1625 K Street NW Suite 750 Washington DC Tel:

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1 1625 K Street NW Suite 750 Washington DC Tel: GEOEX@PinnacleTDS.com Visa requirements shown below are for U.S. citizens. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements for your itinerary. Visa # # Cost Late Req d Forms Photos Per Visa Fee Mali-Multiple 2 2 $ $90.00 Ghana-Single 2 2 $ $ Ghana-Multiple 2 2 $ $ Burkina Faso-Multiple 2 2 $ $90.00 Togo-Multiple 2 2 $ $40.00 Benin-Single 1 1 $ $40.00 Benin-Multiple 1 1 $ $40.00 Cote D Ivoire 2 2 $ $40.00 You must be in possession of a current Yellow Fever vaccination certificate for entry into the above countries. In addition to the per person combined service and consular fees shown above please include $30.00 to cover the FedEx return of your passport(s) within the continental U.S. ($30.00 for all other U.S. and Canadian addresses.) We strongly recommend that you use FedEx or another form of traceable shipping to forward your documents to our offices. You will need to enclose your actual passport along with the number of completed visa application forms and photographs indicated above for each country. Please also enclose two (2) clear photocopies of the vital information page of your passport. Photographs should be recently shot passport-type color photos with a clear background approximately 2 x 2 in dimension. (Note that machine or home digital photographs are not acceptable and photographs must be different than those in your current passport.) Your passport must generally be valid for a minimum of six (6) months beyond the completion of your travel unless otherwise indicated above. Contact PTDS directly for assistance with the renewal of or to add pages to your U.S. passport as this can easily be done at the same time that your visas are being processed. Please note that consular fees, shipping fees and application requirements are subject to change without notice. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

2 Applications for individual countries must be received in our offices no fewer than 30 days prior to your departure from your shipping address. (Contact PTDS directly regarding deadlines for requests that include more than one country.) Documents received after the deadline will be subject to the per person late fees shown for each country. Please contact PTDS before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees associated with processing your request. It may not be possible to cancel processing of your applications once they have been submitted. 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 your current passport Total number of completed visa application forms per person indicated Total number of passport-type color photographs per person indicated 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 Custom West Africa For the Date of Tour Departure: / / 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 FOR OFFICE USE ONLY GEOEX CUSTOM W AFRICA (MALI136/GHANA65MULTI105/BURKINAFASO145/TOGO145/BENIN145/COTE D IVOIRE155)79 FX 30 1PG VAL6MOS DL30 DYS % 2017 Pinnacle Travel Document Systems

3 IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least at least one (1) completely blank unused page available in your passport for each country you are visiting that requires a visa not including the pages at the back of your passport reserved for amendments and endorsements. You should also have at least one (1) additional blank page to accommodate entry/exit stamps for those countries that do not require a visa or two sets of facing blank visa pages if entering South Africa. In addition, your passport must be valid for at least six (6) months beyond completion of your international travel. If you are a U.S. citizen and need to renew your passport 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 fees) are $ 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 via or phone at GEOEX@PINNACLETDS.COM or and we will send you an instruction kit.

