Tanzania & Kenya Flying Safari

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1 1625 K Street NW Suite 750 Washington DC Tel: TRAVCOA@PinnacleTDS.com Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary. Tanzania & Kenya Flying Safari Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Expedite Fee Per Person Kenya 1 2 Tanzania 1 2 $ $ days prior to your departure $ Cost for each person beyond the first two will be $ Please use enclosed sample information verbatim and substitute your personal information. Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) via FedEx within the continental U.S. (Please add $30.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service. Please enclose your actual passport along with four (4) photographs, one (1) completed visa application form for Tanzania and one (1) completed manual visa application form for Kenya. Please also enclose two (2) clear photocopies of the vital information page of your passport and a copy of your flight or tour itinerary showing entry/exit to Kenya. Photographs should be recently shot passporttype color photos with a clear background approximately 2 x 2 in dimension. (Note that machine or home photographs are not acceptable and photographs must be different than those in your current passport.) Your passport must be valid for a minimum of six (6) months beyond the completion of your international travel and must have at least four (4) blank unused pages available, not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of or to add pages to your U.S. passport, as this can easily be done at the same time you apply for your visas. Applications must be received in our offices no fewer than 30 days prior to your departure from your shipping address. Documents received after the deadline will be subject to the per person expediting fee shown above. Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted. Please note that consular fees, shipping fees and application requirements quoted are subject to change without notice. Check and credit card payment accepted. Credit card payment subject to 3.5% surcharge.

2 PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC Your actual passport (Please keep a photocopy for your records.) This completed form Two (2) photocopies of the vital information page of you current passport One (1) completed manual visa application form per person for Kenya One (1) copy of your paid flight and/or tour itinerary showing entry/exit to Kenya Two (2) passport-type color photographs per person Credit or debit card authorization below PLEASE PRINT CLEARLY Full Name (1): Full Name (2): Passport #: Exp: / Passport #: Exp: / Mo Yr Mo Yr Home Home Tel: Mailing Work Tel: Address: (FedEx cannot deliver to PO boxes) Date of Departure from Home: / / Month Day Year Address Tour: Kenya & Tanzania Flying Safari For the Date of Tour: / / Month Day Year Return of Special Instructions: Passport: Tel: Please indicate below if there are known periods prior to your tour during which you will need your passport for another international trip or when you will not be available to sign for the return of your passport. I will need my passport(s) for other international travel from / / to / / Month Day Year Month Day Year I will not be at my home and/or return shipping address from / / to / / Month Day Year Month Day Year CREDIT CARD AUTHORIZATION: AMEX / VISA / MC (please circle one) Cardholder Name: Signature: Billing Zip Code: Card #: CID# Expires: / Amount: US$ Mo Yr TRAVCOA PJ FLYING SAFARI (Kenya52.50/TANZ105) /575 FX30 4 PGS VAL6MOS DL45DYS % 2016 Pinnacle Travel Document Systems

3 ONLINE ORDER COMPLETION & AUTOMATED UPDATES: If you have not already done so please complete your order online. This will allow you to create an inbound FedEx shipping label to securely send your documents to us and pay all required fees online. This will also allow you to receive automated updates regarding the progress of your documents. Please locate and click on the name or number of your specific program at the link below to complete your order. IMPORTANT NOTICE - PASSPORT PAGES & VALIDITY: You must have at least four (4) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid for six (6) months beyond the completion of your international travel. If you are a U.S. citizen and do not have the adequate number of pages or validity you will need to renew your passport since the U. S. Passport Agency will no longer add pages. Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for this service (including U.S. government expediting fee) is $ for passport renewals and second passports. We can also assist you with expediting first time passport applications. You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site: Passport Renewals First Time Passports Second Passports You may also contact us at Travcoa@PinnacleTDS.com or and we will send you an instruction kit.

4 Kenya Visa Application Sample Data Input Traveler Information First Name: Johnathan Middle Name: Bonham Last Name: Doe Gender: Male Father s Name: Johann Sebastian Doe Mother s Name: Joanna Bach Doe Spouses Name: Jane Austin Doe Date of Birth (mm/dd/yyyy): 03/13/1961 Place of Birth: Los Angeles, CA. Country of Birth: Current Occupation: Engineer Nationality & Residence Country of Nationality: Country of Residence: Street Address: 1234 Main St. City/Town: Anywhere State: California Zip Code: Phone Number: Address: Jdoe@anywhere.com Passport Information Passport Number: Place of Issue: US Dept. of State Date of Issue (mm/dd/yyyy): 09/10/2010 Date of Expiration (mm/dd/yyyy): 09/09/2020 Issuing Authority: US Dept. of State Travel Information Number of Entries: Per Your Itinerary Reason for Entry: Tourism Proposed Date of Entry (mm/dd/yyyy): Per Your Itinerary Proposed Date of Departure (mm/dd/yyyy): Per Your Itinerary Name of contact in country: Pollmans Tours & Safari s Limited Address of contact in country: PO Box 81498, Shimanzi, Mombasa Kenya Telephone number of contact in country: address of contact in country: Pollmans@pollmans.co.ke Dates and duration of stay for visits to other countries in last 3 months: England, France Dates and duration of previous visits to Kenya: N/A Will you be returning to your country of residence? Yes/No Have you ever been denied entry to Kenya? Yes/No Have you ever been denied entrance to another country? Yes/No Have you ever been convicted of any criminal offense? Yes/No Arriving by: Ship/Air/Road (Circle per your itinerary) Point of Entry to Kenya: Per Your Itinerary

