Print, sign and bring it with you




To the Ofie Support Unit (NGO) Director

The undersigned (name and surname as written in the passport):

Gender

Born in

Born on ____ /____ /________    

Resident (city/town)

Address

Postal code

Citizenship

ID

Passport number

Phone number

E-mail address

I hereby agree to assume all responsibility regarding my stay in Ghana to support directly or indirectly the activities of Ofie Support Unit (NGO).
I also declare that all the acts and formalities required by the laws of my country and by those of the Republic of Ghana to undertake this trip have been completed.
I declare to be fully aware that I'm going in a Municipality area of Ghana (in a rural area of Africa): I am fully
aware about the difficulties and social-health precautions that this permanence implies.
I declare that I have agreed upon with skilled medical specialists an appropriate antimalarial prophylaxis.
I declare that I do not have health problems which would endanger myself or others during my stay.
I declare that I will behave and operate in full respect of the Republic of Ghana laws, and I will be respectful of local customs.
I declare that I am not moved by any political purpose, neither overt nor covert.
I declare to be in possession of an appropriate insurance to carry out voluntary activities - or for travel in case of exclusive stay.
I remove any legal responsibility regarding my physical health during my stay from Ofie Support Unit NGO and any individual associated.
If traveling with family and minors: I hereby assume full and complete responsibility for myself and any minor children or family member for whom I am responsible.
I promise to carefully manage my activities, volunteering and leisure, and the protection of my person, avoiding risky behavior for me and for others .
I declare that I understand that I am going to another country, different from mine, and I am going to face a new cultural and social life experience.
I will be responsible, sympathetic and collaborative.


Date: ____ /____ /________



Full and legible signature



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