Vous êtes sur la page 1sur 13

9/19/12

Visa4UK :: Print Online Visa Application

> > F O R O F F I C I A L U S E O N L Y V A F R E F :

APPLICATIONFORUNITEDKINGDOMENTRYCLEARANCE
VISITBUSINESSVISITOR (BUSINESS)LONGTERMVISITORVISA(10YEAR)
APPLICANTBIOGRAPHICDETAILSANDTRAVELDATE
APPLICATIONID: GIVENNAME: FAMILYNAME: OTHERNAMES: DATEOFBIRTH: PLACEOFBIRTH: SEX: NATIONALITY: PASSPORTNUMBER: 27JUL1975 NEWDELHI MALE INDIA K230172 GWF016135235 DHRUV CHANDRA

VISAAPPLICATIONNUMBER:

DATEAPPLICATION SUBMITTEDONLINE: APPLICANTINTENDSTO TRAVELTOTHEUKON:

19SEP2012 25SEP2012

VISAAPPLICANTCONTACTDETAILS
APPLICANTSEMAILADDRESS: APPLICANTS(LANDLINE) TELEPHONE: APPLICANTS MOBILE/CELLULAR: DHRUVCHANDRA@HOTMAIL.COM 26258317 9810186086

VISAAPPLICATIONFEEANDPAYMENTCONFIRMATION
VISAFEE: OTHERFEES: INR64450 INR0

>>OFFICIALUSEONLY

PAYMENTMADE: PAYMENTDATE: WORLDPAYREFERENCE: AUTHORISATIONNUMBER:

NO NOTAVAILABLE 0

VISAAPPLICATIONSUBMISSIONLOCATION
SUBMISSIONMETHOD: VISAAPPLICATIONLOCATION: VISAAPPLICATIONLOCATION REF: INPERSON BRITISHHIGHCOMMISSIONNEWDELHI

>>OFFICEUSEONLY

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

1/13

9/19/12

Visa4UK :: Print Online Visa Application

CATEGORY: TYPE: ECNUMBER:

BUSINESSVISITOR (BUSINESS)LONGTERMVISITORVISA(10YEAR)

