Dear Valued Client, Visa application requirements; Instructions for shipping your application to CVSC; CVSC Order Form;



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Dear Valued Client, Thank you for choosing CVSC for your passport and travel visa need. The following visa application kit provides information ensuring that your visa application is smoothly processed. Please go through the information carefully and make sure all instructions are followed. Included in this application kit are: Visa application requirements; Instructions for shipping your application to CVSC; CVSC Order Form; Visa Application Form for your destination country; Other required documents. If you have any questions during your application process, please call 1-800-799-6560 to speak with a customer service representative. CVSC is a member of the Better Business Bureau with an A+ rating. You can rest assured that your passport is always handled by highly reliable professionals. We are committed to providing you with an easy and fast visa application experience. We appreciate your business and look forward to helping you with your travel visa application. Sincerely, Anthony Varner Customer Service Manager 1

Mozambique Visa Requirements You need to provide the following documents for a Mozambique Visa: Your Passport You must send your actual passport, not a copy of it. Your passport must be valid for at least 6 months beyond the validity of your requested visa, and at least two blank visa pages (amendments and endorsement pages cannot be used for a visa). Passports must also be in good condition and not altered in any way. If your passport does not meet these requirements, please contact CVSC for further instructions. Photograph You must provide one color, passport-type photograph. The photo must be 2 inches by 2 inches and printed on photo paper, with a white background. Photos printed on regular papers are not accepted and may cause delay in processing your order. Mozambique Visa Application Form You must provide one completed Visa Application Form for Mozambique, which must be completely filled, signed and dated. Do not leave any areas blank but instead write "N/A". Business Letter (For Business Visa Only) You must provide a Business Letter that is printed on your company s letterhead. The letter must: Display your full name, nationality and job title Display your company s US address Specify the exact purpose of your trip Specify the number of entries requested and the length of each stay Include your specific entry and exit dates Indicate the sponsorship and other financial arrangements Click here to see a sample business letter. CVSC Order Form Fill out the attached CVSC Order Form, one form per group. You must include payment information and provide an email address and a day-time phone number where you can be easily reached. Your order will be delayed if you cannot be reached by phone in case we need to contact you with any application issues. 2

Mozambique Visa Requirements Special Requirements That May Apply to You: For Non-U.S. Citizens You must have a green card or long term US visa (B1/B2 visa is not accepted). If you have dual citizenship and wish to apply for a travel visa in the US, you must use your US passport. If you have a green card, you must send a copy of your green card. Processing Fees: CVSC Service Fees: The following fees are for CVSC s professional services. Service fees are charged one per item. Final costs are determined by the level of service requested. Standard Service (8+ business days) $ 59.00 per visa Express Service (5-7 business days) $ 99.00 per visa Rush Service (1-4 business days) $129.00 per visa Consular Fees: Single-entry (Regular) $ 60.00 per visa Single-entry (Express) $ 70.00 per visa Single-entry (Rush) $ 80.00 per visa Double-entry (Regular) $ 90.00 per visa Double-entry (Express) $ 100.00 per visa Double-entry (Rush) $ 110.00 per visa Multiple-entry for 90 days stay (Regular) $ 90.00 per visa Multiple-entry for 90 days stay (Express) $ 100.00 per visa Multiple-entry for 90 days stay (Rush) $ 120.00 per visa Payment Method: CVSC service fees can be paid with credit card only. Consular fees must be paid in money order payable to Embassy of Mozambique. If you choose to have CVSC submit payment for the consular fees on your behalf, an additional $15 will be charged to your credit card, and your application may be delayed. Customer Service: If you need any assistance with your application, please contact us by email: service@passportcenter.net, or by phone at 1-800-799-6560 during our normal business hours. For detailed information and to view our Terms & Conditions, please visit www.passportcenter.net. 3

Shipping Instructions We recommend that applications be sent to a designated CVSC office via a secure and traceable courier, such as FedEx, UPS or USPS Express Mail or Certified Mail. DO NOT send important documents such as your passport through regular mail. Please send your Visa Application to the following address: CVSC 2233 Wisconsin Avenue NW Suite 301 Washington, DC 20007 202-333-0100 4

