Page 1 of 4
UK Visa Form
Part 1: Personal Details
Enter your Given Name(s):
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Enter your Surname:
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Date of Birth:
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City of Birth
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Country of Birth:
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Nationality
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Gender:
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Type of Travel Document
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Marital Status
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Do you hold any other nationalities:
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Please provide details of other nationalities:
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Part 2: Passport/Travel Document Details
Enter your current passport/travel document number:
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Place of Issue:
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Issuing Authority:
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Date of Issue:
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Date of Expiry:
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Part 3: Contact Details
Full Address:
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Duration at Address:
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Main Telephone Number (including area code):
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Email Address:
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Part 4: Family Details
Father's Given Name(s):
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Father's Surname:
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Father's Date of Birth:
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Father's City of Birth:
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Father's Country of Birth:
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Father's Nationality:
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Mother's Given Name(s):
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Mother's Surname:
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Mother's Date of Birth:
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Mother's City of Birth:
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Mother's Country of Birth:
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Mother's Nationality:
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Do you have a Spouse/Partner?
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Spouse/Partner Given Name(s):
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Spouse/Partner Surname:
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Spouse/Partner Date of Birth:
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Does your Spouse/Partner live with you?
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Will your Spouse/Partner travel with you? (If Yes, a separate Visa application is required)
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Do you have any children?
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Please provide names and date of birth of each child:
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Will these children be travelling with you? (If Yes, separate visa's maybe be required).
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Part 5: Finances and Employment
Current Job Status:
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Occupation:
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Employer Name:
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Date you started your job:
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Address of Employer:
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Employer Telephone Number (including area code):
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Employer Email Address:
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Any additional jobs, please specify:
Total Monthly Income (after tax, please specify currency):
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Other income sources? (If Yes, please specify):
Savings/Property/Other Income? (If Yes, please specify):
Monthly Living Costs:
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Money available for relocation (please specify amount and currency):
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Part 6: Travel and Immigration History
Have you travelled to the UK in the last 10 years?
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Please provide dates, destinations, purpose and duration:
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Have you travelled outside of your residence country? (If Yes, Please provide full details)
Have you ever been refused a visa?
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Please provide details and reference number:
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Have you had any UK Visas granted in the last 10 years?
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Please provide details:
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Have you been refused entry to the UK:
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Please provide details and reference number:
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Have you ever been deported/removed from the UK?
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Please provide details, Home Office reference is applicable:
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Have you applied to the Home Office to remain?
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Please provide date, purpose and reference number if refused:
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Do you have a UK National Insurance Number:
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Please enter your UK National Insurance Number:
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Have you ever been convicted of any criminal offence?
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Please provide details and official documents if applicable:
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Part 7: Conduct and Security
Have you ever been arrested/charged or are awaiting trial?
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Please provide details of the arrest/charge and any trial references:
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Is there any UK Court Judgement for debt/civil penalty against you?
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Please provide the UK Court reference details:
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Have you ever expressed views glorifying terrorism?
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Have you been involved in activities questioning good character?
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