TRA fIND R
Transcrição
TRA fIND R
TRA fIND R THE TIRAVEL XPERTS VISA SERVICE Tel: 01 881 4949 www.Trailfinders.ie MOZAMBIQUE DOCUMENTS REQUIRED • Passport volid for at least 6 months beyond intended journey to Mozambique • 1 Completed Visa form • 2 Passport size photograph - computer generated photographs are not accepted • Confirmation of flight itinerary • Confirmation of accommodation or tour • Bank Statement PROCESSING TIME Visa generally issued within 10 working days of receipt by Trailfinders VALIDITY Visa valid for 3 manths from dote af issue. Maximum stay 1 - 30 days. CHARGES Visa Fee Single entry €61.00 per person. Trailfinders' Service Charge standard service €45.00 Registered Post and Packing Charge €7.00 [only one charge per return address). PAYMENT Pleose make cheques for total amount payable to 'Trailfinders Ltd' and write your address on the back. Alternatively, camplete the debit card form overleaf. ALL POSTAL & PERSONAL APPLICATIONS - please use registered post Trailfinders Visa Service, 4/5 Dawson St, Dublin 2 ALL TELEPHONE ENQUIRIES TO 01 881 4949 Haurs: Monday - Friday 9am - 7pm, Saturday 9am - 6pm, Sunday lOam - 6pm All business undertaken by Trailfinders Visa & Passport Service is subject to the terms and conditions listed overleaf. Information correct at time of printing. \ltiUB109/07 IERMS AND CONDITIONS • All prices are subject to change. • The in~ormation provided overlea~ applies to Irish passports. Other nationalities should contact Trail~inders Visa Service for advice. • Trail~inders reserves the right 10 return any passport without the requested visa if the passport or documents provided da nat comply with the embassy's requirements or if there is insufficient time to obtain the visa. Trailfinders bears no responsibility ~or subsequent delays ar costs. • Please note all visas are issued at the Embassies discretion and Trailfinders bears no responsibility for the rejection of any application. The Visa Fee and Trailfinders Service Fee is non-refundable regardless o~ the outcome of the application. Embassy charges and processing times are subject ta change. Trailfinders advises against purchasing restricted or inflexible tickets prior to visa issuance. • Standard minimum application times shown overlea~ do not account for Public or National holidays where Embassies close without prior notice. • Where applicable passports will be returned by registered post. Provided prior arrangements have been made passports may be collected from • 4/5 Dawson Street, Dublin 2. In the event of loss or damage to any passport or documents received, Trail~inders' liability will be limited to the actual value of the passport and documents up to a maximum of € 100 Per applicant. Trail~inders accepts no liability ~or can sequential loss. - ~ ------PI~~-s-~ -r~t-~;~ -thi~-;~-T;~ilfi~d~-r-s- ~i~-~ -s~;~i~~: -4/ 5- D~~~~~ St~~-~t-, -D~bli~ 2---------------- - ----------_. CREDll"/DEBIT CARD I wish to pay by Visa Delta/Visa/MasterCard/American Express/Laser. Card Number: Expiry Date: DID M The last M Y Member since: 0 (AMEX only) Y 3 digit security code ~ound on signature strip: o=r==J (AMEX: 4 digits found on front o~ cardl I hereby authorise Trail~inders to debit my debit/credit card for the sum o~ € Name on card (block capitals please): _ [ Registered card address: Address for mailing purposes: (If di fferen t) Signature o~ cardholder: _........::::::::::::::=:============:::::::::::==============::; Date: , -----.J PEDIDO DE ENTRADA EM MO<;AMBIQUE RECIBO N.O REQUEST FOR ENTRY VISA TO MOZAMBIQUE PREENCHER COM LETRA LEGiVEL TO BE FILLED IN LEGIBLE LEITERS TEMPORARlA TEMPORARY UMAENTRADA SINGLE ENTRY MULTIPLAS ENTRADAS MULPLE ENTRlES FOR OFFICIAL USE DATA DE EMISSA.O D D D ........../ ......... .j .......... / .......... / 20 ...... NOME COMPLETO Full Name NOME DE SOLTEIRA Maiden Name PAlS DE NASCIMENTO Country and Place of Birth DATA DE NASCIMENTO Date of Birth ESTADO CIVIL Marital Status SEXO Sex DATA DE EMISSA.O Validity Date of Is ue ....... 20 ...... VALIDADE APELIDO Surname PASSAPORTE Nr. Nr. VISTO N.o RESERVADO AOS SERVI<;:OS: .......... / 20...... PROFISSA.O / OCUPA<;:A.O Profession / Occupation ....... / . ... NACIONALIDADE Nationality NACIe INALIDADE DO PASSAPORTE Passport VALIDADE Passport Nation ~lity ./ 20 .. CARGO QUE OCUPA Position you hold ORGA1\lIZA<;:A.O, INSTITUI<;:AO OU EMPRESA ONDE TRABALHA Institution, Organisation or firm you work for ENDEREGO DA RESIDENCIA PERMA.NENTE Address of the permanent residence TELEFONE (Incluindo c6digo de area) Telephone (Including area code) ESTEVE ALGUMA VEZ EM MOGAlYIBIQUE? Have you ever before been in Mozambique? CORREIO ELECfR6NICO E-mail address SIM 0 SIM DNA.O Yes JA FOI RESIDENTE EM MOGAMBIQUE? NAO Have you ever been a resident in Mozambique? Yes PORQUE sAiu DE MOGA1\1BIQUE? Why did you leave Mozambique? DATA DE SAlDA Date of exit ........../ ........../ D D 20...... INDIQUE AS INSTITUIGOES E EMPRESAS A QUE ESTEVE LIGADO Mention the institutions and firms to which you where attached o PREENCHIMENfO INCORRECfO OU INCOMPLETO IMPLICARESPOSTA TARO lA, DEVOLU<;:A.O ou INDEFERlMENfO INCOMPLETE OR INCORRECf FILLING IN OFTHIS FORM lvlAY RESULT IN DELAY DEVOLUTION OR REJECfION High Commission of the Republic of Mozambique (0 thc Umted Kingdom and Northem Ireland I of 2 DETALHE OS MOTIVOS DA ENTRADA EM MOGAMBIQUE In detail give reasons for your entry in Mozambique " TEMPO DE ESTADA EM MOGAMBIQUE Length of stay in Mozambique DATA DE ENTRADA Date of entry FRONTEIRA DE ENTRADA Entry border FRONTElRA DE SAlDA Exit border DATA DE SAlDA Date of exit ENDEREC;O DA HOSPEDAGEM EM MOGAMBIQUE Address of residence in Mozambique PROViNCIA Province DISTRITO District CIDADE City CASAN.o House N.D AVENIDA/RUA Avenue/Street FA.1VIlLIARES/AM1GOS RESIDENTES EM MO"'AMB1QUE - Relatives, friends living in Mozambique NOME COMPLETO Full Name NACIONALIDADE Nationality PARENTESCO Relationship ENDEREGO Address I RESERVADO AOS SELOS Reserved for stamps .................................................................................................. DATA Date ASS1NATURA DO REQUERENTE OU DA ENTIDADE SOLICITAiVIE Applicant's signature or of the applying entity ......... / ......... / 20...... ASSINATURA RECONHECIDA POR SEMELHANGAA. EX1STENTE NO .................................................................... N.o ............................... EMITIDO A ......... / ........... / 20 ...... EN1 ........................................................................ RESERVADO AOS SERVIGOS For official use DATA DA RECEPGAO ........./ .......... /20 ....... DATA DA RECEPC;AO .................................................................... ......... / .......... /20 ....... ASS1NATURA DO FUNC1ONARlO High Commission of the Republic ol"Mozamhique Lo 111<: Unlled Kingdom and Northern Ireland 2 or 2
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