Ministry of Foreign Affairs & Regional Integration

Republic of Ghana Passport Application

Application ID: 2364C6D2ED4FDDE Vetting Appointment Slip

Applicant's Name: DOROTHY ANDOH

Application Type: Standard Application 32 Pages
Application Date: Mon, 31 July 2023 Center: Kumasi PAC
Appointment Date: Thu, 9 November 2023 Reporting Time: 11:00AM
PAC Location: Guggisberg Road, Opposite PWD, Adum, Ministries Vetting Officer 1
You will need to bring the printout of your application data below and the original copy of
the following document(s)

Birth Certificate Vetting Officer 2

Proof of Profession

Any National ID
Vetting Officer 3

Witness Signature and Stamp:

Vetting Officer 4

SAMUEL KUSI BOAHEN

Approving Officer
(Senior Civil / Public Servant)
Applicant's Signature:

OFFICIAL
COMMENTS:
ANDOH DOROTHY

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
 Applicant
Title: Miss

Surname: ANDOH

First Name: DOROTHY

Other Name:

Maiden Name -

Previous Names -

Gender Female

Date of Birth 22 April, 2002

City or town of ACCRA

birth National ID -

Country of Birth Ghana Social Security -

Voter ID -
Height 1.8 m

Colour of eyes BROWN Telephone 0594314065

Number
Colour of hair BLACK
Email Address skg244@gmail.com
Visible -
Perculiarities
House Number PLT 20 BLK C

Nationality Ghanaian Street Name ASANKRAGWA

Dual Citizenship - Postal Address P.O.BOX 10

Marital Status Single

Suburb ASANKRAGWA
Profession STUDENT
City of ASANKRAGWA
Previous - Residence
Profession
Country of Ghana (+233)
Residence (Zip /
Mandatory Document to Present Birth Certificate Post Code)

Document Number 2799

Date of Issue 29 May, 2019

Place of Issue ACCRA

 Education
Name of Institution KONONGO ODUMASE SENIOR HIGH SCHOOL

From September, 2011

To September, 2014

Address KONONGO

Citizenship
Relationship Father Relationship Mother

Full Name WILLIAM ANDOH Full Name REBECCA QUARSHIE

Living Yes Living Yes

Telephone 0248268513 Telephone 0240896661

Email - Email -

HomeTown ASANKRAGWA HomeTown ASANKRAGWA

Residential ASANKRAGWA Residential ASANKRAGWA

Address Address

Postal Address P.O.BOX 10 Postal Address P.O.BOX 3

Nationality Ghanaian Nationality Ghanaian

Relationship Grand Parent

Full Name ISSAC ANDOH

Living Yes

Telephone -

Email -

HomeTown ASANKRAGWA

Residential ASANKRAGWA
Address

Postal Address P.O.BOX 10

Nationality Ghanaian
 Guarantors
First Guarantor Second Guarantor

Full Name MADUGU JACOB Full Name KOFI ASUMADU

Occupation BUSINESS PERSON Occupation BUSINESS PERSON

Telephone 0247177060 Telephone 0246241142

Email - Email -

Residential ASANKRAGWA Residential ASANKRAGWA

Address Address

Witness
Full Name SAMUEL KUSI BOAHEN Occupation ENVIRONMENTAL HEALTH OFFICER

Business 0203489489 Position Senior Civil / Public Servant

Telephone
Card VOTRID
Residential 0555317147
Telephone Card Number 8520029743

Business P.O.BOX 3 KODIE KUMASI ASH Date of Issue 2020-08-02

Address
Place of Issue ABUAKWA MAAKRO
Residential PLT 27 BLK D ANKAASE KUMASI ASH
Address

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