Rev. 2010] CAP. 172 Immigration FIRST SCHEDULE—(Contd.) 47 [Subsidiary] Form 5—(Contd.) [Page 4] For Official Use ............................................................................................................................ .............................................................................................................................. ............................................................................................................................. ............................................................................................................................. .............................................................................................................................. ............................................................................................................................. ............................................................................................................................ Minister’s Decision ............................................................................................................................ .............................................................................................................................. ............................................................................................................................. ............................................................................................................................. .............................................................................................................................. ............................................................................................................................. ............................................................................................................................ _____________ Form 6 (r. l5) APPLICATION FOR A DEPENDANT’S PASS (One form of application is to be completed in respect of each dependant for whom a pass is required) To: THE PRINCIPAL IMMIGRATION OFFICER P.O. Box 30191-00100, NAIROBI, KENYA. I apply for a dependant’s pass in respect of (name of dependant) ........... ............................................................................................................................. Applicant’s Particulars (All particulars to be in block capitals) 1. Full names: Mr./Mrs./Miss ............................................................................ 2. Address .......................................................................................................... 3. Particulars of entry permit held ..................................................................... L.N. 101/2007, L.N. 185/2007.