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PARTIALLY COMPLETED APPLICATION APPLICANT NAME: Irina Ivanova GWF NUMBER: PASSPORT NUMBER: 1238765 DATE OF BIRTH: 5 February 2015 GENDER: Female DATE OF APPLICATION: TYPE OF VISA / APPLICATION: Visit Visa DURATION OF VISA: 6-month TOTAL FEE: SUBMISSION METHOD: Online ISSUING OFFICE: PAYMENT REFERENCE: CONTACT EMAIL: forukvisa@bk.ru CONTACT LANGUAGE: English Personal information Email address forukvisa@bk.ru Travel information Date you will arrive in the UK Date you will leave the UK What is the main reason for your visit to the UK? Will you be travelling to the UK as part of an organised group? Will you be travelling in the UK with someone who is not your partner, spouse, or dependant? Give details of your visit, including things you plan to do and places you will go, plus any other activities such as a school exchange. 1 June 2016 7 June 2016 tourism, including visiting family and friends Sightseeing (London Zoo, London Aquarium, London Eye etc.) Personal information Irina Ivanova Page 1 of 6

Given names Family name Are you now or have you ever been known by another name? Residential address Telephone number Irina Ivanova 1-599 Petrovka st. 101000 +495 1234567 How many days, weeks, months or years have you lived at this address? What is the ownership status of your home? What is your gender, as shown in your passport or travel document? What is your relationship status? Country of nationality Date of birth Place of birth Country of birth 9 Years I live with my family Female Single 5 February 2015 Passport details Passport number or travel document reference number Place of issue Issue date Expiry date Do you have another passport or travel document? 1238765 11 January 2016 11 January 2021 Dependant details Do you have people who need you for financial Irina Ivanova Page 2 of 6

support? Parent details What is this person's relationship to you? Given name Family name Date of birth Nationality Have they always had the same nationality? What is this person's relationship to you? Given name Family name Date of birth Nationality Have they always had the same nationality? Mother Ivanova Maria 4 January 1980 Father Ivanov Ivan 1 April 1980 Child traveller How many adults do you want to list on your visa? Which adults will travel with you? Contact telephone number Email address Passport number Do you live with this person? Contact telephone number Email address Passport number Do you live with this person? 2 Ivanova Maria and Ivanov Ivan +495 1234567 M@gmail.com 76542233 +495 1234567 m@gmail.com 9800007654 Irina Ivanova Page 3 of 6

Employment What is your employment status? Unemployed Income and expenditure Do you have another income or any savings? How much money are you planning to spend on your visit to the UK? How much money do you spend each month? Will anyone be paying towards the cost of your visit? Who is paying towards the cost of your visit? Name Address How much money will they be paying towards your visit? Why are they helping to pay for your visit? I do not have any other income or savings 800.00 GBP 15000.00 RUB Someone I know (for example, family or friend) Ivan Ivanov 1-599 Petrovka st. 101000 800.00 GBP He is my father Family in the UK Do you have any family in the UK? Accommodation details Have you already made arrangements for where you are going to stay in the UK? Where are you planning to stay in the UK? Address When will you arrive there? London Hotel 3, Euston Road London WS56 1 June 2016 Irina Ivanova Page 4 of 6

When will you leave there? You have said that you will be staying at these addresses in the UK. Are any of these a person's home address? 7 June 2016 Travel history (UK) Have you been issued with a UK visa in the past 10 years? How many times have you been to the UK in the last 10 years? Have you ever been: ne refused a visa for the UK deported from the UK removed from the UK required to leave the UK refused entry at the UK border Travel history (other) How many times have you visited the following places in the past 10 years? ne Australia Canada New Zealand USA Schengen area Have you visited any other countries in the past 10 years? Have you ever been: refused a visa for any country other than the UK deported from any country other than the UK removed from any country other than the UK required to leave any country other than the UK refused entry at the border of any country other than the UK Irina Ivanova Page 5 of 6

Additional information If you needed to add more information but were not able to, you can write it here Documents Mandatory documents The passport or travel document for Irina Ivanova A passport photo for Irina Ivanova On the back of your passport photograph, please provide your full name. There are rules about what your photograph should look like. To find out more about these rules, go to https://www.gov.uk/photos-for-passports Payment Length of your visit visa Irina Ivanova's application for Visit Visa Total 6-month $126.00 (USD) $126.00 (USD) Irina Ivanova Page 6 of 6