Mozambique Tourism Advisory Service | Border requirements and documents for Mozambique | Compulsory Third Party Vehicle Insurance and Triangles | Mozambican Currency Rennies Foreign Exchange | Meticals

Please complete the following form, print it and fax to us on (+27) 013 750 1733, in order for us to assist you with your travel needs to Mozambique.

NAME
TELEPHONE
EMAIL ADDRESS
POSTAL ADDRESS

Please indicate your requirements:

		NUMBER	COST	TOTAL
Third Party insurance for vehicle			R150.00
Third Party insurance for motorcycle/caravan/trailer			R80.00
Blue and yellow Towing triangle (PVC or Vinyl)			R20.00
White & Black ZA-sticker			R20.00
Emergency evacuation service (up to Xai Xai)			R150.00
Emergency evacuation per person (north of Xai Xai)			R150.00
Postage fee:	Ordinary registered mail	(Choose one)	R25.00
	Overnight mail to Postbox		R38.00
Total

Important: PLEASE ENSURE THAT YOUR PASSPORT IS STILL VALID FOR AT LEAST SIX MONTHS!!

Kindly submit this form and deposit the total into our bank account. Fax proof of payment to 013 750 1733
MTB Enterprises CC
Nedbank Business Mpumalanga
Account number: 146 806 9934
Branch code: 146805

Driver of vehicle
Driver's Passport number
Physical address of driver
Make of private motor vehicle
Vehicle Registration no.
VIN/Engine no.
Trailer/motorcycle/caravan type/model
Vehicle colour
Trailer Registration no.
Date of departure from SA (Third Party Insurance and evacuation service is valid for 30 days only)
Emergency evacuation service detail
Name of the main member
Physical address
Name of dependants
Destination in Mozambique
Contact no in Mozambique
Vehicle colour
Contact person in case of emergency
Contact no.
Allergies or special medicines in group

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Mozambique Tourism Advisory Service | Border requirements and documents for Mozambique | Compulsory Third Party Vehicle Insurance and Triangles | Mozambican Currency Rennies Foreign Exchange | Meticals