Visa Requirements

TRAVCOUR (UK) LTD ORDER FORM
Collingham House, 6-12 Gladstone Road, Wimbledon, SW19 1QT
Main Tel: 020 85431846 Fax 020 85409190
e-mail: [email protected] Website: www.travcour.com
Opening Hours: Mon – Fri 9 am to 5.30 pm
SERVICES FOR MOZAMBIQUE VISAS
(PLEASE COMPLETE ALL SECTIONS IN BLOCK CAPITALS)
STEP ONE: In order to apply for your visa, please ensure that you enclose the following documents in your delivery to us. Failure to do so will
result in a delay in your application. (Please note that embassies reserve the right to request additional documents)
Visa application
Photos
Bank statement
Flight & hotel confirmation
Passport
Order form & payment
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3
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Business visas will also require an invitation from the company being visited in Mozambique & UK introduction letter.
STEP TWO: Please insert dates of travel & tick the service you are applying for.
Embassy process time - standard service
Embassy process time express service
5 working days
24 hours
Mozambique Visas
Embassy
Visa fee
40.00
50.00
70.00
110.00
Dates of entry/exit
Single entry standard service
Single entry express service
Business 6 month multiple entry standard service
Business 6 month multiple entry express service
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To
To
To
To
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Visa validity/length of stay
2-6 months from date of issue/ 30-180 days
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Travcour
service charge
40.00
40.00
40.00
40.00
Total to send excluding
return postage
80.00
90.00
110.00
150.00
STEP THREE: Please tell us the address you would like your passport to be returned to. This does not need to be your residential address.
Title: Mr. /Mrs./Miss: First Names .............................................................................Surname.................................................................................................
Address ......................................................................................................................................................................................................................................
................…................................................................................................................Postcode ...............................................................................................
Telephone Number .....................................….............................................................Email ....................................................................................................
Please indicate the latest date your passport can be returned to you:
……../………/.............
STEP FOUR: Return fees are only payable per return address (maximum of 4 passports). Carriers own terms & conditions apply. We do not accept
responsibility for the delivery of documents. Please put a tick by the type of return you would like us to use for your documents.
Return type
Charge
Terms
Royal Mail Special Delivery
9.00
Only applicable for UK residents. For terms & conditions please visit www.royalmail.com
DHL International Ltd
40.00
For terms & conditions please visit www.dhl.co.uk
Travcour courier
POA
Subject to local area & availability. Please contact 020 85431846
Personal collection
N/A
Please await our call to advise your documents are ready
Own prepaid envelope
N/A
For security, please only send prepaid secure mail & note your tracking number
STEP FIVE: You must enclose payment in order for us to process your order. Please include embassy fees, Travcour charges & return postage.
Cheque (Please make cheques payable to Travcour (UK) Ltd.)
Credit/Debit Card (please complete the following section)
Postal Order
Name of the cardholder ...........................................…............
Card number
Issue date: ……....../……....…
Cash
SCN
Expiry date: …...…../……...…
Issue No: (if applicable) ……..........…....…
N.B. Please note there is a 2.5% Admin Fee when you pay by Credit/Debit Card. We do not accept American Express or Diners.
Signature ...........….………................... .............................................................................................
Date ……../………/............
DISCLAIMER: Whilst every effort is made to issue your requirements the embassy/consulate reserve the right to refuse your application & therefore no guarantees can be provided.
By placing an order with Travcour (UK) Ltd you confirm that you agree to our Terms and Conditions as detailed at www.travcour.com including that Travcour (UK) Ltd will not &
cannot be held liable nor responsible for the actions, losses or delays of any nature incurred by embassies, passport office, government offices, third party courier carrier,
subcontracted couriers or Royal Mail.
Registered Company No: 4651386
VAT No: 238 0357 68
PEDIDO DE ENTRADA EM MOÇAMBIQUE
RECIBO N.º
REQUEST FOR ENTRY VISA TO MOZAMBIQUE
PREENCHER COM LETRA LEGíVEL
RESERVADO AOS SERVIÇOS:
TO BE FILLED IN LEGIBLE LETTERS
FOR OFFICIAL USE
VISTO N.º
DATA DE EMISSÃO
TEMPORÁRIA
TEMPORARY
………./ ………./ 20…...
UMA ENTRADA
SINGLE ENTRY
VALIDADE
MÚLTIPLAS ENTRADAS
MULPLE ENTRIES
………./ ………./ 20……
APELIDO
Surname
NOME COMPLETO
Full Name
NOME DE SOLTEIRA
Maiden Name
PAIS DE NASCIMENTO
Country and Place of Birth
DATA DE NASCIMENTO
Date of Birth
PASSAPORTE Nr.
Passport Nr.
SEXO
Sex
DATA DE EMISSÃO
Date of Issue
ESTADO CIVIL
Marital Status
NACIONALIDADE
Nationality
VALIDADE
Validity
NACIONALIDADE DO PASSAPORTE
Passport Nationality
……./ ………./ 20…… ……./ ……./ 20……
PROFISSÃO / OCUPAÇÃO
Profession / Occupation
CARGO QUE OCUPA
Position you hold
ORGANIZAÇÃO, INSTITUIÇÃO OU EMPRESA ONDE TRABALHA
Institution, Organisation or firm you work for
ENDEREÇO DA RESIDÊNCIA PERMANENTE
Address of the permanent residence
ESTEVE ALGUMA VEZ EM MOÇAMBIQUE?
Have you ever before 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 SAÍU DE MOÇAMBIQUE?
Why did you leave Mozambique?
DATA DE SAIDA
Date of exit ………./ ………./ 20……
INDIQUE AS INSTITUIÇÕES E EMPRESAS A QUE ESTEVE LIGADO
Mention the institutions and firms to which you where attached
O PREENCHIMENTO INCORRECTO OU INCOMPLETO IMPLICA RESPOSTA TARDIA, DEVOLUÇÃO
OU INDEFERIMENTO
INCOMPLETE OR INCORRECT FILLING IN OF THIS FORM MAY RESULT IN DELAY DEVOLUTION
OR REJECTION
High Commission of the Republic of Mozambique to the United Kingdom and Northern Ireland
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DETALHE OS MOTIVOS DA ENTRADA EM MOÇAMBIQUE
In detail give reasons for your entry in Mozambique
TEMPO DE ESTADA EM MOÇAMBIQUE
Length of stay in Mozambique
DATA DE ENTRADA
Date of entry
FRONTEIRA DE ENTRADA
Entry border
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 N.º
House N.º
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 the applying entity
ASSINATURA RECONHECIDA POR SEMELHANÇA À EXISTENTE NO ………………………………………………………………
N.º ………………………….EMITIDO A ………./ ………../ 20 …… EM ………………………………………………………………
RESERVADO AOS SERVIÇOS
For official use
DATA DA RECEPÇÃO
………/ ………./ 20 …….
DATA DA RECEPÇÃO
…………………………………………………………..
ASSINATURA DO FUNCIONÁRIO
………/ ………./ 20 …….
High Commission of the Republic of Mozambique to the United Kingdom and Northern Ireland
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