Mozambique Visitor visa Application

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VisaHQ.co.uk Ltd., 18 Spring Street, London W2 3RA T: 0800 567 7692 E: [email protected]

Mozambique Visitor visa Application

Please enter your contact information Name:

Email:

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 Prepaid self addressed mailer - £0

Name: Company: Address:

City: Postal Code:

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Mail documents to: VisaHQ.co.uk Ltd. 18 Spring Street London W2 3RA Tel: 0800 567 7692

VisaHQ.co.uk Ltd., 18 Spring Street, London W2 3RA T: 0800 567 7692 E: [email protected] 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.

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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 £40.00 £34.95 £6.99 £81.94

Single Entry up to 30 days 24 Hours £50.00 £49.95 £9.99 £109.94

Single Entry up to 30 days 90 minutes £60.00 £49.95 £9.99 £119.94

Multiple Entry up to 90 days 4 business days £70.00 £34.95 £6.99 £111.94

Multiple Entry up to 90 days 24 Hours £100.00 £49.95 £9.99 £159.94

Multiple Entry up to 90 days 90 minutes £110.00 £49.95 £9.99 £169.94

This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

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Mail documents to: VisaHQ.co.uk Ltd. 18 Spring Street London W2 3RA Tel: 0800 567 7692

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!

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4 London, April 2013

.../.../... TEMPORÁRIA TEMPORARY UMA ENTRADA SINGLE ENTRY VALIDADE .../.../... MÚLTIPLAS ENTRADAS MULTIPLE ENTRIES APELIDO SURNAME NOME COMPLETO FULL NAME 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 E-MAIL

ESTEVE ALGUMA VEZ EM MOÇAMBIQUE?

HAVE YOU EVER BEEN IN MOZAMBIQUE?

SIM

YES

NÃO

NO

JÁ FOI RESIDENTE EM MOÇAMBIQUE?

HAVE YOU EVER BEEN A RESIDENT IN MOZAMBIQUE?

SIM

YES

NÃO

NO

PORQUE SAIU DE MOÇAMBIQUE?

WHY DID YOU LEAVE MOZAMBIQUE

DATA DE SAÍDA

DATE OF EXIT

.../.../... INDIQUE AS INSTITUIÇÕES OU EMPRESAS A QUE ESTEVE LIGADO

MENTION THE INSTITUTIONS AND COMPANIES TO WHICH YOU WERE ATTACHED

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

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5 London, April 2013

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

DATA DE ENTRADA DATE OF ENTRY .../.../... DATA DE SAÍDA DATE OF EXIT .../.../... FRONTEIRA DE ENTRADA ENTRY BORDER FRONTEIRA DE SAÍDA EXIT BORDER

ENDEREÇO DA HOSPEDAGEM EM MOÇAMBIQUE

ADDRESS OF RESIDENCE IN MOZAMBIQUE

PROVÍNCIA PROVINCE DISTRITO DISTRICT CIDADE CITY AVENIDA/RUA AVENUE/STREET CASA Nº HOUSE NR.

FAMILIARES/AMIGOS RESIDENTES EM MOÇAMBIQUE

RELATIVES/ FRIENDS LIVING IN MOZAMBIQUE

NOME COMPLETO FULL NAME 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

.../.../...

... ASSINATURA DO FUNCIONÁRIO

DATA DA ENTREGA .../.../...