Fillable Form One: - - REPUBLIC OF GHANA M

Fill Online, Printable, Fillable, Blank Form One: - - REPUBLIC OF GHANA M Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form One: - - REPUBLIC OF GHANA M

On average this form takes 30 minutes to complete

The Form One: - - REPUBLIC OF GHANA M form is 2 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 109 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Pages 1 of 2
TYPE OF APPLICANT * :
CITIZEN PERMANENTLY RESIDENT
PERSON WITH RESIDENCE PERMIT
TYPE OF REQUEST*:
Issuance
Update Replacement
Date of Application
(DD/MM/YYYY)*:
/ /
- -
EXISTING NID NUMBER
Interviewer
NID No.*:
Registration
Centre Number*:
MRW Number*:
SURNAME *:
FORENAMES *: (First name and Other Names)
PREVIOUS OR MAIDEN NAMES :
SEX *:
Marital
Status *:
Single
Married
Divorced
Widowed
Level of Education *:
None
Basic
Secondary
Tertiary
Higher
Height *
(cm) :
Colour of Eyes * :
Colour of Hair * :
Disability
Code :
OCCUPATION * :
RESIDENTIAL ADDRESS * :
Village :
Town :
District :
State :
Region :
Country :
House
No.:
Street
Name :
Community
Area Name :
ZIP/Postal
Code :
Postal
Address :
Digital Address
Code :
1
2
4
5
6
- -
M
Re-Issue
Legally Separated
3
Full Name of Father :
Nationality
Village :
Town :
District :
State :
Region :
Country :
Is Father alive ?
Yes
No
FATHER’S HOME TOWN :
8
Birth Certicate No.
/ /
DATE OF BIRTH * (DD/MM/YYYY)
If Estimated
Date of Birth :
Current
Nationality *:
Nationality
at Birth *:
PLACE OF BIRTH
Village :
Town :
District :
State :
Region :
Country:
HOMETOWN * :
Village :
Town :
District :
State :
Region :
Country:
LANGUAGE(S) SPOKEN :
1
8
2
9
3
10
4
11
5
12
6
13
7
14
Village :
Town :
Region :
Country :
MOTHER’S HOME TOWN :
Full Name of Mother :
Nationality
Is Mother alive ?
Yes
No
Mother’s Maiden Name :
District :
State :
7
Date Issued (DD/MM/YYYY)
/ /
Form One
(regulation 3(1))
REPUBLIC OF GHANA
NATIONAL IDENTIFICATION AUTHORITY
NATIONAL IDENTITY CARD APPLICATION FORM
REFUGEE
9
APPLICANT’S PARENTAGE * :
Next of Kin :
Address :
Pages 2 of 2
Other Country
of Nationality :
DUAL CITIZENSHIP ONLY :
Dual Nationality
Certicate No. :
Date Joined (DD/MM/YYYY)
Date Issued (DD/MM/YYYY)
Date Issued (DD/MM/YYYY)
Expiry Date (DD/MM/YYYY)
Date Issued (DD/MM/YYYY)
/ /
/ /
/ /
/ /
/ /
SSNIT No.
Voter ID No.
Passport No.
National Health Insurance Scheme No.
Driver Licence No.
VERIFICATION DOCUMENT (TYPE) :
APPLICANT’S SIGNATURE
OR THUMBPRINT *
Printing Sequence Number
* : Mandatory to ll
13
Interviewer’s Signature
15
/ /
Tax Identication Number (TIN)
Date Issued (DD/MM/YYYY)
Document No. / NID :
/ /
Date Issued (DD/MM/YYYY)
/ /
Date of First
Residence in Ghana *:
/ /
Issue Date of Last
Residence Permit :
/ /
Expiry Date of Last
Residence Permit :
Employer
Name :
Employer Tel
Number 1 :
Employer Tel
Number 2 :
Employer
Address :
11
NON CITIZEN ONLY :
16
12
INSTITUTIONAL Ids :
NATURALIZATION / REGISTRATION CERT. NO.:
Email
Address :
Local Phone
Numbers :
1
Foreign
Numbers :
3
1
2
4
2
14
Challenged :
10
[ ]
I declare that all the information presented for this application is true and correct and that all documents that I have provided for the purposes of this application
are genuine.
I understand that if any information I have provided for this application is false or incorrect, I will be liable to prosecution in accordance with Section 40 of the
National Identity Register Act, 2008 (Act 750) as well as any other law or regulation which may be in force at the time.
I understand that the information and documents I have provided in respect of this application are stored and handled by the NIA and I have the right to have
them updated should they change.
I declare that all the information contained in this application form has been read, interpreted and explained to me in a language I understand and I perfectly
understood and approved same before my hand was guided to make my mark.
(Note: In case of more than ve (5) Spouses, please use Spouses Form)
2. Full Name :
Nationality :
3. Full Name :
Nationality :
4. Full Name :
Nationality :
5. Full Name :
Nationality :
SPOUSE(S) LIST :
1. Full Name :
Nationality :
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form One: - - REPUBLIC OF GHANA M

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 January 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document