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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