Registration of Ghanaians in The Netherlands Please submit this form with two passport size photographs and a copy of your passport 1. Surname (Mr./Mrs./Ms./Miss) (required) 2. Other Names (optional) 3. Gender MaleFemale 4. Marital Status (required) 5. Date of Birth (required) 6. Place of Birth (required) 7. City of Residence (e.g. Amsterdam, The Hague, etc.) (required) 8.a. Passport Number (required) 8.b. Date of Issue of Passport (required) 8.c. Place of Issue of Passport (required) 9. Residential Address in The Netherlands + Telephone No (required) 10. Name and Address of Next of Kin in The Netherlands + Telephone No (required) 11. If Employed in The Netherlands, Give Address of Employer + Telephone No (optional) 12. Postal Address in Ghana (required) 13. Residential Address in Ghana (required) 14. Photograph copy (required) 15. Passport copy (required)