You are on page 1of 1

Mauritius All-in-One Travel Digital Form

Travel Information
Airline: SOUTH AFRICAN AIRWAYS Flight No: SA190 Date of arrival: 31/03/2024
Purpose of travel: Tourism Proposed length of stay (in days): 7 Initial port of embarkation: Lagos
Countries visited during last 6 months:
Personal Information
Last name: ILAYS First name: SAHEED Middle name: ADEYEMI
Gender: Male Date of birth: 16/11/1991 Passport: B02544150
Email address:
Nationality: Nigerian Mobile phone: +2347013203823
willybrenda34@gmail.com
Permanent address: Ifon osun state Country of residence: Nigeria
Accomodation
Address during stay in Mauritius: Champ de Mars, Port Louis, Mauritius
Phone number: +2302127373 Email address:
Emergency Contact
Name: Maxwell Mobile phone: +2347026498545 Email address:
Signs and Symptoms
Fever: No Sore throat: No Joint pain: No
Cough: No Breathing difficulties: No Skin lesions: No
Any other symptoms: No

Service Identifier: f230bee1-2054-43b0-8827-66882fc8c0fd

You might also like