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

2/13

9/19/12

Visa4UK :: Print Online Visa Application

DECLARATION
IHEREBYAPPLYFORANENTRYCLEARANCETOTHEUNITEDKINGDOM.THEINFORMATIONIHAVEGIVENISCOMPLETEANDTRUE TOTHEBESTOFMYKNOWLEDGE.IALSODECLARETHATTHEPHOTOGRAPHSUBMITTEDWITHTHISFORMISATRUELIKENESSOF ME.ICONFIRMTHATIF,BEFORETHISAPPLICATIONISDECIDED,THEREISAMATERIALCHANGEINMYCIRCUMSTANCESORNEW INFORMATIONRELEVANTTOTHISAPPLICATIONBECOMESAVAILABLE,IWILLINFORMTHEUNITEDKINGDOMDIPLOMATICMISSION HANDLINGMYAPPLICATION. IAMAWARETHATITISANOFFENCEUNDERTHEIMMIGRATIONACT1971(ASAMENDED)TOMAKEASTATEMENT,WHICHIKNOWTO BEFALSE,ORNOTBELIEVETOBETRUE,INORDERTOOBTAINAVISA/ENTRYCLEARANCETOTHEUK.IAMALSOAWARETHATMY APPLICATIONWILLBEAUTOMATICALLYREFUSEDANDIMAYBEBANNEDFROMGOINGTOTHEUKFOR10YEARSIFIUSEAFALSE DOCUMENT,LIEORWITHHOLDRELEVANTINFORMATION.IMAYALSOBEBANNEDIFIHAVEBREACHEDIMMIGRATIONLAWSINTHE UK.IAMFURTHERAWARETHATSHOULDIUSEAFALSEDOCUMENT,LIEORWITHHOLDRELEVANTINFORMATIONMYDETAILSMAY BEPASSEDTOLAWENFORCEMENTAGENCIES. IDECLARETHATTHEDOCUMENTSTHATIHAVESUPPLIEDWITHTHISAPPLICATIONAREGENUINEANDTHESTATEMENTSIHAVE MADEWITHTHISAPPLICATIONARETRUTHFUL.IUNDERSTANDTHATUKBORDERAGENCY(ORATRUSTEDTHIRDPARTY)MAYMAKE REASONABLECHECKSTOCONFIRMTHEACCURACYANDAUTHENTICITYOFEVIDENCEIHAVEPROVIDEDANDDOCUMENTSIHAVE SUBMITTEDWITHTHISAPPLICATION.IFURTHERUNDERSTANDTHATUKBORDERAGENCY(ORATRUSTEDTHIRDPARTY)MAYALSO MAKEREASONABLECHECKSONANYSPONSORSTOMYAPPLICATIONTOVERIFYSTATEMENTSCONTAINEDINTHEAPPLICATION ANDESTABLISHTHATIWILLCOMPLYORHAVECOMPLIEDWITHTHETERMSOFANYVISAGRANTED. IUNDERSTANDTHATIMAYBEREQUIREDTOPROVIDEARECORDOFMYFINGERPRINTSANDAPHOTOGRAPHOFMYFACE ('BIOMETRICDATA')ASPARTOFMYAPPLICATION.IFIREFUSETODOSO,MYAPPLICATIONMAYBETREATEDASINVALIDAND,IF SO,WILLNOTBECONSIDEREDFURTHER.(SEESTATUTORYINSTRUMENT2006NO1743THEIMMIGRATION(PROVISIONOF PHYSICALDATA)REGULATIONS2006,REGULATION7(1)). IUNDERSTANDTHATUKENTRYCLEARANCEAPPLICATIONSMAYBEHANDLEDBYBRITISHMISSIONSINOTHERLOCATIONS, INCLUDINGOUTSIDETHECOUNTRYINWHICHIHAVEAPPLIEDFORENTRYCLEARANCEANDTHATTHISMAYINVOLVETHE TRANSFERRINGOFMYAPPLICATIONANDSUPPORTINGDOCUMENTSTOANDFROMANOTHERMISSION.IUNDERSTANDTHATTHE UKBORDERAGENCYWILLBERESPONSIBLEFORTRANSFERRINGMYAPPLICATIONANDSUPPORTINGDOCUMENTSSAFELY.I UNDERSTANDINTHESECIRCUMSTANCESMYAPPLICATIONWILLSTILLBEHANDLEDINLINEWITHUKBORDERAGENCYPUBLISHED CUSTOMERSERVICESTANDARDS. IUNDERSTANDTHATTHEFEEPAYABLEISFORANAPPLICATIONPROCESSINGANDENTRYCLEARANCEDECISIONMAKING SERVICE,NOTFORTHEGUARANTEEDDELIVERYOFAVISA,THEREFOREIWILLNOTBEENTITLEDTOAREFUNDSHOULDMY APPLICATIONFORENTRYTOTHEUKORCOMMONWEALTHANDOVERSEASTERRITORIESBEREFUSEDORGRANTEDFORA SHORTERTIMEPERIODTHANIAPPLIEDFOR.IALSOUNDERSTANDTHATMYVISAAPPLICATIONFEEWILLBEREFUNDEDONLYIF THEAPPLICATIONISWITHDRAWNINWRITINGWITHIN3MONTHSAND7DAYSOFTHEORIGINALDATEOFAPPLICATIONANDPRIOR TOTHESUBMISSIONOFBIOMETRICDATAORANYPROCESSINGTAKINGPLACE. IAMAWARETHATIMAYBEBILLEDFORANYMEDICALTREATMENTUNDERTAKENINTHEUKANDTHATIDONOTHAVERECOURSE TOPUBLICFUNDSDURINGMYSTAYINTHEUK. IUNDERSTANDTHATALLINFORMATIONPROVIDEDBYMEWILLBEPROCESSEDBYTHEUKBORDERAGENCYINACCORDANCE WITHTHEDATAPROTECTIONACT1998.IAMAWARETHATTHEUKBORDERAGENCYISTHEDATACONTROLLERINRELATIONTO THEINFORMATIONPROVIDEDBYMEINTHISAPPLICATIONFORM.IAMAWARETHATTHEINFORMATIONIPROVIDE,INCLUDING BIOMETRICDATA,WILLBETREATEDINCONFIDENCE,BUTITMAYBEDISCLOSEDTOOTHERGOVERNMENTDEPARTMENTS, AGENCIES,LOCALAUTHORITIES,FOREIGNGOVERNMENTSANDOTHERBODIES,TOENABLETHEUKBORDERAGENCYORTHOSE BODIESTOPERFORMTHEIRFUNCTIONS.ANYDISCLOSURESWILLBEINACCORDANCEWITHTHEDATAPROTECTIONACT1998.I ALSOUNDERSTANDTHATTHEINFORMATIONPROVIDEDBYMEMAYALSOBEUSEDFORSTAFFTRAININGPURPOSES. IALSOUNDERSTANDTHATTHEINFORMATIONPROVIDEDBYME,ORINFORMATIONMADEAVAILABLETOUKBORDERAGENCY DURINGTHEPROCESSINGOFMYAPPLICATION,MAYBESHAREDWITHMYSPONSOR(S)ORANYPERSON(S)ACTINGONTHEIR BEHALFORANYAPPLICANTLINKEDTOMYAPPLICATION(FOREXAMPLETOMYSPOUSE/PARTNERIFWEAPPLYFORVISASFOR ATRIPTOGETHER)FORTHESOLEPURPOSEOFCONSIDERINGMYAPPLICATION.IAMAWARETHATIFTHEREISANYINFORMATION IDONOTWANTYOUTODISCLOSETOTHEMIWILLTELLYOUBYENCLOSINGALETTERWITHMYSUPPORTINGDOCUMENTATION.IF SUCHREQUESTSPREVENTYOUFROMMAKINGLEGITIMATEINQUIRIES,MYAPPLICATIONMAYBEREFUSED. IDECLARETHATTHEINFORMATIONGIVENONTHISFORMISCORRECTTOTHEBESTOFMYKNOWLEDGEANDBELIEF.IALSO CONSENTTOTHEPROCESSINGOFINFORMATIONPROVIDEDBYMEBYTHEUKBORDERAGENCY. APPLICANT'SSIGNATURE:

