UK VISA FORM INFORMATION KINDLY FILL THE INFORMATION BELOW AS WE NEED MORE SPECIFIC INFORMATION FROM YOU IN ORDER TO FILL YOUR UK FORM 1. SURNAME 2. OTHER NAMES 3. DATE OF BIRTH 4. GENDER 5. CURRENT PASSPORT NUMBER 6. PLACE OF ISSUE 7. ISSUING AUTHORITY 8. ISSUING AUTHORITY 9. DATE OF ISSUE 10. DATE OF ISSUE 11. DATE OF EXPIRY 13. CURRENT LOCATION 14. ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU ARE APPLYING? 15. IS THIS YOUR FIRST PASSPORT? 1
16. NATIONALITY 17. DOCUMENT NUMBER 18. ISSUING AUTHORITY 19. DATE OF ISSUE 20. DATE OF EXPIRY 21. IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION 22. ARE YOU TRAVELLING WITH ANYONE? 23. DATE OF PLANNED ARRIVAL IN THE UK 24. DATE OF PLANNED TO DEPART FROM UK 25. HOW LONG DO YOU INTEND TO STAY IN THE UK? 26. WHAT IS THE MAIN ADDRESS AND CONTACT DETAILS OF WHERE YOU WILL BE STAYING WHILST IN THE UK? 27. PERMANENT HOME ADDRESS 28. PHONE NUMBER 2
29. HOW LONG HAVE YOU LIVED AT THIS ADDRESS? 30. ARE YOUR PREFERRED CONTACT DETAILS DIFFERENT FROM THE CONTACT DETAILS ALREADY PROVIDED ABOVE? 31. HAVE YOU BEEN ISSUED ANY VISA FOR THE LAST 10 YEARS INCLUDING UK 32. TYPE OF VISA ISSUED 33. DATE OF ISSUE 34. DATE OF EXPIRY 35. ISSUING AUTHORITY 36. HAVE YOU EVER TRAVELLED TO THE UK IN THE LAST 10 YEARS? 37. DATE OF ARRIVAL 38. DEPARTURE DATE 39. PURPOSE OF THE TRIP 40. HAVE YOU MADE AN APPLICATION TO THE HOME OFFICE TO REMAIN IN THE UK IN THE LAST 10 YEARS? 41. HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THE LAST 10 YEARS (FOR EXAMPLE AT A UK AIRPORT OR SEAPORT)? 42. HAVE YOU BEEN REFUSED A VISA FOR ANY COUNTRY INCLUDING THE UK IN THE LAST 10 YEARS? 3
43. COUNTRY OF VISA APPLICATION 44. TYPE OF VISA REFUSED 45. DATE OF REFUSAL 46. REASON FOR REFUSAL 47. HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISE REQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UK IN THE LAST 10 YEARS? 48. HAVE YOU EVER VOLUNTARILY ELECTED TO DEPART THE UK? 49. ARE YOU, OR HAVE YOU BEEN SUBJECT TO, AN EXCLUSION ORDER FROM THE UK? 50. HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY OF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10 YEARS? 51. DATE OF TRAVEL 52. COUNTRY VISITED 53. REASON FOR THE TRIP 54. DO YOU HAVE A UK NATIONAL INSURANCE NUMBER? 55. DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY COUNTRY(INCLUDING SPENT/UNSPENT CONVICTIONS AND TRAFFIC OFFENCES)? 56. HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY WITH A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOT YET BEEN TRIED IN THE COURT (INCLUDING TRAFFIC 4