Order Form 1-800-799-6560 www.passportcenter.net TRAVEL INFORMATION Need Passport Back By (mm/dd/yy) Departure Date (mm/dd/yy) Expedite My Visa with Standard Service Express Service Rush Service APPLICANT INFORMATION (Use separate piece of paper to list more names if necessary.) Name Phone Number Passport Number MAIN CONTACT INFORMATION (Whom do we contact for this order?) Name Phone Number Email VISA SERVICE Country #1 Country #2 Country #3 Visa Type Tourist Business Other (please specify) Number of Entries Single Double Multiple PASSPORT RETURN METHOD Ship documents to the address below Pick up at CVSC office Name Address Address Phone Number Choose a FedEx Service: $29.00: Overnight $38.00: To AK, HI and PR $38.00: Saturday Delivery $68.00: First Overnight $75.00: International Priority City/State /Zip Country The above address is Business Residential Delivery Option: Deliver Without Signature Signature Required ($3) PAYMENT METHOD Card Number Exp. Date Name on Card Billing Address Signature 5

PEDIDO DE ENTRADA EM MOCAMBIQUE REQUEST FOR ENTRY VISA TO MOZAMBIQUE RECIBO PREENCHER COM LETRA LEGIVEL RESERVADO AOS SERVICOS: TO BE FILLED IN LEGIBLE LETTERS FOR OFFICIAL USE: VISTO UMA ENTRADA Single entry DUPLAS ENTRADAS Double entry MULTIPLAS ENTRADAS Multiple entries DATA DE EMISSAO.../.../.. VALIDADE./.../ APELIDO Surname NOME COMPLETO Full name NOME DE SOLTEIRA Maiden name PAIS E LOCAL DE NASCIMENTO Country and place of birth DATA DE NASCIMENTO Date of birth SEXO Sex ESTADO CIVIL Marital status NACIONALIDADE Nationality PASSAPORTE Passport PROFISSAO/OCUPACAO Profession/Occupation DATA DE EMISSAO Date of issue / /. Validade Validity / /. CARGO QUE OCUPA Position you hold NACIONALIDADE DO P.te P.te nationality INSTITUICAO, ORGANIZACAO OU EMPRESA ONDE TRABALHA Institution, organization or firm you work ENDERECO DA RESIDENCIA PERMANENTE Address of the permanent residence ESTEVE ALGUMA VEZ EM MOCAMBIQUE? SIM NAO Have you ever before been in Mozambique? Yes No JA FOI RESIDENTE EM MOCAMBIQUE? SIM NAO Have you ever been a resident in Mozambique? Yes No PORQUE SAIU DE MOCAMBIQUE? DATA DE SAIDA Why did you leave Mozambique? Date of exit }./../. INDIQUE AS INSTUICOES E EMPRESAS A QUE ESTEVE LIGADO Mention the institutions and firms to which you were attached O PREENCHIMENTO INCORRECTO OU INCOMPLETO IMPLICA RESPOSTA TARDIA, DEVOLUCAO OU INDEFERIMENTO INCOMPLETE OR INCORRECT FILLING IN OF THIS FORM MAY RESULT IN DELAY DEVOLUTION OR REJECTION

DETALHE OS MOTIVOS DA ENTRADA EM MOCAMBIQUE In detail give reasons for your entry in Mozambique TEMPO DE ESTADA EM MOCAMBIQUE Length of stay in Mozambique FRONTEIRA DE ENTRADA Entry border DATA DE ENTRADA Date of entry././ FRONTEIRA DE SAIDA Exit border DATA DE SAIDA Date of exit././ ENDERECO DA HOSPEDAGEM EM MOCAMBIQUE Address of residence in Mozambique PROVINCIA Province DISTRITO District CIDADE City AVENIDA/RUA Avenue/street CASA House FAMILIARES/AMIGOS RESIDENTES EM MOCAMBIQUE Relatives, friends living in Mozambique NOME COMPLETO Full name NACIONALIDADE Nationality PARENTESCO Relationship ENDERECO Address RESERVADO AOS SELOS Reserved for stamps DATA... Date }././.. ASSUNATURA DO REQUENTE OU DA ENTIDADE SOLICITANTE Signature of applicant or of the applying entity ASSINATURA RECONHECIDA POR SEMELHANCA A EXISTENTE NO..... EMITIDO A.../ / EM RESERVADO AOS SERVICOS For official use DATA DE RECEPCAO.../ /.... ASSINATURA DO FUNCIONARIO DATA DE ENTREGA.../ /.