4 For Official Use N de Code Visa du Chef du Service Consulaire PASSPORT PICTURE PLEASE GLUE ONE PHOTO HERE ON EACH OF YOUR TWO FORMS. DO NOT STAPLE AMBASSADE DE LA REPUBLIQUE DU MALI AUX ETATS UNIS 2130 R STREET N.W. WASHINGTON D.C TEL: FAX: DEMANDE DE VISA D ENTREE AU MALI / MALI VISA APPLICATION FORM DOE NOM / LAST NAME: Jonathan Bonham SURNAME / PRENOM: 13 MAR 1961 DATE DE NAISSANCE / DATE OF BIRTH: Los Angeles CA USA LIEU DE NAISSANCE / PLACE OF BIRTH: USA NATIONALITE / CITIZENSHIP: Engineer PROFESSION / OCCUPATION: ABC International 4321 Main Street Anywhere CA LIEU D EMPLOI / EMPLOYER S ADDRESS: 1234 Main Street Anywhere CA ADRESSE PERMANENTE / PERMANENT ADDRESS: ADRESSE AU MALI / ADDRESS IN MALI: TELEPHONE / PHONE NUMBER: FAX / FAX: NOT APPLICABLE TOURISM-PREPAID TOUR MOTIF DU VOYAGE / PURPOSE OF THE TRIP: (PLEASE COMPLETE CAREFULLY AS YOUR VISA WILL BE DATE D ENTRÉE / DATE OF ARRIVAL : ISSUED BASED ON THIS INFORMATION) DUREE DU SEJOUR / LENGTH OF STAY: TYPE DE VISA/ TYPE OF VISA 3 MONTHS SINGLE ENTRY 3 MONTHS MULTIPLE ENTRIES 6 MONTHS MULTIPLE ENTRIES 1 YEAR MULTIPLE ENTRIES 5 YEARS MULTIPLE ENTRIES (US Citizens Only / Pending Eligibility) N DU PASSEPORT / PASSPORT NO: 10 MAY 2009 DELIVRE LE / ISSUED ON: 09 MAY 2019 EXPIRE LE / EXPIRE ON: SIGNATURE : DATE : PLEASE DO NOT FORGET TO SIGN AND DATE BOTH OF YOUR VISA APPLICATIONS GEOEX MALI

5 For Official Use Please check applicable box Visa No.: Type of Visa: Single Entry - $ 0.00 Date of Issue: Multiple Entries - $ 0.00 Charges: Issuing Officer: Single Entry (Rush) - $ 0.00 Multiple Entries (Rush) $ 0.00 (Don't mail cash) Affix passport Picture here Application for Ghana Entry Permit/Visa Embassy of Ghana, 3512 International Drive NW - Washington DC Website: Tel: (202) INSTRUCTIONS: 1. This form must be completed in and in capital letters and submitted recent passportsize pictures) at least Fourteen (14) days before the intended date of departure. 2. Full names and addresses of references/hotel (place of stay) in Ghana should be stated (including telephone numbers, if available). 3. Any information stated on the form and subsequently found to be incorrect may render entry permit/visa void. 4. Applicants applying by post/mail should provide trackable return self-addressed envelopes. 1. (a) Surname: DOE First Name (s): JONATHON BONHAM Previous Name (if applicable) MARRIED NAME IF APPLICABLE FOR MARRIED FEMALES (b)date of Birth: 13 MARCH 1961 (c) Place of Birth: LOS ANGELES, CALIFORNIA (d) Nationality: USA (e) Former Nationality (if any) NONE (f) Passport No.: (g) Date of Issue: 10 MAY 2005 (h) Place of Issue: US DEPT OF STATE (i) Date of Expiry: 09 MAY Profession/Occupation: ENGINEER 3. (a) Business Address & Tel. No. in the U.S.A: 4321 MAIN STREET ANYWHERE CA (b) Residential Address & Tel. No. in the U.S.A: 1234 MAIN STREET ANYWHERE CA Proposed date of departure for Ghana: 5. (a) Traveling by: Air Sea Land (b) Is applicant in possession of return ticket? YES Ticket No.: (c) Amount of Money Applicant is traveling with PRE-PAID TOUR-CREDIT CARDS-TRAVELERS CHECKS 6. Purpose of Journey: Business Tourism Employment Official Student Transit 7. Names, Addresses and Telephone Numbers of Two (2) references or place of residence in Ghana/Name(s) of Hotel: (very important) (i) TRANS AFRICA (ii) 8. If for employment, name and address of employer in Ghana NOT APPLICABLE 9. Duration of stay in Ghana: SEE YOUR PERSONAL ITINERARY 10. Date of last visit to Ghana: NOT APPLICABLE 11. Applicant s signature: Date of application: PLEASE BE SURE TO SIGN AND DATE BOTH COPIES OF YOUR VISA APPLICATION FORMS NB: PLEASE ENSURE YOU ENCLOSE YOUR PASSPORT WITH YOUR APPLICATION

