Republic of Mauritius- Assistance to Mauritians in Distress Abroad

Details of person in distress Abroad

Title *

First Name *

Middle Name

Family Name *

Gender *

Passport

National Identity Card No. (NIC) *

Email *

Request Details

Nature of Assistance Sought *

Details of Problems Encountered *

Address Abroad *

Country *

Phone Number Abroad *

Mobile Number Abroad *

Contact Details of Party in Mauritius

Title

First Name

Middle Name

Family Name

Address

Email Address

Phone Number

Mobile Number

Any Additional Information

Comments

CAPCHA *
This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Top Link Bar