1 Step 1
KENYANS IN DISTRESS FORM

Field marked * are mandatory
Kindly note the the Mission does not offer financial assistance

First Nameyour first name
 
Middle Nameyour first name
 
Last Nameyour middle name
 
Passport NumberEnter your Passport Number
 
R NumberEnter R Number
 
Phone Numberyour Phone Number
 
Your address (where you are)- if detained give full details such as block number or reference 
 

NEXT OF KIN / CONTACT PERSON

First Nameyour first name
 
Last Nameyour middle name
 
Phone Numberyour Phone Number
 
Addressmore details
 
0 /  
Brief description of the nature of distress and immediate assistance required 
 
0 /  

NB. If you are detained, give consent for the mission to contact you.

Previous
Next