6 EMBASSY OF BURKINA FASO 2340 Massachusetts Avenue, N.W. Washington D.C Tel: (202) Fax: (202) VISA APPLICATION Photo Visa n... (for Embassy use only) JOHNATHAN BONHAM DOE Mr., Mrs., Ms.... LOS ANGELES, CA. MARCH 13, 1961 (first name first, please print) Place and date of birth... USA Citizenship MAIN STREET ANYWHERE, CA ENGINEER Occupation Type of Passport : (check one) Regular Diplomatic Official Laissez-passer Passport number... 05/09/10 USA DEPT OF STATE 05/08/20 (name of issuing country or Authority) Number of entries requested... Transit to... NOT APPLICABLE Purpose of trip (check one) Tourism Conference Business Transit Family Other PRE PAID TOUR WITH GEOGRAPHIC EXPEDITIONS Are you accompanied by children? Yes No If yes, number... Ages... Date of departure from U.S.... Date of arrival in Burkina Faso... Arrival by : Flight Road Train Date of departure from Burkina Faso... HOTEL SALMANDE BP 4733 OUAGADOUGOU Address in Burkina Faso... Please include the following : Place and date of application... - original passport PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION - 2 copies of this form - 2 ID photos Signature of passport holder... - $100 up to 6 months multiple entries - $150 one year multiple entries payable in money order or company check only - yellow fever certificate - prepaid return self-addressed envelope with a tracking number VISA PROCESSING : 3 DAYS RUSH FEE : $ 50 - US citizen are eligible for 5 years multiple entries visa: fee $ Please note, all fees are non refundable

7 IT IS PERMISSABLE TO REPRODUCE THE COMPLETED VISA APPLICATION; HOWEVER YOUR SIGNATURE MUST BE ORIGINAL ON BOTH COPIES OF YOUR VISA APPLICATION. EMBASSY OF THE REPUBLIC OF TOGO 2208 Massachusetts Avenue, NW, Washington DC 2008 Phone: Fax: attach photo LIBERTE For Official Use: Visa #: Type of Visa: Date of Issue: Charges: Signature of Issuing officer: RT 1.(a) Applicant Surname: Previous names (if applicable): APPLICATION FOR REPUBLIC OF TOGO ENTRY PERMIT / VISA Applicant First names: b. Date of Birth: c. Place of Birth: d. Nationality / Current Citizenship: e. Former Nationality (if any) f. Other citizenships held/ previous citizenships: g. Passport date of issue: h. Passport Place of issue: i. Passport Number: j. Passport date of expiration: 2. Current Profession or Occupation: 3(a). Business address / phone / fax / e mail: 3(b). Residential address / phone / fax / e mail: 4. Proposed date of Departure: 5. Traveling by: Air Sea Land Is applicant in possession of a return ticket? Ticket issuer & number: 6. Purpose of journey: Business Tourism Employment Official 7. Names and addresses of two references: PER YOUR TOUR OPERATORS INSTRUCTIONS (i) (ii) DOE MARCH 13, 1961 (MARRIED WOMEN - MAIDEN NAME) USA 8. If for employment, name and address of employer: 9. Duration of stay: 10. Date of last visit: 11. Applicant signature: Date: N/A JOHNATHAN BONHAM LOS ANGELES, CA USA MAY 12, 2010 US DEPT OF STATE MAY 11, 2020 PER YOUR TOUR OPERATORS INSTRUCTIONS ENGINEER ABC INTERNATIONAL 1234 MAIN ST. ANYWHERE, CA JDOE@ABCINTERNATIONAL.COM 4321 MAIN ST. ANYWHERE, CA JDOE@ANYTHING.COM YES N/A N/A DO NOT FORGET TO SIGN AND DATE YOUR APPLICATIONS N/A

