ 200.00

VISA REQUIREMENTS:
Date of Birth: Place of Birth: i. Attach an invitation
letter from Liberia,
employer or Sponsor
and any other
Country: City: Zip Code: supporting documents

ii. One Passport size

photograph
Nationality: Previous Nationality: (If any)
iii. Photocopy of your
Passport

iv. Original valid Passport

Permanent Address: (6Months before
expiration)

v. Yellow fever
Travel Document Number: vaccination book

Issuing Authority:

Date of Issue: Date of Expiry:

Country: City:

Phone Number: Email Address:

1
Have you ever applied for a Liberian Visa? If yes, where and when

Has your Application for Liberian Visa ever been rejected or Visa cancelled? If yes, why?

Visa Type:
Single Entry: Multiple Entries:

Purpose of Visit:

Business: Conference: Tourism/ Visiting: Family: Work: Others:

Duration: Days/Weeks/Months

I hereby certify that the above information is true to the best of my knowledge

Applicant Signature Date

REMARKS FOR OFFICIAL USE ONLY

Visa Granted: Yes: No:

If No, why?

Visa number: Visa Type:

Date: Valid for:

:

Fees paid: Receipt Number:

Name: Signature & Date:

Honorary Consul General of the Republic of Liberia to the Republic of Uganda

Plot 390 Kaduyu Close, Sebowa Zone Kiwatule
+ (256)784-072-134 | + (256) 200-964-023
info@liberianconsulateuganda.com
www.liberianconsulateuganda.com