Register - MITMSA

Online immigration application

Personal and address details

Sex

Date of birth

Nationality

Address

City/Town of birth

Country of birth

Contact email

Expected duration of stay

Purpose of visit

Expected date of departure

Phone number

Children information

Number of children under the age of sixteen accompanying you in this visit

Children details

Relationship to each child named

Passport information

Passport ID

Passport place of issue

Passport date of issue

Passport date of expiry

If staying with friends or relatives whilst in Zambia, provide their details

Name

Sex

Date of Birth

Place of Birth

Documents

Passport

Passport photo image

Criminal offence(s) information

Have you been convicted of an offence under any law within or outside Zambia? If yes, specify details: No

Nature of offence

Date of conviction

Sentence

I agree to terms and conditions

I agree that all of the submitted details and documents are correct