UK Sample Formuty

Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE
APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE
APPLICATION ID: GWF035478165

GIVEN NAMES:
FAMILY NAME:
DATE OF BIRTH:
PLACE OF BIRTH:
SEX:
NATIONALITY:
PASSPORT NUMBER:
VISA APPLICATION NUMBER:
DATE OF PLANNED ARRIVAL

IN THE UK:
VISA APPLICANT CONTACT DETAILS
APPLICANTS EMAIL
ADDRESS:
APPLICANTS PRIMARY
NUMBER:
APPLICANTS SECONDARY
NUMBER:
VISA APPLICATION FEE AND PAYMENT CONFIRMATION >> OFFICIAL USE ONLY
PAYMENT REFERENCE: 4006899846

TOTAL FEE: GBP 588.00
PAYMENT MADE: YES - ONLINE
PAYMENT DATE: 20 APR 2015
VISA APPLICATION SUBMISSION LOCATION
SUBMISSION METHOD: STANDARD

VISA APPLICATION UK BORDER AGENCY PAKISTAN (IS) - PAKISTAN (ISLA)
LOCATION:
>>OFFICE USE ONLY
CATEGORY:
TYPE:
EC NUMBER:
Created: 20/04/2015 Page 1 CODE

FORM:
PART 1 > PASSPORT AND TRAVEL INFORMATION

PASSPORT / TRAVEL DOCUMENT
1 FAMILY NAME / SURNAME
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE
AND IN THE GIVEN NAME BOX)
2 GIVEN NAME(S) / FORENAME(S)
AND IN THE FAMILY NAME BOX)
3 DATE OF BIRTH
4 PLACE OF BIRTH
5 GENDER
6 NATIONALITY
7 DO YOU CURRENTLY HOLD, OR HAVE YOU EVER HELD,
ANY OTHER NATIONALITY OR NATIONALITIES?
8 CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER
9 PLACE OF ISSUE
10 ISSUING AUTHORITY
11 DATE OF ISSUE
12 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?

16
NATIONALITY
DOCUMENT NUMBER
ISSUING AUTHORITY
DATE OF ISSUE
DATE OF EXPIRY
IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION
NATIONALITY
DOCUMENT NUMBER
ISSUING AUTHORITY
DATE OF ISSUE
DATE OF EXPIRY
NATIONALITY
DOCUMENT NUMBER
ISSUING AUTHORITY
DATE OF ISSUE
DATE OF EXPIRY
NATIONALITY
DOCUMENT NUMBER
ISSUING AUTHORITY
DATE OF ISSUE
DATE OF EXPIRY
NATIONALITY
DOCUMENT NUMBER
ISSUING AUTHORITY
DATE OF ISSUE
DATE OF EXPIRY
TRAVEL INFORMATION
17 ARE YOU TRAVELLING WITH ANYONE?
18
NATIONALITY
FAMILY NAME
GIVEN NAMES
DATE OF BIRTH
VISA HELD
19 DATE OF PLANNED ARRIVAL IN THE UK

20 HOW LONG DO YOU INTEND TO STAY IN THE UK?

21 WHAT IS THE MAIN ADDRESS AND CONTACT DETAILS LINE 1: HOTEL NOVOTEL LONDON GREENWICH
OF WHERE YOU WILL BE STAYING WHILST IN THE UK? LINE 2: 173-185 GREENWICH HIGH ROAD
LINE 3: LONDON SE10 8JA, UNITED KINGDOM
PRIMARY CONTACT NUMBER: 0044 20 7660 0682
PART 2 > PERSONAL DETAILS AND TRAVEL HISTORY

PERSONAL DETAILS
22 WHAT IS YOUR PERMANENT RESIDENTIAL ADDRESS
AND CONTACT DETAILS?
23 HOW LONG HAVE YOU LIVED AT THIS ADDRESS?

24 ARE YOUR PREFERRED CONTACT DETAILS DIFFERENT
FROM THE CONTACT DETAILS ALREADY PROVIDED
ABOVE?
TRAVEL HISTORY
25 HAVE YOU BEEN ISSUED ANY VISA FOR THE UK, UK
OVERSEAS TERRITORIES OR COMMONWEALTH
COUNTRY IN THE LAST 10 YEARS?
26
TYPE OF VISA ISSUED
DATE OF ISSUE
DATE OF EXPIRY
ISSUING AUTHORITY
27 HAVE YOU EVER TRAVELLED TO THE UK IN THE LAST 10 YES

YEARS?
28
DATE OF ARRIVAL
DEPARTURE DATE
PURPOSE OF THE TRIP
DATE OF ARRIVAL
DEPARTURE DATE
PURPOSE OF THE TRIP
29 HAVE YOU MADE AN APPLICATION TO THE HOME OFFICE

TO REMAIN IN THE UK IN THE LAST 10 YEARS?
30 HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THE

LAST 10 YEARS
(FOR EXAMPLE AT A UK AIRPORT OR SEAPORT)?
31 HAVE YOU BEEN REFUSED A VISA FOR ANY COUNTRY
INCLUDING THE UK IN THE LAST 10 YEARS?

