Rev. 2010]
CAP. 172
Immigration
FIRST SCHEDULE—(Contd.)
Form 10
[Subsidiary]
(rr. 19, 21, 25, 26)
APPLICATION FOR* VISITOR’S/ IN-TRANSIT/ PROHIBITED
IMMIGRANT’S/SPECIAL PASS
I .......................................................... make application for the issue to me of a
*visitor’s pass/in-transit pass/prohibited immigrant’s pass/special pass.
I declare that the following particulars are correct in every detail.
PARTICULARS OF THE PERSON TO WHOM THE PASS
IS TO BE ISSUED
1. Full names: Mr./Mrs./Miss. ...................................................................... ..
..........................................................................................................................
2. Nationality .....................................................................................................
3. Date of birth .............................. Place of birth .............................................
4. Occupation ....................................................................................................
5. Address in country of residence ....................................................................
6. Passport or other travel document No. ..................................... and place and
date of issue .......................................................................................................
7. Reasons for visiting Kenya ....................................................................... ..
............................................................................................................................
..........................................................................................................................
8. Approximate date of arrival in Kenya ...........................................................
9. Approximate duration of stay in Kenya ........................................................
10. Address in Kenya ........................................................................................
11. If in Kenya at the time of making this application, particulars of any
permit or pass issued to the applicant .........................................................
12. Particulars and amount of money available for the purpose of visiting Kenya
............................................................................................................................
Date...........................................
51
Signature...................................................
Notes
(i) A cash deposit up to £250 or security for a like amount may be required
as a condition precedent to the issue of a pass.
L.N. 101/2007,
L.N. 185/2007.
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