MINISTRY OF DEFENCE & HOME AFFAIRS

VISA APPLICATION FORM

FIRST SCHEDULE

(Regulation 3)

I, .........................................................................(full names and surname in block letters)

of ................................................................................(address), wish to enter Mauritius.

I set out hereunder the particulars of my application:

1. Profession/Occupation ..........................................................................

2. Sex ....................................................................................................

3. Married/Single ...................................................................................

4. Place and Date of Birth .............................................................................

5. Nationality .................................................................................................

6. Passport No., Place and Date of issue .......................................................

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7. Last place of permanent residence ............................................................

8. Previous period of residence in Mauritius ..................................................

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9. Particulars of accompanying dependents (if any) .............................................................

10. Period during which the applicant wishes to stay in Mauritius ................................

11. Object of application (visit, business, employment etc.)

Note: Full particulars must be given. Failure to state fully the reasons for the journey will result in delay or refusal. Applicants who intend to seek employment in Mauritius or engage in any occupation for reward or profit must also apply for a work permit from the Ministry for Employment

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12. Amount of money which applicant and/or accompanying dependents intend bringing to Mauritius

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13. Intended place of residence in Mauritius .............................................................

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14. Name and address of persons living in Mauritius who could furnish information about the applicant:

(1).....................................................................................................................

(2).....................................................................................................................

I enclose two recent passport size photographs of myself and of all accompanying dependents as well as following civil status documents:

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I hereby declare that to the best of my knowledge and belief the above particulars are true.

Dated this ........................................ day of ...................................... 19..............