5 Manual Visa Application Form for Kenya PLEASE PRINT CLEARLY. REFER TO THE SAMPLE DATA INPUT FORM FOUND IN YOUR VISA KIT WHILE COMPLETING THIS FORM. USE SAMPLE INFORMATION VERBATIM AND SUBSTITUTE YOUR PERSONAL INFORMATION. COMPLETE ALL QUESTIONS. DO NOT LEAVE ANY BLANK. Traveler Information First Name: Middle Name: Last Name: Gender: Father s Name: Mother s Name: Spouses Name: Date of Birth (mm/dd/yyyy): Place of Birth: Country of Birth: Current Occupation: Your name MUST match your passport EXACTLY Nationality & Residence Country of Nationality: Country of Residence: Street Address: City/Town: State: Zip Code: Phone Number: Address: Passport Information Passport Number: Place of Issue: Date of Issue (mm/dd/yyyy): Date of Expiration (mm/dd/yyyy): Issuing Authority:

6 Travel Information REFER TO THE SAMPLE DATA INPUT FORM FOUND IN VISA KIT Number of Entries: Reason for Entry: Tourism Proposed Date of Entry (mm/dd/yyyy): Proposed Date of Departure (mm/dd/yyyy): Name of contact in country: Address of contact in country: Telephone number of contact in country: address of contact in country: Dates and duration for visits to other countries in last 3 months: Dates and duration of previous visits to Kenya: Will you be returning to your country of residence? Yes/No Have you ever been denied entry to Kenya? Yes/No Have you ever been denied entrance to another country? Yes/No Have you ever been convicted of any criminal offense? Yes/No Arriving by: Ship/Air/Road Point of Entry to Kenya:

7 FOR OFFICIAL USE ONLY GRR NO. VISA NO. Ref. NO. THE EMBASSY OF THE UNITED REPUBLIC OF TANZANIA R Street, NW Washington, DC, Tel. (202) and (202) Fax (202) VISA APPLICATION FORM. (Visa Regulations on the next page). 2 Passport Size Photograph Size: 2x2 Do not paste or staple PLEASE PAPERCLIP 1. Surname or Family Name (Mr./Mrs./Miss/Ms/Dr./Prof.) DOE First Names in Full Jonathan Bonham Former or Maiden Name (if different from above) MARRIED FEMALES ONLY 2. Date of Birth (DD/MM/YY) Sex 13/03/1961 (M/F) M 3. Place of Birth Country Los Angeles CA of Birth Current Nationality (State if Dual Nationality) Nationality at Birth 4. Marital Status (Mark): Single Married Divorced Widowed Legally Separated. 5. Passport No Date Issued Valid 10 MAY 05 Until 09MAY15 Issued At Issuing USDS Authority US DEPT OF STATE 6. Profession/Occupation Engineer Employer Address: 4321 Main Street Anywhere CA Current Address 1234 Main Street Anywhere CA Tel. Fax NONE JDoe@anywhere.net 8. Name of Travel Agent/Tour Operator TRAVCOA 9. Contact Person(s) in Tanzania RITA PIRES ASILIA LODGES Address PO BOX 1111 ARUSHA TANZANIA 10. Date of Entry Depature PER YOUR ITINERARY Date PER YOUR ITINERARY Duration of Stay PER YOUR ITINERARY (Max. 90 Days) Type of Visa Requested Travel Visa Transit Visa 11. Purpose of visit. 12. Requested Number of Entries: Single Double Multiple. 13. In Case Of Transit: Do you have an Entry Permit for the Final Country of Destination? No Yes Valid Until: 14. Budget Available For Your Stay PREPAID TOUR WITH TRAVCOA 15. I Hereby Declare That The Information Stated Above Is True And Correct : PLEASE DO NOT FORGET TO SIGN & DATE YOUR APPLICATION Signature of Applicant Date LEAVE BLANK - NOT APPLICABLE TRAVCOA IJ

8 TRAVCOA RITA PIRES ASILIA LODGES PO BOX 1111 ARUSHA TANZANIA PRE PAID TOUR WITH TRAVCOA TRAVCOA ij

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