VISA APPLICATION FORM

Grenada High Commission Tel. No. 020 – 7290 – 2275Lauderdale House, 8 Queen Street Fax No. 020 – 7409 – 1031London, W1X 7PHE – mail: grenada@high-commission.freeserve.co.ukVISA APPLICATION FORM(To be completed in Block Letters)Visa Application number(1). Name as shown in Passport: Surname:First Name:(2). Gender: Male Female Date of Birth(3). Place & Country of Birth:DayMonth YearPlaceCountry(4). Passport details:NumberPlace of issueDate of issueExpiry dateDay Month YearDay Month Year(5). Nationality at Present At Birth(6). Present Address & Tel no.:(7). Permanent Address (if different from above)(8). Marital Status: Married Single(9) If married, Spouse’s Name:Divorced or Widowed1

(10) Dependent Children:Name: Date of Birth Place of Birth(11). Occupation PostEmployer’s AddressDay Month Year(12) Reason(s) for proposed travel:(13) Duration of Stay:From:To:(14) Address during Stay:(15). If on Business, Names & addresses of references:(16). Signature & date of applicant:REMARKS:FOR OFFICAL USE ONLYDATE: ………………………….. SIGNATUER OF ISSUING OFFICER: …………………2

HIGH COMMISSION FOR GRENADALondonAPPLICATION FOR A VISAIMPORTANTINSTRUCTIONS AND INFORMATION(Please read carefully)PURPOSE OF A VISAThis SINGLE entry visa only enables the holder to proceed to the port of entrybefore the expiry date of the visa issued, where the holder MUST comply with theLaws, regulations and requirements of the Immigration Officials of theGovernment of Grenada. Applicants are advised to seek informationregarding regulations and the processing procedures with the High Commissionfor Grenada, before making fixed travel arrangements.ENTRY & VISA REQUIREMENTS A valid passport/travel document – all passports/travel documents MUSThave at Least [6] six months validity before travel. [Photocopies areNOT accepted] A valid visa A return/onward ticket 2 photos [when applying for a visa] Fee £35.00 [foreign currencies are NOT ACCEPTABLE – payments MUSTbe in the form of Pound Sterling Notes or Sterling Postal Orders] Please ensure that you include postage of £4.00 if unable to collect thecompleted passport and wish it to be posted.