Mozambique Visitor visa Application

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1 Mozambique Visitor visa Application Please enter your contact information Name: Tel: Mobile: The latest date you need your passport returned in time for your travel: Mozambique visitor visa checklist Filled out and signed Mozambique visitor visa application form. The form is enclosed. Original passport. Passport must have at least 6 months remaining validity on the date of travel and have at least 1 visa page clear of any markings. 2 Photographs. Standard passport photographs 35mm x 45mm on a white background. Payment. Credit Card Authorization form, Postal Order payable to VisaHQ.co.uk. Return mailer. Prepaid self-addressed return label or payment for Royal Mail. If you wish to prepay return shipping, please add the shipping fee to the total and provide return address: Royal Mail Special Delivery by 1 pm (Next Day) - from 9 Same day Central London courier delivery - from 12 Royal Mail Special Delivery Saturday Guarantee before 1pm (Next Day) - from 17 Royal Mail Special Delivery by 9 am (Next Day) - from 20 Royal Mail Special Delivery Saturday Guarantee before 9am (Next Day) - from 23 UK Next Day courier delivery - from 25 Name: Company: Address: City: Postal Code: Prepaid self addressed mailer - 0

2 Local pick up in test - 0 Itinerary. Copy of round trip tickets or confirmed itinerary. Bank Statement. Copy of a recent bank statement showing proof of sufficient funds. Hotel Reservations. Copy of confirmed hotel reservations including name of the applicant, name and address of the hotel, duration of stay. Invitation Letter. Copy of an invitation letter from family or friends in Mozambique and a copy of the their passport and visa.

3 Mozambique visitor visa fees for citizens of United Kingdom Type of visa Validity Processing time Embassy fee Service fee VAT Total Single Entry up to 30 days 4 business days Single Entry up to 30 days 24 Hours Single Entry up to 30 days 90 minutes Multiple Entry up to 90 days 4 business days Multiple Entry up to 90 days 24 Hours Multiple Entry up to 90 days 90 minutes This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

4 Credit Card Authorization Form By signing this form i accept VisaHQ.co.uk Terms of Service and authorize to charge my credit card for the amount of Name on the Credit Card: Credit Card number: Exp. date: / CVC: Credit Card Billing Address: Signature: Comments: Thank you! We accept all major credit cards.

5 PEDIDO DE ENTRADA EM MOÇAMBIQUE REQUEST FOR ENTRY VISA TO MOZAMBIQUE RECIBO Nº PREENCHER COM LETRA LEGÍVEL TO BE FILLED IN LEGIBLE LETTERS TEMPORÁRIA TEMPORARY UMA ENTRADA SINGLE ENTRY MÚLTIPLAS ENTRADAS MULTIPLE ENTRIES APELIDO SURNAME RESERVADO AOS SERVIÇOS FOR OFFICIAL USE NOME COMPLETO FULL NAME VISTO Nº DATA DE EMISSÃO VALIDADE NOME DE SOLTEIRA MAIDEN NAME PAÍS E LOCAL DE NASCIMENTO COUNTRY AND PLACE OF BIRTH DATA DE NASCIMENTO DATE OF BIRTH SEXO SEX ESTADO CIVIL MARITAL STATUS NACIONALIDADE NATIONALITY PASSAPORTE Nº PASSPORT NR. DATA DE EMISSÃO DATE OF ISSUE VALIDADE VALIDATY NACIONALIDADE DO PASSAPORTE PASSPORT NATIONALITY PROFISSÃO/OCUPAÇÃO PROFESSION/OCCUPATION CARGO QUE OCUPA POSITION YOU HOLD INSTITUIÇÃO, ORGANIZAÇÃO OU EMPRESA ONDE TRABALHA INSTITUTION, ORGANIZATION OR FIRM YOU WORK FOR ENDEREÇO DA RESIDÊNCIA PERMANENTE ADDRESS OF PERMANENT RESIDENCE TELEFONES (Incluindo o código de área) TELEPHONE (Including area code) FAX ESTEVE ALGUMA VEZ EM MOÇAMBIQUE? HAVE YOU EVER BEEN IN MOZAMBIQUE? JÁ FOI RESIDENTE EM MOÇAMBIQUE? HAVE YOU EVER BEEN A RESIDENT IN MOZAMBIQUE? PORQUE SAIU DE MOÇAMBIQUE? WHY DID YOU LEAVE MOZAMBIQUE INDIQUE AS INSTITUIÇÕES OU EMPRESAS A QUE ESTEVE LIGADO MENTION THE INSTITUTIONS AND COMPANIES TO WHICH YOU WERE ATTACHED SIM YES SIM YES NÃO NO NÃO NO DATA DE SAÍDA DATE OF EXIT O PREENCHIMENTO INCORRETO OU INCOMPLETO IMPLICA RESPOSTA TARDIA, DEVOLUÇÃO OU INDEFERIMENTO INCOMPLETE OR INCORRECT FILLING IN OF THIS FORM MAY RESULT IN DELAY, RETURN OR REJECTION 4 London, April 2013

6 DETALHE OS MOTIVOS DA ENTRADA EM MOÇAMBIQUE IN DETAIL GIVE REASONS FOR YOUR ENTRY IN MOZAMBIQUE TEMPO DE ESTADIA EM MOÇAMBIQUE LENGTH OF STAY IN MOZAMBIQUE FRONTEIRA DE ENTRADA ENTRY BORDER DATA DE ENTRADA DATE OF ENTRY FRONTEIRA DE SAÍDA EXIT BORDER DATA DE SAÍDA DATE OF EXIT ENDEREÇO DA HOSPEDAGEM EM MOÇAMBIQUE ADDRESS OF RESIDENCE IN MOZAMBIQUE PROVÍNCIA PROVINCE DISTRITO DISTRICT CIDADE CITY AVENIDA/RUA AVENUE/STREET CASA Nº HOUSE NR. NOME COMPLETO FULL NAME FAMILIARES/AMIGOS RESIDENTES EM MOÇAMBIQUE RELATIVES/ FRIENDS LIVING IN MOZAMBIQUE NACIONALIDADE NATIONALITY PARENTESCO RELATIONSHIP ENDEREÇO ADDRESS RESERVADO AOS SELOS RESERVED FOR STAMPS DATA DATE.../.../20... ASSINATURA DO REQUERENTE OU DA ENTIDADE SOLICITANTE APPLICANT S SIGNATURE OR OF APPLYING ENTITY ASSINATURA RECONHECIDA POR SEMELHANÇA A EXISTENTE NO Nº EMITIDO A EM RESERVADO AOS SERVIÇOS FOR OFFICIAL USE DATA DA RECEPÇÃO DATA DA ENTREGA... ASSINATURA DO FUNCIONÁRIO 5 London, April 2013

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