8 DOE MARRIED FEMALES ONLY JONATHAN BONHAM 13 MARCH 1961 Los Angeles CA USA USA M Main Street MAY NAT PSP CENTER ENGINEER 09 MAY 2015 DISCHARGED PYI TOURISM - PREPAID TOUR WITH GEOGRAPHIC EXPEDITIONS NO NOT APPLICABLE NOT APPLICABLE

9 NO NO PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION

10 DOE FOR MARRIED WOMEN JOHNATHAN BONHAM MARCH 13, 1961 LOS ANGELES, CALIFORNIA USA USA USA N/A MARRIED MAIN STREET, ANYWHERE CA. USA 1234 MAIN STREET, ANYWHERE CA. USA ENGINEER NOT APPLICABLE PER YOUR ITIN TOURISM NO NOT APPLICABLE NOT APPLICABLE

11 NO GEOGRAPHIC EXPEDITIONS 1008 GENERAL KENNEDY AVE SAN FRANCISCO CA PYI NO YES I AGREE PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATIONS

12 For Official Use N de Code Visa du Chef du Service Consulaire PASSPORT PICTURE AMBASSADE DE LA REPUBLIQUE DU MALI AUX ETATS UNIS 2130 R STREET N.W. WASHINGTON D.C TEL: FAX: DEMANDE DE VISA D ENTREE AU MALI / MALI VISA APPLICATION FORM NOM / LAST NAME: SURNAME / PRENOM: DATE DE NAISSANCE / DATE OF BIRTH: LIEU DE NAISSANCE / PLACE OF BIRTH: NATIONALITE / CITIZENSHIP: PROFESSION / OCCUPATION: LIEU D EMPLOI / EMPLOYER S ADDRESS: ADRESSE PERMANENTE / PERMANENT ADDRESS: ADRESSE AU MALI / ADDRESS IN MALI: TELEPHONE / PHONE NUMBER: FAX / FAX: MOTIF DU VOYAGE / PURPOSE OF THE TRIP: DATE D ENTRÉE / DATE OF ARRIVAL : DUREE DU SEJOUR / LENGTH OF STAY: TYPE DE VISA/ TYPE OF VISA 3 MONTHS SINGLE ENTRY 3 MONTHS MULTIPLE ENTRIES 6 MONTHS MULTIPLE ENTRIES 1 YEAR MULTIPLE ENTRIES 5 YEARS MULTIPLE ENTRIES (US Citizens Only / Pending Eligibility) N DU PASSEPORT / PASSPORT NO: DELIVRE LE / ISSUED ON: EXPIRE LE / EXPIRE ON: SIGNATURE : DATE :

