REPUBLIC OF KENYA

IMMIGRATION DEPARTMENT
APPLICATION FOR EXTENSION OF A VISITOR'S PASS
Surname of the visitor (IN CAPITALS): MAWA
Other names HUSSEIN AMIN
Nationality Somali
Passport No P01387210 Place and date of issue MOGADISHU 2023-08-14
Address in Kenya 00100 Nairobi 100
Date of entry to Kenya 2023-10-10 Port of entry JKIA
I wish to stay in Kenya for a further period of 3 MONTHS Months
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Signature of Declarant
Date...........................................
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Signature of Visitor
Note.- If your stay exceeds 90 days from the date of entry please note that you are required
to register as an alien in Kenya.
FOR OFFICIAL USE ONLY
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Visitor's Pass extended valid until
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Signature of Officer