DATESIGNED:

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

3/13

9/19/12

Visa4UK :: Print Online Visa Application

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

4/13

9/19/12

Visa4UK :: Print Online Visa Application

APPLICATIONFORUNITEDKINGDOMENTRYCLEARANCE
APPLICANTNAME: APPLICATIONNUMBER: DATEOFAPPLICATION: TYPEOFVISA: PURPOSEOFAPPLICATION: TYPEOFAPPLICATION: VISAFEE: POSTAGEFEE: SUBMISSIONMETHOD: ISSUINGOFFICE: PAYMENTMADE: DHRUVCHANDRA GWF016135235 19SEP2012 VISIT BUSINESSVISITOR (BUSINESS)LONGTERMVISITORVISA(10YEAR) INR64450 INR0 INPERSON BRITISHHIGHCOMMISSIONNEWDELHI NO

FORM:

VAF1C

PART1>ABOUTYOU 1 2 3 4 5 6 7 8 9 10 GIVENNAME(S)(ASSHOWNINYOURPASSPORT) FAMILYNAME(ASSHOWNINYOURPASSPORT) OTHERNAMES(INCLUDINGANYNAMESYOUAREKNOWNBY AND/ORANYOTHERNAMESTHATYOUHAVEBEENKNOWBY) SEX WHATISYOURMARITALSTATUS? DATEOFBIRTH PLACEOFBIRTH COUNTRYOFBIRTH NATIONALITY DOYOUHOLD,ORHAVEYOUEVERHELD,ANYOTHER NATIONALITIES? MALE MARRIED/CIVILPARTNER 27JUL1975 NEWDELHI INDIA INDIA NO DHRUV CHANDRA

PART1>TRAVELDATESANDPURPOSEOFTRAVEL 11 12 13 14 WHATISTHEMAINPURPOSEOFYOURVISITTOTHEUK? HOWLONGDOYOUINTENDTOSTAYINTHEUK? ONWHICHDATEDOYOUINTENDTOTRAVELTOTHEUK? ONWHICHDATEDOYOUINTENDTOLEAVETHEUK? BUSINESS 1DAY 25SEP2012 26SEP2012

PART2>PASSPORTINFORMATION 15 PLEASEENTERTHEDETAILSOFTHEPASSPORTORTRAVEL DOCUMENTTHATYOUWILLUSETOTRAVELTOTHEUK. CURRENTPASSPORTORTRAVELDOCUMENTNUMBER K230172

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

5/13

9/19/12

Visa4UK :: Print Online Visa Application

16 17 18 19 20

PLACEOFISSUE ISSUINGAUTHORITY DATEOFISSUE DATEOFEXPIRY ISTHISYOURFIRSTPASSPORT?