32
COUNTRY OF VISA APPLICATION
TYPE OF VISA REFUSED
DATE OF REFUSAL
REASON FOR REFUSAL
33 HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISE

REQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UK
IN THE LAST 10 YEARS?
34 HAVE YOU EVER VOLUNTARILY ELECTED TO DEPART
THE UK?
35 ARE YOU, OR HAVE YOU BEEN SUBJECT TO, AN
EXCLUSION ORDER FROM THE UK?
36 HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY
OF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10
YEARS?

37
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP

DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
DATE OF TRAVEL
COUNTRY VISITED
REASON FOR THE TRIP
38 DO YOU HAVE A UK NATIONAL INSURANCE NUMBER?

39 WHAT IS THE NATIONAL INSURANCE NUMBER E.G.
AA123456Z?
40 WHAT IS THE REASON FOR GETTING IT?
41 DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY
COUNTRY
(INCLUDING SPENT/UNSPENT CONVICTIONS AND
TRAFFIC OFFENCES)?
42 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
OFFENCES)?
43 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 THAT HAS
BEEN CONNECTED WITH TERRORISM?

44 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?
45 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?
46 HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT
MIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TO
THE UK?
47 IF WE NEED TO INTERVIEW YOU, WHAT LANGUAGE
WOULD YOU LIKE TO USE IN THE INTERVIEW?
PART 3 > FAMILY DETAILS

SPOUSE / PARTNER
48 WHAT IS YOUR MARITAL STATUS?
49 WILL YOUR SPOUSE/PARTNER BE TRAVELLING WITH
YOU?
50 CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER
51 NATIONALITY
AND IN THE GIVEN NAME BOX)
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
54 DATE OF BIRTH
55 DOES YOUR SPOUSE / PARTNER CURRENTLY LIVE WITH
YOU?
FATHER
56 NATIONALITY
HERE AND IN THE GIVEN NAME BOX)
59 DATE OF BIRTH
60 PLACE OF BIRTH
MOTHER
61 NATIONALITY


HERE AND IN THE GIVEN NAME BOX)
64 DATE OF BIRTH
65 PLACE OF BIRTH
DEPENDENT CHILDREN
66 DO YOU HAVE ANY DEPENDENT CHILDREN?
67
PASSPORT NUMBER
NATIONALITY
FAMILY NAME
GIVEN NAMES
DATE OF BIRTH
PLACE OF BIRTH
TRAVELLING WITH YOU
LIVE WITH YOU
ADDRESS 1
ADDRESS 2
ADDRESS 3
ADDRESS 4
POSTAL CODE
COUNTRY
CONTACT NUMBER
PASSPORT NUMBER
NATIONALITY
FAMILY NAME
GIVEN NAMES
DATE OF BIRTH
PLACE OF BIRTH
TRAVELLING WITH YOU
LIVE WITH YOU
ADDRESS 1
ADDRESS 2
ADDRESS 3
ADDRESS 4
POSTAL CODE
COUNTRY
CONTACT NUMBER
NON DEPENDENT CHILDREN

68 ARE ANY OTHER CHILDREN TRAVELLING WITH YOU?

PART 4 > EMPLOYMENT AND INCOME

EMPLOYMENT
69 HAVE YOU EVER WORKED FOR ANY ORGANISATION
(STATE OR NON-STATE) LISTED BELOW?
ARMED FORCES (INCLUDING NATIONAL SERVICE)
GOVERNMENT (CENTRAL OR LOCAL)
JUDICIARY
MEDIA
PUBLIC OR CIVIL ADMINISTRATION
SECURITY (INCLUDING POLICE AND PRIVATE SECURITY
COMPANIES)?
70 WHAT IS YOUR CURRENT WORKING STATUS?
71 WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL
SOURCES OF EMPLOYMENT OR OCCUPATION, AFTER
TAX?
72 NAME OF COMPANY/ORGANISATION/EMPLOYER
73 JOB DESCRIPTION / TITLE / RANK
74 TYPE OF WORK UNDERTAKEN
75 ADDRESS
76 WHEN DID YOU START THIS JOB?

