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.NOTE: Fields marked with an * are required.

Full Name:*

Email Address:*

Telephone:*

Postal Address:*

Third Party insurance for vehicle:	R150
Third Party insurance for motorcycle / caravan / trailer:	R80
Blue and yellow Towing triangle (PVC or Vinyl):	R20	- PVC - Vinyl
White & ack ZA-sticker:	R20
Emergency evacuation service (up to Xai Xai):	R150	no yes
Emergency evacuation per person (north of Xai Xai):	R150
Postage fee:	R25	Ordinary registered mail:
	R38	Overnight mail to Postbox:

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 details
Name of the main member*
Physical address*
Names of dependants
Destination in Mozambique*
Contact no in Mozambique
Contact person in case of emergency*
Emergency contact person's no.*
Allergies or special medicines in group