. . . . . and there we were !
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First Name Please enter information...
Last Name Please enter information...
Date of Birth Please enter information...YYYY-MM-DD
Sex MPlease check... F Please check... Nationality Please enter information... Race Please enter information... Married Please check... Yes Please check... No
Permanent Home Address Please enter information...
Occupation Please enter information...
Postal Address Please enter information...
Telephone Number Please enter information...
Email Address Please enter information...
Have you ever visited South Africa or Mozambique Please enter information...
If yes, short description Please enter information...
Passport date of issue Please enter information...YYYY-MM-DD Passport date of expiry Please enter information...YYYY-MM-DD
Passport Number Please enter information...
Copy of Passport Please upload fileUpload a copy of your passport Passport Photo Please upload fileUpload a passport photo
Port of Entry Please enter information... Safari Company Please enter information...
Mozambique Province to Hunt; Please enter information... Manica Please check... Gaza Please check...
For your hunting destination, would you prefer Please enter information... South Africa Please check... Mozambique Please check...
Number of days Please enter information... Safari Dates Please enter information... To Please enter information...
Alternative dates if dates are not available Please enter information... To Please enter information...
Arrival Date Please enter information...YYYY-MM-DD Departure Date Please enter information...YYYY-MM-DD
Place & date of departure Please enter information... Airline and flight number Please enter information...
Place & date of arrival in Africa Please enter information... Airline and flight number Please enter information...
Would you prefer a charter or drive by vehicle to camp from airport Please enter information...Please check... Charter Please check... Drive
Make Please enter information... Caliber Please enter information... Serial Number Please enter information... No of rounds (Mozambique exact no) Please enter information...
Second Rifle Please enter information...
Third Rifle Please enter information...
Would you like to use a Company rifle if available Please enter information... Yes Please check... No Please check...
Copy of firearm licenses; Please enter information... 1st rifle Please enter information... 2nd rifle Please enter information...
3rd rifle Please enter information...
For the ammunition be sure to fill in the exact number of rounds to be taken into Mozambique
Camp arrangements (the relationship of the members of your group affects accommodation, so please state how you would like accommodation arranged).
Please enter information...
Trophies required in order of priority Please enter information...
Factors that are important to you; Please enter information... Trophy Quality Please check... Price Please check... Ease of hunting Please check... Accommodation Please check... Climate Please check...
Do you have trouble; Please enter information...Roughing it Please check... Climbing Please check... Walking Please check... Hot dry climate Please check... Hot humid climate Please check...
Cold climate Please check... None Please check...
Indicate one and explain:Please enter information...
Please check... I hunt only for the biggest trophies Please enter information...
Please check... I hunt for representative trophies Please enter information...
Please check... I will pass representative animals in search of a record book animal Please enter information...
Food that you like or dislike Please enter information...
Alcoholic beverages, mineral water preferred (these must be sent to the camp prior to your safari) Please enter information...
Medical problems: (see your doctor for antimalarial advice) Please enter information... Is your health fitness: Good Please check... Fair Please check... Poor Please check...
Do you have any medical handicap, allergies, that might affect your safari Please enter information... Yes Please check... No Please check...
Explain Please enter information...
Do you wear subscription glasses or contact lenses: Please enter information... Yes Please check... No Please check...
Indicate any other information you feel will help us make your safari more enjoyable for you Please enter information...