REGISTO DA PESSOA PERDIDA / LOST PERSON REGISTRATION
Nome / Name
*
:
Nome do meio / Middle name:
Apelido / Surname:
Sexo / Gender
*
:
Seleccione / Select
Masculino / Male
Feminino / Female
Nao sabe / Don't know
Idade / Age
*
:
Seleccione / Select
Adulto / Adult
Criança / Child
Nacionalidade / Nationality
*
:
Seleccione / Select
Albania
Angola
Australia
China
Ethiopia
France
Holland
India
Indonesia
Irish
Italy
Jordan
Kazakhstan
Kenya
Lebanon
Lebanon
Malawi
Mozambique
New Zealand
Nigeria
Norway
Philippines
Poland
Portugal
South Africa
Spain
Tazania
Thailand
Uganda
UK
USA
Zimbabwe
Other / Outro
Unknown / Não sabe
Data da ultima notícia? / When last seen?
Onde foi visto? / Where last seen?
Seleccione / Select
Afungi
Moeda
Montepuez
Nangade
Palma
Quitunda /RV
Quitupo
Tanzania Border
Other / Outro
Onde o desaparecido trabalha / Where the missing person works:
Seleccione / Select
Afrimat
Agile
Alistair
Alpha Choice
Azul Consultoria
BCI
Bedrock
BIM
CC / Palma Residence
Chelsea Group Mozambique
Christine Services
CMC
CMSG Catering Multiservice Group
Electrical Experts of Mozambique (EEM)
Entreposto
Equator/OSS Moçambique
Fly Camps
Form Staff
Futuro Skills
Governo distrital
Hotel Amarula
Hotel Palma Village
Inyatsi Construction
KEA
LBH
Magresh
Maritime
Mondial
Moz Environmental
Nexar
North Logistics
OIM
Palma Business Park
Projectos Dinamicos
Quick
Rapido
Reef investments
Remote Site Solutions (RSS)
S Mobile
SCDS
Seco
ST Specialized Services
Standard Bank
Steveluk
Tecomaji
True North
VIP Palma
Wanga
WBHO
Other / Outro
Tel. 1 da Empresa / Company Tel. 1:
Tel. 2 da Empresa / Company Tel. 2:
Email da Empresa / Company Email:
O seu nome / Your name:
Numero de contacto / Contact number:
POC Tel. 2:
E-mail:
Estado / State
*
:
LOST
FOUND
FOUND DEAD
Fonte de Informação / Source of information:
Data de Resgate / Rescue Date:
Data de desembarque / Landing Date:
Onde foi Encontrado / Where was it Found:
Contacto do desaparecido / Contact of missing person:
Algo mais que deviamos saber? / Any other details we should know?
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