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PARTIALLY COMPLETED APPLICATION APPLICANT NAME: Ivan Ivanov GWF NUMBER: PASSPORT NUMBER: 1234567 DATE OF BIRTH: 1 April 1980 GENDER: Male DATE OF APPLICATION: TYPE OF VISA / APPLICATION: Visit Visa DURATION OF VISA: 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? 1 May 2016 9 May 2016 tourism, including visiting family and friends Give details of tourist activities and places you will visit, friends or family you will see or stay with, plus any non-tourist activities you plan to do during your trip such as doing business, receiving private medical treatment or getting married. Sightseeing (the British Museum, the National Gallery, V&A Museum etc.) Ivan Ivanov Page 1 of 7

Personal information Given names Are you now or have you ever been known by another name? Residential address Telephone number Ivan Ivanov 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 Place of birth Country of birth 10 Years I own it Male Married or a civil partner 1 April 1980 USSR Passport details Passport number or travel document reference number Place of issue Issue date Expiry date Do you have another passport or travel document? 1234567 1 April 2015 1 April 2025 Ivan Ivanov Page 2 of 7

Spouse / partner details Given name Nationality Do they currently live with you? Will they be travelling with you to the UK? Their passport number Ivanova Maria 4 January 1980 76544332 Dependant details Do you have people who need you for financial support? Given name Does this person currently live with you? Is this person travelling with you to the UK? Ivanova Anna 5 February 2015 Parent details What is this person's relationship to you? Given name Nationality Have they always had the same nationality? I only have the details of one parent Mother Ivanova Anna 7 March 1945 Employment Ivan Ivanov Page 3 of 7

What is your employment status? Your job title How much do you earn from this job in a year? Employer's name Employer's address Employer's telephone number Employed Financial Director 2400000.00 RUB Romashka Ltd 1, Volkhonka st. 100000 +499 2345678 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? Savings 1000.00 GBP 20000.00 GBP 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? When will you leave there? London Hotel 3, Euston Road London WS56 1 May 2016 9 May 2016 Travel history (UK) Ivan Ivanov Page 4 of 7

Have you applied for leave to remain in the UK in the past 10 years? How many times have you been to the UK in the last 10 years? Have you ever been: 6 or more times January 2016 7 days May 2015 3 days 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? 6 or more times Australia Canada New Zealand USA Schengen area Which country did you visit? Which country did you visit? Which country in the Schengen area? USA February 2016 14 Days Schengen Area France Ivan Ivanov Page 5 of 7

Have you visited any other countries in the past 10 years? Have you ever been: February 2016 5 Days 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 Other history In either peace or war time have you ever been involved in, or suspected of involvement in, war crimes, crimes against humanity, or genocide? Have you ever been involved in, supported or encouraged terrorist activities in any country? Have you ever been a member of, or given support to, an organisation which has been concerned in terrorism? Have you, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to commit terrorist or other serious criminal acts? Tell us about work for the following types of organisation I haven't worked in any of the jobs listed Armed Forces (including national service) Government (including Public or Civil Administration) Media organisations Security organisations (including police and private security companies) Ivan Ivanov Page 6 of 7

Judiciary (including work as a judge or magistrate) Criminal or unspent convictions Do you have any of the following, in the UK or in a different country?, I have never had any of these A criminal conviction, at any time A driving offence, at any time, eg for speeding or no insurance Arrested and charged, and currently on or awaiting trial A caution, warning, reprimand or fixed penalty notice A court judgment, eg for debt A fine for breaking UK immigration law (called a 'civil penalty') Medical treatment Have you ever been given medical treatment in the UK? 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 Ivan Ivanov A passport photo for Ivan Ivanov 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 Total 0.00 Ivan Ivanov Page 7 of 7