52 CAP. 172 [Subsidiary] Immigration [Rev. 2010 FIRST SCHEDULE—(Contd.) Form 10—(Contd.) (ii) This application cannot be considered unless all the required particulars are completed in full. * Delete whichever is inapplicable. _____________ L.N. 101/2007, L.N. 185/2007. Form 11 (r.19) VISITOR’S PASS ................................................... of ....................................... the holder of this pass is entitled to enter Kenya within .............................. from the date of issue of this pass and to remain in Kenya for ............................... from the date of entry into Kenya for the purposes of ............................................................................ ............................................................................................................................ Date of Issue..................... ...................................................... Principal Immigration Officer Note.- The holder of this pass may not engage in or take up any form of employment within Kenya, whether paid or unpaid, other than such employment as may be authorized as a purpose for which this pass is issued without the written permission of the Principal Immigration Officer. _____________ Form 12 (r. 23) APPLICATION FOR INTERSTATE PASS OR EXTENSION THEREOF (To be submitted in duplicate–all particulars to be in block capitals) I apply for the *issue/extension of an interstate pass. Particulars 1. Full name of applicant: Mr./Mrs./Miss ................................................................................................ Nationality ..................................................................................................... 2. Address .......................................................................................................... 3. Date of first entry into Kenya ........................................................................

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