13 For Official Use Please check applicable box Visa No.: Type of Visa: Single Entry - $ 0.00 Date of Issue: Multiple Entries - $ 0.00 Charges: Issuing Officer: Single Entry (Rush) - $ 0.00 Multiple Entries (Rush) $ 0.00 (Don't mail cash) Affix passport Picture here Application for Ghana Entry Permit/Visa Embassy of Ghana, 3512 International Drive NW - Washington DC Website: Tel: (202) INSTRUCTIONS: 1. This form must be completed in and in capital letters and submitted recent passportsize pictures) at least Fourteen (14) days before the intended date of departure. 2. Full names and addresses of references/hotel (place of stay) in Ghana should be stated (including telephone numbers, if available). 3. Any information stated on the form and subsequently found to be incorrect may render entry permit/visa void. 4. Applicants applying by post/mail should provide trackable return self-addressed envelopes. 1. (a) Surname: First Name (s): Previous Name (if applicable) (b)date of Birth: (c) Place of Birth: (d) Nationality: (e) Former Nationality (if any) (f) Passport No.: (g) Date of Issue: (h) Place of Issue: (i) Date of Expiry: 2. Profession/Occupation: 3. (a) Business Address & Tel. No. in the U.S.A: (b) Residential Address & Tel. No. in the U.S.A: 4. Proposed date of departure for Ghana: 5. (a) Traveling by: Air Sea Land (b) Is applicant in possession of return ticket? YES Ticket No.: (c) Amount of Money Applicant is traveling with PREPAID TOUR 6. Purpose of Journey: Business Tourism Employment Official Student Transit 7. Names, Addresses and Telephone Numbers of Two (2) references or place of residence in Ghana/Name(s) of Hotel: (very important) (i) TRANS AFRICA (ii) 8. If for employment, name and address of employer in Ghana 9. Duration of stay in Ghana: 10. Date of last visit to Ghana: 11. Applicant s signature: Date of application: NB: PLEASE ENSURE YOU ENCLOSE YOUR PASSPORT WITH YOUR APPLICATION GEOEX

14 EMBASSY OF THE REPUBLIC OF TOGO 2208 Massachusetts Avenue, NW, Washington DC 2008 Phone: Fax: attach photo LIBERTE For Official Use: Visa #: Type of Visa: Date of Issue: Charges: Signature of Issuing officer: RT APPLICATION FOR REPUBLIC OF TOGO ENTRY PERMIT / VISA 1.(a) Applicant Surname: Applicant First names: Previous names (if applicable): b. Date of Birth: c. Place of Birth: d. Nationality / Current Citizenship: e. Former Nationality (if any) f. Other citizenships held/ previous citizenships: g. Passport date of issue: h. Passport Place of issue: i. Passport Number: j. Passport date of expiration: 2. Current Profession or Occupation: 3(a). Business address / phone / fax / e mail: 3(b). Residential address / phone / fax / e mail: 4. Proposed date of Departure: 5. Traveling by: Air Sea Land Is applicant in possession of a return ticket? Ticket issuer & number: 6. Purpose of journey: Business Tourism Employment Official 7. Names and addresses of two references: (i) (ii) 8. If for employment, name and address of employer: 9. Duration of stay: 10. Date of last visit: 11. Applicant signature: Date:

15 EMBASSY OF BURKINA FASO 2340 Massachusetts Avenue, N.W. Washington D.C Tel: (202) Fax: (202) VISA APPLICATION Photo Visa n... (for Embassy use only) Mr., Mrs., Ms.... (first name first, please print) Place and date of birth... Citizenship... Occupation... Type of Passport : (check one) Regular Diplomatic Official Laissez-passer Passport number... (name of issuing country or Authority) Number of entries requested... Transit to... Purpose of trip (check one) Tourism Conference Business Transit Family Other PRE PAID TOUR WITH GEOGRAPHIC EXPEDITIONS Are you accompanied by children? Yes No If yes, number... Ages... Date of departure from U.S.... Date of arrival in Burkina Faso... Arrival by : Flight Road Train Date of departure from Burkina Faso... HOTEL SILMANDE BP 4733 OUAGADOUGOU Address in Burkina Faso... Please include the following : Place and date of application... - original passport - 2 copies of this form - 2 ID photos Signature of passport holder... - $100 up to 6 months multiple entries - $150 one year multiple entries payable in money order or company check only - yellow fever certificate - prepaid return self-addressed envelope with a tracking number VISA PROCESSING : 3 DAYS RUSH FEE : $ 50 - US citizen are eligible for 5 years multiple entries visa: fee $ Please note, all fees are non refundable GEOEX

16 TOURISM - PREPAID TOUR WITH GEOGRAPHIC EXPEDITIONS

17

18 TOURISM

19 GEOGRAPHIC EXPEDITIONS 1008 GENERAL KENNEDY AVE. SAN FRANCISCO CA GEOEX