mozambique mozambique - Visa Services Canada

MOZAMBIQUE
MOZAMBIQUE
1
REG
VISA SERVICES CANADA
WWW.VISASERVICESCANADA.CA
VISA APPLICATION FEES FOR MOZAMBIQUE
*** Visa fees and times are subject to change by embassies without notice ***
BUSINESS VISA - TOURIST VISA
Single Entry Visa, valid for two (2) months for a stay up to thirty (30) days
Now Processing: 3 working days
US$70
Fast Processing: 4 working days
US$60
Regular Processing: 11 working days
US$20
Multiple Entry Visa, valid for three (3) months for stays up to ten to fifteen (10-15) days
Now Processing: 3 working days
US$90
Fast Processing: 4 working days
US$80
Regular Processing: 11 working days
US$40
NOW/FAST SERVICE CHARGE (per person per visa)
$175.
(Service charge for accompanying children under 16 years of age is $125. total)
REGULAR SERVICE CHARGE (per person per visa)
$125.
(Service charge for accompanying children under 16 years of age is $100. total)
SHIPPING in Canada
$30.
(at cost+ to abroad)
TOTAL COST TO YOU (Visa(s) + Service(s) + Shipping) $______
SPECIFIC VISA REQUIREMENTS FOR MOZAMBIQUE
PASSPORT, valid for __6__ months.
Passport Photo(s)
__2__
Invitation, Tourist
_(1)__
VISA APPLICATION Form___1__
Return Air Ticket
__1__
Business Letter
__1__
BUSINESS VISA
- passport, valid for 6 months at least,
- one (1) fully completed and signed visa application form,
- two (2) recent passport-style photographs,
- a letter from the company you work for, stating the purpose of your visit.
VISITOR or TOURIST VISA
- passport, valid for 6 months at least,
- one (1) fully completed and signed visa application form,
- two (2) recent passport-style photographs,
- a return air ticket or an itinerary and letter from your travel agent,
- a letter or document of invitation from the person in Mozambique inviting you to visit, stating the full
name and address of this person.
PEDIDO DE ENTRADA EM MOCAMBIQUE
RECIBO №
REQUEST FOR ENTRY VISA TO MOZAMBIQUE
PREENCHER COM LETRA LEGIVEL
TO BE FILLED IN LEGIBLE LETTERS
RESERVADO AOS SERVICOS:
FOR OFFICIAL USE:
VISTO №
UMA ENTRADA
Single entry
DATA DE EMISSAO
......../…..../ ……..
DUPLAS ENTRADAS
Double entry
VALIDADE
MULTIPLAS ENTRADAS
Multiple entries
……./….../ ………
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
PASSAPORTE №
Passport №
SEXO
Sex
ESTADO CIVIL
Marital status
DATA DE EMISSAO
Date of issue
………/………/ ……….
PROFISSAO/OCUPACAO
Profession/Occupation
NACIONALIDADE
Nationality
Validade
Validity
………/………/ ……….
CARGO QUE OCUPA
Position you hold
NACIONALIDADE DO P.te
P.te nationality
MOZAMBIQUE
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 ?
Have you ever before been in Mozambique ?
SIM
Yes
NAO
No
JA FOI RESIDENTE EM MOCAMBIQUE ?
Have you ever been a resident in Mozambique ?
SIM
Yes
NAO
No
PORQUE SAIU DE MOCAMBIQUE ?
Why did you leave Mozambique ?
DATA DE SAIDA
Date of exit
}
………./………../ ………….
MOZAMBIQUE
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
DATA DE SAIDA
Date of exit
………./………./ …………
………./………./ ………
FRONTEIRA DE SAIDA
Exit border
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
........../………/ ……….
DATA DE ENTREGA
....................................................................................................................................................
ASSINATURA DO FUNCIONARIO
........../………/ ……….
VISA SERVICES CANADA
Suite 900 - 275 Slater St.
Ottawa, ON, K1P 5H9, CANADA
W W W .VISASERVICESCANADA.CA
613-231-7054
I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring a
visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other
personal documents from the embassy, high commission, consulate, diplomatic mission of the country of
MOZAMBIQUE
__________________________
while aiding me in acquiring a visa. Visa Services Canada is also authorized to
receive information about my application from the visa office while acting on my behalf.
Signed on this _____ day of the month of _____________ in the year ______,
in the city of ___________________ in the province of __________________, in Canada.
Signature_________________________________________
Witness __________________________________________
OFFICE COPY
------------------------------------------------------------------------------------------------------------------------------------------
VISA SERVICES CANADA
Suite 900 - 275 Slater St.
Ottawa, ON, K1P 5H9, CANADA
W W W .VISASERVICESCANADA.CA
[email protected]
613-231-7054 toll-free 866-378-1229
I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring a
visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other
personal documents from the embassy, high commission, consulate, diplomatic mission of the country of
MOZAMBIQUE
__________________________
while aiding me in acquiring a visa. Visa Services Canada is also authorized to
receive information about my application from the visa office while acting on my behalf.
Signed on this _____ day of the month of _____________ in the year ______,
in the city of ___________________ in the province of __________________, in Canada.
Signature_________________________________________
Witness __________________________________________
EMBASSY COPY