DELHI REGIONALPASSPORTOFFICE 30JAN2012 29JAN2022 NO

PART2>PASSPORTINFORMATION>ADDITIONALINFORMATION 21 YOUANSWERED'NO'TOTHEQUESTION'ISTHISYOURFIRST PASSPORT?'WHERETHEINFORMATIONISAVAILABLE,PLEASE PROVIDEFULLDETAILSOFALLPASSPORTSHELDOVERTHELAST 10YEARS,INCLUDINGWHERETHEYARENOW. P325631WITHMEA5277052WITHMEE6865613 LOSTZ2040571LOSTTOGETHER

PART3>CONTACTDETAILS 22 PLEASEPROVIDEDETAILSOFYOURFULLADDRESSANDPOSTAL CODE.THISMUSTBETHEADDRESSATWHICHYOULIVERATHER THANYOURFAMILYHOME. APT/FLOOR/SUITE/ROOM/STREET 23 24 25 26 27 28 29 CITY/TOWN/VILLAGE/SUBURB/STATE/PROVINCE(WHERE APPLICABLE) SELECTTHECOUNTRYINWHICHYOULIVE POSTALCODE/ZIPCODE HOWLONGHAVEYOULIVEDATTHISADDRESS? HOME(LANDLINE)TELEPHONENUMBER YOURMOBILE/CELLULARNUMBER WILLTHESEBEYOURCONTACTDETAILSDURINGTHE APPLICATIONPROCESS? NEWDELHI INDIA 110049 SINCE1990 26258317 9810186086 YES 1,ANANDLOK,

PART4>YOURFAMILY>MOTHERANDFATHER 30 IFKNOWN,PLEASEENTERTHEDETAILSOFYOURMOTHERAND FATHER,EVENIFDECEASED.IFYOUDONOTKNOWTHEANSWERS TOANYOFTHEQUESTIONSPLEASESTATE'NOTKNOWN'.IFTHE DATEOFBIRTHISNOTKNOWN,PLEASEENTERADATEOF'01JAN 1900'. MOTHER'SGIVENNAME(S) 31 32 33 34 35 36 37 38 39 MOTHER'SFAMILYNAME MOTHER'SDATEOFBIRTH MOTHER'SPLACEANDCOUNTRYOFBIRTH MOTHER'SNATIONALITY/NATIONALITIES FATHER'SGIVENNAME(S) FATHER'SFAMILYNAME FATHER'SDATEOFBIRTH FATHER'SPLACEANDCOUNTRYOFBIRTH FATHER'SNATIONALITY/NATIONALITIES CHANDRA 8MAR1948 KARADMAHARASHTRAINDIA INDIAN LATEMRAKHIL CHANDRA 9JAN1940 SHIMLAINDIA INDIAN SUNANDA

PART4>YOURFAMILY>SPOUSE/PARTNER

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

6/13

9/19/12

Visa4UK :: Print Online Visa Application

40 41 42 43 44

FULLNAMEOFSPOUSE/PARTNER SPOUSE/PARTNER'SNATIONALITY/NATIONALITIES SPOUSE/PARTNER'SDATEOFBIRTH DOESYOURSPOUSE/PARTNERCURRENTLYLIVEWITHYOU? WILLYOURSPOUSE/PARTNERBETRAVELLINGWITHYOU?

TAMANNASINGH INDIA 5APR1972 YES NO

PART4>YOURFAMILY>CHILDREN 45 46 DOYOUHAVEANYDEPENDANTCHILDREN? PLEASENOTE:IFACHILDISTRAVELLINGWITHOUTTHEIR PARENTS,YOUSHOULDPRESENTWRITTENNOTIFICATIONFROM THECHILD'SPARENTORLEGALGUARDIANTHATTHEYCONSENT TOTHECHILD'SVISIT. WILLANYOTHERCHILDRENBETRAVELLINGWITHYOU? NO NO

PART5>EMPLOYMENTANDFINANCES 47 PLEASENOTE:CHILDRENUNDERTHEAGEOF18SHOULDENTER THEIRPARENTSDETAILS. WHATAREYOURCURRENTPERSONALCIRCUMSTANCES? SELFEMPLOYED

