Mauritius All-in-One Travel Digital Form

Traveller
Passenger Type: Non Citizen
Personal Information
Title: mr Last (Family) Name: First (Given) Name: Middle Initial: A
JADUE FAGRES FABIAN
Sex: male Date Of Birth: Country Of Birth: Chile Passport Issue Country:
1988-11-23 Chile
Passport Expiry Date: Passport Number: Proposed Length of Stay Port Of Embarkation:
2030-02-02 F32578408 in Mauritius (days): 7 Windhoek
Nationalities: CHILEAN Countries visited during last 6 months: Namibia
Have you experienced any of the following within the past 14 days?
Fever: No Sore Throat: No Joint Pain: No Cough: No
Breathing Difficulties: No Rash: No Loss of Sense of Smell or Taste: No
Flight Information
Airline: South African Flight: SA190 Date Of Arrival: Purpose of Visit:
Airways 2023-09-02 visit_holiday
Time Of Arrival: 15:40
Contact Info
Email Address: Mobile Phone: +27794084139
Fixed Phone: Business Phone:
Permanent Address
Number and Street: 101 Apartment Number: 43 City: Sandton State/Province: Gauteng
Argyle Avenue
Country: South Africa Zip/Postal Code: 2070
Temporary Address
Hotel Name: LE Number and Street: LE Apartment Number: Local Phone:
SHANDRANI HOTEL SHANDRANI HOTEL +2306034100
PLAINE MAGNIEN ,
GRAND PORT
Emergency Contact
Last (Family) Name: First (Given) Name: Address: Camino Otoñal Country: Chile
Fagres Monica 1928
Mobile Phone: +56998240234
FABIAN's Service Identifier: ef7a8f0e-87af-43e7-8978-af27ee443003