Embaixada da República de Moçambique

Visa Application Form

Choose the embassy to apply visa

Please choose the correct visa type and priority

VISATYPE	LongVisa	Visa Type	Normal (Issued in 10 working days)	Urgent (Issued in 3 working days)	Express (Issued in 24 hours)	Issued on Same day

Using Current Passport Old Passport

Passport Number

Nationality

Length of stay in Mozambique Days

In detail give reasons for your entry in Mozambique

Date of Entry		Date of Exit
Entry border		Exit border

Address of residence in Mozambique

Do you have relatives lives in Mozambique? Yes No

Sel	Fullname	Relationship	Nationality	Address

Organizations Worked

Sel	Organization

Have you ever been to Mozambique?

Yes No

Have you ever been a resident of Mozambique?

Yes No

Last Exit Date

Why did you leave Mozambique?