Country* —Please choose an option—UgandaKenyaTanzaniaRwandaEast African Visa
Name
Surname
Email
Date of Birth
Gender —Please choose an option—MaleFemale
Marital status —Please choose an option—DivorcedMarriedSeparatedSingleWidowedOther
Name of spouse(s)
Nationality
Dual nationality YesNo
Other nationality
Place of Birth (City, State/Province)
Country of Birth
Immigration status in country of residence —Please choose an option—BürgerTouristArbeiterStudent
Country of residence
City of residence
Current residential address
Phone number
Travel history
Passport type —Please choose an option—Official PassportDiplomatic PassportId Card
Passport number
Issuing country
Place of issue
Date of issue
Date of expiry
Date of arrival
Have you been denied a Visa before? YesNo
Have you been deported before? YesNo
Have you been convicted in any country? YesNo
Are there any criminal proceedings against you? YesNo
Are you suffering from any mental illness? YesNo
Passport bio-data page (with validity of at least 6 months)
Recent Passport-size Photograph
Return Ticket
Vaccination Certificate (Yellow Fever)
