莫桑比克签证申请书

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1、REQUESTFORENTRYVISATOMOZAMBIQUE莫桑比克入境申请书RECIBON.oTOBEFILLEDINLEGIBLELETTERS请用清晰字体填写ForofficialuseVISTON.oDATADEEMISSÃO........./........./20.........Temporary临时入境........./........./20.........Singleentry单次入境VALIDADE........./........./20.........Multipleentries多次入境........./....

2、...../20.........Surname姓Fullname全名Maidenname婚前姓名Countryandplaceofbirth出生地、国家Dateofbirth出生日期Sex性别Maritalstatus婚姻状况□Single□Married未婚已婚Nationality国籍Passportnumber护照号码Dateofissue发照日期........../........./20........Validity有效期........./........./20........P.tenationality护照国籍Profession

3、/Occupation职业Positionyouhold职位Institution,organizationorfirmyouwork你工作的机构、组织或公司Addressofthepermanentresidence固定住所地址HaveyoueverbeforebeeninMozambique?是否曾经到过莫桑比克？Yes是□No否□HaveyoueverbeenaresidentinMozambique?是否曾经在莫桑比克居住过？Yes是□No否□□No否□WhydidyouleaveMozambique?Dateofexit因何种原因离开莫桑比克？

4、离境日期........../............./........｝........../............./........Mentiontheinstitutionsandfirmstowhichyouwereattached列出你曾经隶属过的机构和公司INCOMPLETEORINCORRECTFILLINGINOFTHISFORMMAYRESULTINDELAYDEVOLUTIONORREJECTION表格中不完整或错误可能导致延迟或拒签IndetailgivereasonsforyourentryinMozambique详细列明访

5、莫缘由□Tourism□Explorebusinessopportunity□VisitrelativesorfriendsOthers__________________旅游寻找商业机会拜访亲戚或朋友其他__________________LengthofstayinMozambique驻莫时长Dateofentry入境日期........./........./20........Dateofexit离境日期........./........./20.........Entryborder入境地点Exitborder出境地点Addressofres

6、idenceinMozambique在莫桑比克的住所地址Province省District区City市Avenue/Street大街/街道HouseNo门牌号Relatives,friendslivinginMozambique在莫桑比克的亲戚、朋友Fullname全名Nationality国籍Relationship关系Address地址Reservedforstamps｝........./........../20....................................................................

7、.....................................................Signatureofapplicantoroftheapplyingentity申请人或申请单位的签名ASSINATURARECONHECIDAPORSEMELHANÇAÀEXISTENTENO.........................................................................................................N.o.....................

8、............EMITIDOA......../...........