Repatriation Registration
23 March 2020
By completing and submitting this form you are indicating that you want your details registered for the purposes of repatriation from Fiji back to Vanuatu.
Part A - Personal Details (Only one (1) person to complete the form, if you have dependents add them in Part C)
First Name
Last Name
Age
Gender
Male
Female
Telephone No.
Email Address
Part B - Occupation/Nationality/Medical Details
Nationality
Passport No.
Resident Permit No. (If not citizen)
Status
Student
Working/Residing in Fiji
Location
Medical Conditions
Asthma
Diabetes
Heart Condition
High Blood Pressure
Part C - Dependents
Full Name
Age
Citizen/Resident
Passport No.
1
Citizen
Resident
2
Citizen
Resident
3
Citizen
Resident
4
Citizen
Resident
5
Citizen
Resident
6
Citizen
Resident
7
Citizen
Resident
8
Citizen
Resident
Submit