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Appointment Slip Online Passport Application
Appointment Slip Online Passport Application
Proof of Profession
Any National ID
Vetting Officer 3
Vetting Officer 4
Pastor Stanley
Approving Officer
(Senior Clergyman / Woman)
Applicant's Signature:
OFFICIAL
COMMENTS:
Bremang Florence
DRESS CODE:
Appplicant's Dress Colour to the PAC should NOT be White
WARNING:
Making a statement which is, to your knowledge untrue for the purpose of procuring a
passport for yourself or any other person is an offence under Criminal Offences Act, 1960
(Act 29) and is liable on conviction to a fine not exceeding five hundred penalty units or to
a term of imprisonment not exceeding two years or both the fine and the imprisonment.
Such wilful false statements and the like may jeopardise the validity of the application or
submission or any use resulting therefrom.
For help call these numbers: 030 700 8222
Applicant
Title: Miss
Surname: Bremang
Other Name:
Maiden Name -
Previous Names -
Gender Female
Voter ID -
Height 1.65 m
To July, 2019
Citizenship
Relationship Father Relationship Mother
Telephone - Telephone -
Email - Email -
Postal Address P.O.Box 78 Pokuase Accra Postal Address P.O.Box 78 Pokuase Accra
Living No
Telephone -
Email -
HomeTown Kumasi
Residential GW-0985-4168
Address
Nationality Ghanaian
Guarantors
First Guarantor Second Guarantor
Email - Email -
Witness
Full Name Pastor Stanley Occupation Pastor
Support Lines:
Premium PAC Enquiries - 0302214944
General Information - 0307000575 / 0307008222 / 0302738473