40 [Subsidiary] CAP. 172 Immigration [Rev. 2010 FIRST SCHEDULE—(Contd.) Form 2—(Contd.) If leaving Kenya other than from a visit, please state full name of dependants, wife and children endorsed on your passport. 1. Mr./Mrs./Miss................................................................................................. 2. Mr./Mrs./Miss................................................................................................. 3. Mr./Mrs./Miss................................................................................................. 4. Mr./Mrs./Miss................................................................................................. ___________ Form 3 (r. 6) APPLICATION FOR OR RENEWAL OF AN ENTRY PERMIT (To be submitted in duplicate) TO: THE PRINCIPAL IMMIGRATION OFFICER, NAIROBI, KENYA. Note.– Personal particulars are required for all entry permits, for classes A to E (inclusive) Part I should be completed and for classes F to L (inclusive) Part II should be completed. Photograph of person for whom an entry permit is required Personal particulars of the person requiring an entry permit. 1. Full name: Mr./Mrs./Miss ............................................................................. 2. Present address .............................................................................................. 3. Place of birth ............................ Date of birth ............................................... 4. Nationality ................................... No. of passport ....................................... Date and place of issue of passport ................................................................... 5. Full name of wife .......................................................................................... 6. Particulars of children, full names, sex, date and place of birth: (a) ............................................................................................................. (b) ............................................................................................................. (c) ............................................................................................................. (d) ............................................................................................................. (e) .............................................................................................................