Ghana Consulate

Step 1

Name *

First

Last

Nationality *

Date of Birth *//

Place of Birth *

Passport No. *

Place of Issue *

Issuance Date *//

Expiry Date *

Please enter the date as follows: DD/MM/YYYY

Residential Address *

Address Line 1

City

State / Province / Region

Country

Mobile Phone *

Profession/Occupation *

Business Address *

Address Line 1

City

State / Province / Region

Country

Business Phone *

Proposed Date of Departure for Ghana *

Traveling By *

Is applicant in possession of return ticket? *

Ticket No. *

Purpose of Journey *

Type of visa *

Names & Addresses & Telephone numbers of two References in Ghana

If for Employment, Name & Address of Employer in Ghana

Duration of Stay in Ghana *

Date of Last Visit to Ghana *

Date of Application *

Please enter the date as follows: DD/MM/YYYY

Step 2