48 CAP. 172 [Subsidiary] [Rev. 2010 Immigration FIRST SCHEDULE—(Contd.) Form 6—(Contd.) 4. Relationship to the dependant ....................................................................... 5. Particulars of other dependants, whether in Kenya or elsewhere, including wife and children: Full names Relationship Age Resident at Dependant’s Particulars 6. (a) Full names of dependant: Mr./Mrs./Miss ................................................ ........................................................................................................................ (b) Present address ......................................................................................... (c) Sex ................................. (d) Marital status .............................................. (e) Date and place of birth .............................................................................. (Proof of birth and/or marriage to be attached to this application) 7. Number, date and place of issue of passport ................................................. ........................................................................................................................ Nationality ......................................................................................................... 8. Particulars of any change of dependant’s name by deed poll, marriage or otherwise .................................................................................................... .. .......................................................................................................................... I .................................................... the applicant, declare that the foregoing particulars are correct in every detail. Date ........................................... ..................................................... Signature of Applicant