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lmmisration
DepartmentISIIINDS
InternationaI Embarkation
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Welcome
to the&yman Islands
PLEASEPRINTCLEARLY
MR, MRS. MS,
LastName/Surnamo
Fi|BVGiven
Name
HomoAddress:
Postal/ Zip Code
Country
Countryof Cltlzonshlp:
PassportNumber:
DateofBlrth: -
Day
lt_
Month year
Fllght #:
SAMPLE
IMMIHELP.COM
Intended length of 3tay # of nlghts:
IMMIGRATION STAMP
Slgnaturo:
TO BE COMPLETED
BYVISITORSONLV
il
!
Hotel/cuestHouseI
ApartmenUcondo
l-l privateHome
il
PLEASEPRINTCLEARLY
Cltlzsnship
IMMIGRATIONSTAMP
Dateof Birth: -
lDay
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f_
Month
year
Eorofiiual use only
lmmigration
OfficerCaseNotes:
SAMPLE
IMMIHELP.COM
Secondary:
lmmigrationlaw (2001revision)regulation14(5)immigrationregulations(2001revision).
This documentconstitutesthe lawfulholder'sauthoritvto remainin the Cavmanlslands.
F l i g h t#
L X I T$ t ; i i , J t ]
T h e h o l d e rs h a l l :
(A) Retainit untilhis/herdeparturefrom the lslands.
(B) Produceit to a Constableor lmmigrationOfficerif calledupon to do so.
(C) Surrenderit to an lmmigrationOfficerat the time of his/herdeparture.
For immigrationenquiriespleasego to the lmmigrationDepartmenton ElginAvenue,
GeorgeTown or log on to www.gov.ky