Rev. 2010] CAP. 172 Immigration [Subsidiary] FIRST SCHEDULE—(Contd.) Form 2—(Contd.) PASSPORT NO. DATE AND PLACE OF ISSUE ______________________________________________________________ NATIONALITY ______________________________________________________________ Country of Final Destination ______________________________________________________________ NO. OF DEPENDANTS TRAVELLING ON YOUR PASSPORT (see reverse) ADULTS: FEMALES ..................... CHILDREN : MALES........................... FEMALES.................. ______________________________________________________________ METHOD OF TRAVEL (Please check √ where applicable) Air ..  Sea ..  Rail ..  Road ..  Lake ..  ______________________________________________________________ NOT APPLICABLE TO VISITORS AND PERSONS IN TRANSIT (Please check √ where applicable) Have you been a resident of East Africa? Yes .. If so (a) in which country were you resident last? Kenya ..  Tanzania ..   No ..  Uganda ..  (b) Are you leaving East Africa permanently? Yes ..  No ..  (c) Are you leaving Kenya for further studies abroad? Yes ..  No ..  ______________________________________________________________ VISITORS AND PERSONS IN TRANSIT Are you leaving Kenya after a (a) Holiday Visit? .. .. .  (b) Business Visit? .. ..  (c) Transit Stop? .. .. .. .  How long have you stayed in Kenya? .. .. ................. Days ______________________________________________________________ DECLARATION: I declare that the foregoing particulars are correct in every detail. Date.............................. 39 Signature ..................................