FORM V.

EMBASSY OF THE REPUBLIC OF KENYA
2249 R. ST. N. W.
WASHINGTON, D. C. 20008
Tel: (202) 387 6101
Fax: (202) 462-3829

VISA APPLICATION FORM

(To Be Completed In Block Letters)

SINGLE/ MULTIPLE / VISA (Circle one) _________________________
1. A. Surname (Mr. /Mrs. / Miss) _______________________ B. Other Names In Full ______________________
    C. Full Name Father/ Husband/ Wife___________________________________________________________
2. A. Date of Birth ___________________Country and Place of Birth ___________________Sex ____________
    B. Profession/ Occupation __________________________________________________________________
3. A. Country of Residence ___________________________________________________________________
    B. Nationality at Birth _________________________  C. Present Nationality, if different __________________
4. Passport/ Travel Document Held:
    A. No: _______________________________Place & Date of Issue_________________________________
    B. Issued By _____________________________________ Valid Until ______________________________
              (Name of Authority issuing Passport/ Travel Document)
5. Contact Address and Telephone number in the U. S.______________________________________________
    ______________________________________________________________________________________
6. A. Reason For Entry______________________________________________________________________
    B. Proposed Date of Entry ______________________________________ Duration of Stay_______________
7. Full names and Addresses of Friends, Firms or Relatives To Be Visited, if any:
    ______________________________________________________________________________________
    ______________________________________________________________________________________
8. Dates and duration of previous visits to Kenya __________________________________________________
9. Will You Be Returning To Your Country of Residence/ Domicile?_____________________________________
10. It should be noted that possession of a visa is not the final authority to enter Kenya.
      I hereby declare that the foregoing particulars are correct in every detail.
 

  Date: __________________________ Signature of Applicant: ______________________________________ 
 
 

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FOR OFFICIAL USE ONLY
 

VISA INFORMATION

1. VISA REQUIREMENTS:

A.

B.

C.

D.

 

E. 

F.

 

G. 

H. 

I. 

Valid Passport To Be Submitted Along With The Application.    

Completed (Filled In) Application Form (In Duplicate In Case Of Multiple Journey Visas).    

Copy Of Round Trip Ticket Or Copy Of Itinerary 

Visa Fees Of $50.00 For Single Entry (Tourist/Business), and $100.00 For Multiple Entries  (Business) payable in cashiers check or money order only (Cash and personal checks are not acceptable).    

Two Recent Passport Photographs.    

A Visa Is Required Prior To Entry Into Kenya But Under Certain Circumstances A Visa Could Be Issued At The Point Of Entry To Kenya To U. S. Passports Holders.
Visas Are Usually Valid For Six Months From The Date Of Issue.    

Visas Are Issued Within 7 (Seven) Working Days from Date Of Logging/ Receiving Application.    

A Self-Addressed Stamped Envelope For Priority Mail, Express Mail, FedEx, UPS, Airborne Express, or DHL (Metered Stamps Are  Not Acceptable).

2. VACCINATION CERTIFICATE :

A. 

B.

 

C. 

Immunization Against Yellow Fever And Cholera Are Recommended.    

Anti-Malaria Prevention medication should be administered particularly if the visitor will be traveling to the Western and Coastal Regions of Kenya.
License For Pets Is Required: Charges $50.00 Per Pet.

3. VISA OFFICE HOURS :

Monday To Friday: 09: 30 A. M. 1: 00 P. M.