GHANA IMMIGRATION SERVICE 
	DISEMBARKATION FROM 
	CARTE DE DEMBARQUEMENT AU GHANA

NOTE
1. Employment without Work
   Permit is PROHIBITED

SURNAME
FIRST NAME
PLACE AND DATE OF BIRTH
NATIONALITY
PLACE AND DATE OF ISSUE OF PASSPORT
OCCUPATION
PLACE OF EMBARKATION
OVERSEAS ADDRESS
PURPOSE OF VISIT
RESIDENTIAL ADDRESS IN GHANA
POSTAL ADDRESS IN GHANA
DATE
SIGNATURE

Complete This Portion
1. BUSINESS / AFFAIRES
2. HOLIDAYS - TOURISM
   VACANCES - TOURISM
3. VISIT FAMILY
4. OFFICIAL TRIP
5. MISSION OFFICIAL
6. OTHERS