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January Mission Registration | Jan. 8-22

January Mission Registration

Total Trip Cost including flights: Approximately $2500

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Personal Data

Please fill out all the info below as accurately as possible because we will need this when submitting your visa application.

Name:*

First Last

Marital Status*

Spouse Name*

Do you have dual nationality?*

Yes

If yes, please state country*

If your country is not listed please check and verify that you need the visa or permit requested.

Former nationality (if applicable)

Choose the country of nationality in the list

City/Town of Birth*

State/Province of Birth*

Country of Birth*

Immigration status in country of residence*

Enter your current immigration status

Residential/Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Enter your phone number

Email*

Email address that will be used for the notifications

What forms of social media do you have?*

Please download What's App and register your phone number because we use this as the main method of communication while in Uganda and to share mission photos.

Facebook

Instagram

None/Other

Facebook Username*

Instagram Handle*

Additional Questions for Visa

Travel history*

List of the last five countries (or less) you visited or NONE if no countries were visited

Have you been denied a Visa before?*

Yes

If yes, please state country and why.*

Have you been deported before?*

Yes

If yes, please state country and why.*

Have you been convicted in any country?*

Yes

If yes, please state country and why.*

Are there any criminal proceedings against you?*

Yes

If yes, please state country and why.*

Are you suffering from any mental illness?*

Yes

If yes, please describe.*

Documents Required (See examples at bottom of page)

Do you have your passport?*

Yes

No, but I will by Dec. 31, 2024.

Please note, we need 2 weeks to process your registration form, apply for your visa, and receive your visa approval letter. Passport is required for visa application.

Upload Your Passport Info Page*

Max. file size: 128 MB.

See example below. PDF or JPEG is preferred.

Upload Your Selfie Photo*

Max. file size: 128 MB.

See example below. JPEG is preferred.

Do you have your Yellow Fever vaccine certificate?*

Yes

No, I will get it at Entebbe Airport in Uganda.

Upload Your Yellow Fever Vaccine Certificate*

Max. file size: 128 MB.

See example below. PDF or JPEG is preferred.

Airport Info

Upon registration you will be automatically connected to our travel agent for booking your flights.

List airports in your area that you would fly out of.*

United Airlines Frequent Flyer Number:

Delta Airlines Frequent Flyer Number:

American Airlines Frequent Flyer Number:

Global Entry/TSA-Pre Number:

Payment for Mission Trip (Not including Flights)

This cost of $895 does not include flights! You will pay for that separatly to the travel agent who will recieve your information upon registration and work with you directly.

I will be paying by:*

Check

Credit Card

Visa Fee & Registration*

Price:

Lodging/Food/Water/Ground Transport*

Price:

Trip Cost from Gospel Express (Not including flights)

Check Details

Please make checks payable to Gospel Express, memo "January Uganda Mission" and mail to:
Gospel Express Ministries | PO Box 217 | Lynn, NC 28750