APPLICATION FOR PRESS ACCREDITATION
(FOREIGN CORRESPONDENTS)
Please complete form in block letters: (REMEMBER TO ADD TWO PASSPORT PICTURES)
- Surname:........................................................................................................................
- First/Middle names:........................................................................................................
- Other names (if any):.......................................................................................................
- Age:...............................................(b) Date of Birth ......................................................
- Place of Birth:.................................................................................................................
- Nationality:.....................................................................................................................
- Previous Nationality (if any)............................................................................................
- Passport Number:...........................................................................................................
- Passport Expiry Date:.....................................................................................................
- Address in Ghana:..........................................................................................................
- Tel. No.:.........................................................................................................................
- In the event of change of address in Ghana, please notify the Director of Information services in Accra. Tel.: 228011 Ext. 149, 222-483 (Direct) Fax No. 222-483 (Direct)
- Permanent Address:........................................................................................................
- Purpose of visit:..............................................................................................................
- Duration of visit:........................................................ ......................................(a) No. of Days:..........................................(b) From:..............To:..................................................
- Mode of travel to Ghana:................................................................................................
- Mode of travel from Ghana:............................................................................................
- Entry point from Ghana:..................................................................................................
- Details of Press Cards :
- (a) Organization:....................................................................
- (b) Date of issue:...................................................................
- (c) Card Number:.................................................................
- Present Employers:.........................................................................................................
- Previous Employer:.........................................................................................................
- Have you ever visited Ghana (if so when, give details or Dates, Places Visited, Interviews) ....................................................................................................................
- Residential Address of previous visits:.............................................................................
- Country visited in Africa:.................................................................................................
- Other Countries visited:...................................................................................................
- In which publications/Programmes have your articles/pictures etc. been published?
......................................................................................................................................
...................................................................................................................................... - Have you had any problems with Authorities in any country have you visited?(if yes, give details)...........................................................................................................................
...................................................................................................................................... - List your equipment and their serial Nos. for Identification (In case of Loss/Misplacement) .......................................................................................................
- Date: 30. Date:
............................................... .........................................................................
31. Signature of Applicant: 32. Signature of Receiving Officer
........................................................... .............................................................
FOR OFFICIAL USE ONLY
Mission's Recommendations................................................................................................................
Remarks: Accepted Rejected
Mission's Recommendations................................................................................................................
Remarks: Accepted Rejected
