irp-cdn.multiscreensite.com clearance...created date: 4/8/2019 5:25:18 pm
Post on 16-Jul-2020
0 Views
Preview:
TRANSCRIPT
Section 1. Details
Fu I I NameS(Dr,Mr,Mrs,Miss)
Maiden Names
Nationality
Country & Place of Birth
Date of Birth
Education
Marital Status
Passport Numbers
Dates of Stay in Kenya Start Date
Full Address When in Kenya
Address 1
Address 2
City
Country
REPUBLIC OF KENYADEPARTMENT OF IMMIGRATION
APPLICATION FORM FOR A CERTIFICATE OF GOOD CONDUCT(To Be Completed ln Block Letters)
f Single f Married f Divorced f Widowed
Please read the instructions carefully before completing the form
End Date
PostCode
Page 1 of 3
Present Address & Telephone Number
Address 1
Address 2
City
Country
Telephone Number
Present Employment
Father's Full Name
Father's Eull Address
Address 1
Address 2
City
Country
Father's Occupation
Certificate Required For
PostCode
PostCode
SignatureDate
Office Use Only
M.R. Number Date
Page 2 of 3
Please submit the form along with the following documents
NON-KENYAN CITIZENS
1" A completed set of fingerprints which should be taken by local police or any other authorized entity.2. An application letters.3' Attached a bank cheque or Money Order of AUS25 payable to the "Kenya High Commission,,.4. Certified copy of applicant,s passport information page.5. Non-Kenyan citizen should provide a copy of entry/work/resident permit or other endorsement on
passport showing that they stayed for more than 6 months.6' A Prepaid self-addressed registered or express post envelope (residents outside Australia should
include AUS18 for lnternational Registered Envelope) for the return of your documents.7. 2 passport size photos.
8. For those who lived in Kenya as refugees - to provide UNHCR mandate letter.
Note: Processing takes 3 months.
KENYAN CITIZENS
t. A completed set of fingerprints which should be taken by local police or any other authorized entity.2. A certified photocopy of Kenya 2nd generation identity card.3. Attached a bank cheque or Money order of AUS25 payable to the "Kenya High Commission,,, or
payment from e-citizen portal.4. A letter of application.5. Certified copy of applicant's passport information page.6' A Prepaid self-addressed registered or express post envelope (residents outside of Australia should
include AUS18 for International Registered Envelope) for the return of your documents.7. 2 passport size photos.
Note: Processing time takes 3 months.
top related