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UK Visas & Immigration

APPLICANT NAME:
PASSPORT NUMBER:
DATE OF BIRTH:
GENDER:

Personal information

Email address

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 tourist activities and places you will


UK Visas & Immigration
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.

Personal information

Given names

Family name

Are you now or have you ever been known by


another name?

Residential address

Telephone number

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

Do you have a national identity card?

National identity card number

Passport details

Passport number or travel document reference


number
UK Visas & Immigration

Place of issue

Issue date

Expiry date

Do you have another passport or travel document?

Passport or travel document number

Place of issue

Issue date

Expiry date

Spouse / partner details (If applicable)

Given name

Family name

Date of birth

Nationality

Do they currently live with you?

Will they be travelling with you to the UK?

Dependant details

Are there people who need you for financial


support, including those who are travelling with you
and those who are not?

Given name

Family name

Date of birth

Does this person currently live with you?

Is this person travelling with you to the UK?

Nationality

Passport number
UK Visas & Immigration

Given name

Family name

Date of birth

Does this person currently live with you?

Is this person travelling with you to the UK?

Given name

Family name

Date of birth

Does this person currently live with you?

Is this person travelling with you to the UK?

Parents 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?

Employment (If applicable)

What is your employment status?


UK Visas & Immigration
Date you started working for this employer

Employer's name

Employer's address

Employer's telephone number

Your job title

How much do you earn each month - after tax?

Describe your job

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?

What is the total amount of money you spend each


month?

Will anyone be paying towards the cost of your


visit?

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?

Enter the address for where you are staying


UK Visas & Immigration

When will you arrive there?

When will you leave there?

Where are you planning to stay in the UK?

Enter the address for where you are staying

When will you arrive there?

When will you leave there?

Travel history (UK – I yes state


date/month/ yr of travel, return and visa
no.)

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:

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, I yes state dd/mm/yr


of travel, return and visa no.)

How many times have you visited the following


places in the past 10 years?

Australia
Canada
New Zealand
USA
Schengen area

Have you visited any other countries in the past 10


years?

Have you ever been:


UK Visas & Immigration

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

Armed Forces (including compulsory national


or military service)
Government (including Public or Civil
Administration and compulsory national
service)
Media organisations
Security organisations (including police and
private security companies)
Judiciary (including work as a judge or
magistrate)

Convictions and other penalties

At any time have you ever had any of the following,


in the UK or in another country?
UK Visas & Immigration
A criminal conviction
A penalty for a driving offence, for example
disqualification for speeding or no motor
insurance
An arrest or charge for which you are currently
on, or awaiting trial
A caution, warning, reprimand or other penalty
A civil court judgment against you, for example
for non payment of debt, bankruptcy
proceedings or anti-social behaviour
A civil penalty issued under UK immigration
law

Extra information

If there is no further information you want to add,


click the 'Save and continue' button.
Add further details:

English language

We may have to talk to you about your application.


Which language would you prefer to use?

Documents

Mandatory documents
UK Visas & Immigration
UK Visas & Immigration

Declaration
By sending this application, you confirm that to the best of your knowledge and belief the following is correct:

the information relating to your application


your supporting documents

Also, the application will be processed according to the privacy policy and terms and conditions.
If false information is given, your application will be refused and you may be banned from the UK and prosecuted.
You cannot get free medical treatment from the NHS, unless you are exempt from charges. If you do not pay for
any billed treatment this may affect future visa applications.
You must leave the UK when your visa ends. If not, you may be removed and banned from the UK.

I confirm that I understand and agree with the above declarations.

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