77 DO YOU HAVE ANY ADDITIONAL PAID JOBS OR
OCCUPATIONS?
78
ORGANISATION
JOB DESCRIPTION/TITLE/RANK
TYPE OF WORK UNDERTAKEN
START DATE
END DATE
INCOME AND EXPENDITURE

79 DO YOU HAVE SAVINGS, PROPERTIES OR OTHER
INCOME, FOR EXAMPLE FROM STOCKS AND SHARES?
80
TOTAL MONTHLY INCOME FROM
AMOUNT IN GBP(£)
81 HOW MUCH DO YOU SPEND EACH MONTH ON LIVING

COSTS?
82 HOW MUCH OF YOUR TOTAL MONTHLY INCOME IS
GIVEN TO YOUR FAMILY MEMBERS AND OTHER
DEPENDANTS?

83 WHAT IS THE COST TO YOU PERSONALLY OF YOUR

TRIP IN GBP(£)?
84 THE TOTAL AMOUNT OF MONEY YOU HAVE FOR THIS
TRIP
85 THE COST OF THE AEROPLANE, BOAT OR TRAIN
TICKETS
86 THE COST OF YOUR ACCOMMODATION
87 THE COST OF YOUR LIVING EXPENSES
88 IS SOMEONE OTHER THAN YOU PAYING FOR ALL OR A
PART OF YOUR TRIP?
89 WHAT IS THE TOTAL AMOUNT IN GBP(£)?
PART 5 > FAMILY AND FRIENDS IN THE UK

FAMILY AND FRIENDS
90 PLEASE ENTER DETAILS OF WHAT YOU PLAN TO DO
WHILST IN THE UK
91 DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK?
PART 6 > MEDICAL TREATMENT

MEDICAL TREATMENT
92 HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN
THE UK?
PART 7 > ADDITIONAL INFORMATION

ADDITIONAL INFORMATION

93 IS THERE ANY OTHER INFORMATION YOU WISH TO BE

CONSIDERED AS PART OF YOUR APPLICATION?
VISA CONFIRMATION QUESTIONS

94 DO YOU INTEND TO WORK IN THE UK?
95 IS THE MAIN PURPOSE OF YOUR TRIP TO VISIT/STAY
WITH A CLOSE FAMILY RELATIVE WHO IS SETTLED IN
THE UK?
96 DO YOU INTEND TO STUDY IN THE UK?

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UK Sample Formuty

Uploaded by

Copyright:

Available Formats

Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE

APPLICATION ID: GWF035478165

DATE OF PLANNED ARRIVAL

VISA APPLICANT CONTACT DETAILS

PAYMENT REFERENCE: 4006899846

VISA APPLICATION SUBMISSION LOCATION

SUBMISSION METHOD: STANDARD

>>OFFICE USE ONLY

Created: 20/04/2015 Page 1 CODE

PART 1 > PASSPORT AND TRAVEL INFORMATION

Created: 20/04/2015 Page 4 CODE

IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION

IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION

IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION

IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION

IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION

19 DATE OF PLANNED ARRIVAL IN THE UK

Created: 20/04/2015 Page 5 CODE

PART 2 > PERSONAL DETAILS AND TRAVEL HISTORY

23 HOW LONG HAVE YOU LIVED AT THIS ADDRESS?

27 HAVE YOU EVER TRAVELLED TO THE UK IN THE LAST 10 YES

PURPOSE OF THE TRIP

PURPOSE OF THE TRIP

29 HAVE YOU MADE AN APPLICATION TO THE HOME OFFICE

30 HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THE

Created: 20/04/2015 Page 6 CODE

TYPE OF VISA REFUSED

REASON FOR REFUSAL

33 HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISE

Created: 20/04/2015 Page 7 CODE

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

Created: 20/04/2015 Page 8 CODE

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

REASON FOR THE TRIP

38 DO YOU HAVE A UK NATIONAL INSURANCE NUMBER?

Created: 20/04/2015 Page 9 CODE

44 HAVE YOU EVER, BY ANY MEANS OR MEDIUM,

PART 3 > FAMILY DETAILS

Created: 20/04/2015 Page 10 CODE

62 FAMILY NAME / SURNAME

TRAVELLING WITH YOU

LIVE WITH YOU

TRAVELLING WITH YOU

LIVE WITH YOU

NON DEPENDENT CHILDREN

Created: 20/04/2015 Page 11 CODE

PART 4 > EMPLOYMENT AND INCOME