OFFENCES)? 57. HAVE YOU EVER BEEN INVOLVED IN, SUPPORTED OR ENCOURAGED TERRORIST ACTIVITIES IN ANY COUNTRY? 58. HAVE YOU EVER BEEN A MEMBER OF, OR GIVEN SUPPORTTO, AN ORGANISATION THAT HAS BEEN CONNECTED WITH TERRORISM? 59. HAVE YOU EVER, BY ANY MEANS OR MEDIUM, EXPRESSED VIEWS THAT JUSTIFY OR GLORIFY TERRORIST VIOLENCE, OR THAT MAY ENCOURAGE OTHERS TO COMMIT ACTS OF TERRORISM OR OTHER SERIOUS CRIMINAL ACTS? 60. IN TIMES OF EITHER PEACE OR WAR HAVE YOU EVER BEEN INVOLVED IN, OR SUSPECTED OF INVOLVEMENT IN, WAR CRIMES, CRIMES AGAINST HUMANITY OR GENOCIDE? 61. HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT MIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TO THE UK? 62. DO YOU CURRENTLY HOLD, OR HAVE YOU EVER HELD, ANY OTHER NATIONALITY OR NATIONALITIES? 63. IF WE NEED TO INTERVIEW YOU, WHAT LANGUAGE WOULD YOU LIKE TO USE IN THE INTERVIEW? 64. WHAT IS YOUR MARITAL STATUS? FATHER 65. NATIONALITY 5
66. FAMILY NAME / SURNAME 67. OTHER NAMES 68. DATE OF BIRTH 69. PLACE OF BIRTH MOTHER 70. NATIONALITY 71. FAMILY NAME / SURNAME 72. OTHER NAMES 73. DATE OF BIRTH 74. PLACE OF BIRTH 75. DEPENDENT CHILDREN: DO YOU HAVE ANY DEPENDENT CHILDREN? 76. NON DEPENDENT CHILDREN: ARE ANY OTHER CHILDREN TRAVELLING WITH YOU? EMPLOYMENT AND INCOME DETAILS: HAVE YOU EVER WORKED FOR ANY OF THE FOLLOWING ORGANISATIONS: 77. ARMED FORCES (INCLUDING NATIONAL SERVICE) 78. GOVERNMENT (CENTRAL OR LOCAL) 79. JUDICIARY 80. MEDIA 81. PUBLIC OR CIVIL ADMINISTRATION 82. SECURITY (INCLUDING POLICE AND PRIVATE SECURITY COMPANIES)? 6
83. ORGANISATION 84. JOB DESCRIPTION/TITLE/RANK 85. TYPE OF WORK UNDERTAKEN 86. START DATE 87. END DATE 88. WHAT IS YOUR CURRENT WORKING STATUS? 89. WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL SOURCES OF EMPLOYMENT OR OCCUPATION, AFTER TAX? 90. NAME OF COMPANY/ORGANISATION/EMPLOYER 91. ADDRESS OF THE COMPANY 92. JOB DESCRIPTION / TITLE / RANK 93. TYPE OF WORK UNDERTAKEN 94. WHEN DID YOU START THIS JOB? 95. DO YOU HAVE ANY ADDITIONAL PAID JOBS OR OCCUPATIONS? 96. ORGANISATION 97. JOB DESCRIPTION/TITLE/RANK 98. TYPE OF WORK UNDERTAKEN 99. START DATE 7
100. END DATE INCOME AND EXPENDITURE INFORMATION 101. DO YOU HAVE SAVINGS, PROPERTIES OR OTHER INCOME, FOR EXAMPLE FROM STOCKS AND SHARES? 102. HOW MUCH OF YOUR TOTAL MONTHLY INCOME IS GIVEN TO YOUR FAMILY MEMBERS AND OTHER DEPENDANTS? 103. WHAT IS THE COST TO YOU PERSONALLY OF YOUR TRIP IN GBP( )? 104. THE TOTAL AMOUNT OF MONEY YOU HAVE FOR THIS TRIP 105. THE COST OF THE AEROPLANE, BOAT OR TRAIN TICKETS 106. THE COST OF YOUR ACCOMMODATION 107. THE COST OF YOUR LIVING EXPENSES 108. IS SOMEONE OTHER THAN YOU PAYING FOR ALL OR A PART OF YOUR TRIP? 109. PLEASE ENTER DETAILS OF WHAT YOU PLAN TO DO WHILST IN THE UK 110 DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK? 111. HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN THE UK? 112. IS THERE ANY OTHER INFORMATION YOU WISH TO BE CONSIDERED AS PART OF YOUR APPLICATION? 8
VISA CONFIRMATION INFORMATION 113. DO YOU INTEND TO WORK IN THE UK? 114. IS THE MAIN PURPOSE OF YOUR TRIP TO VISIT/STAY WITH A CLOSE FAMILY RELATIVE WHO IS SETTLED IN THE UK? 115. DO YOU INTEND TO STUDY IN THE UK? 9
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