PART5>EMPLOYMENTANDFINANCES>EMPLOYMENT 48 49 50 51 52 53 54 55 WHATISYOURPRESENTOCCUPATION? WHATISTHENAMEOFTHECOMPANYORORGANISATIONYOU WORKFOR? WHENDIDYOUSTARTTHISJOB? WHATISYOURWORKADDRESS? WHATISYOUREMPLOYER'STELEPHONENUMBER? WHATISYOUREMPLOYER'SEMAILADDRESS? PLEASEGIVEDETAILSOFANYADDITIONALJOBSOR OCCUPATIONS. HAVEYOUEVERWORKEDFORANYORGANISATIONOFATYPE (STATEORNONSTATE)LISTEDBELOW? ARMEDFORCES(INCLUDINGNATIONALSERVICE) 56 57 58 59 60 GOVERNMENT(CENTRALORLOCAL) JUDICIARY MEDIA PUBLICORCIVILADMINISTRATION SECURITY(INCLUDINGPOLICEANDPRIVATESECURITY COMPANIES) NO NO NO NO NO CURATOROFANTIQUECARPETSANDTEXTILES THECARPETCELLARWOOLSHEELTRADERSPVT LTD 5JUN1996 1ANANDLOKKHELGAONMARG,NEWDELHI 110049 01141641777 INFO@CARPETCELLAR.COM MANAGEPURCHASE,SALE,EXPORTS,INVENTORY ,HRETC NO

PART5>EMPLOYMENTANDFINANCES>INCOMEANDEXPENDITURE 61 62 WHATISYOURTOTALMONTHLYINCOMEFROMALLSOURCESOF EMPLOYMENTOROCCUPATION,AFTERTAX? DOYOURECEIVEINCOMEFROMANYOTHERSOURCESINCLUDING FRIENDSORFAMILY? 4,00,000 YES

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

7/13

9/19/12

Visa4UK :: Print Online Visa Application

63 64 65 66 67 68 69 70 71

DOYOUHAVESAVINGSPROPERTIESOROTHERINCOMEFOR EXAMPLEFROMSTOCKSANDSHARES? HOWMUCHOFYOURMONTHLYINCOMEISUSEDTOSUPPORT YOURFAMILYMEMBER'SANDOTHERDEPENDANTS? HOWMUCHDOYOUSPENDEACHMONTHONLIVINGCOSTS? HOWMUCHMONEYISAVAILABLEFORYOURVISIT? WHOWILLPAYFORYOURTRAVELTOTHEUNITEDKINGDOM? WHOWILLPAYFORYOUREXPENSESSUCHASACCOMMODATION ANDFOOD? IFSOMEONEOTHERTHANYOURSELFISPAYINGFORALLORANY PARTOFTHISVISIT,HOWMUCHMONEYWILLTHEYGIVEYOU? WHATISTHECOSTTOYOUPERSONALLYOFYOURSTAYINTHE UNITEDKINGDOM? YOUSTATEDTHATYOURECEIVEINCOMEFROMOTHERSOURCES SUCHASFRIENDSORFAMILY. PLEASEGIVEDETAILSOFALLMONEYYOURECEIVEFROM ANY/ALLSOURCE(S)INCLUDINGAMOUNTSANDFREQUENCY. PLEASESTATEWHICHCURRENCYE.G.USDOLLARSORUK POUNDSSTERLING.

YES 20PERCENT 30PERCENT 5000USD COMPANY COMPANY 5000USD 200USD 5000USD

72

YOUSTATEDTHATYOUHAVESAVINGSPROPERTYORINCOME. PLEASEGIVEDETAILSANDSTATEWHICHCURRENCYE.G.US DOLLARSORUKPOUNDSSTERLING.

11800000USDPROPERTY1ANANDLOK

PART6>PREVIOUSAPPLICATIONSANDTRAVELHISTORY 73 74 75 76 77 78 79 80 81 82 HAVEYOUEVERTRAVELLEDTOTHEUKINTHELAST10YEARS? HAVEYOUEVERTRAVELLEDOUTSIDEYOURCOUNTRYOR RESIDENCEEXCLUDINGTHEUKINTHELAST10YEARS? HAVEYOUEVERBEENREFUSEDAVISAFORANYCOUNTRY INCLUDINGTHEUK? HAVEYOUBEENGRANTEDAUKVISAINTHELAST10YEARS? HAVEYOUBEENREFUSEDENTRYONARRIVALTOTHEUKINTHE LAST10YEARS? HAVEYOUEVERBEENDEPORTEDREMOVEDOROTHERWISE REQUIREDTOLEAVEANYCOUNTRYINCLUDINGTHEUK? HAVEYOUMADEANAPPLICATIONTOTHEHOMEOFFICETO REMAININTHEUKINTHELAST10YEARS? DOYOUHAVEAUKNATIONALINSURANCENUMBER? DOYOUHAVEANYCRIMINALCONVICTIONSINANYCOUNTRY (INCLUDINGTRAFFICOFFENCES)? HAVEYOUEVERBEENCHARGEDINANYCOUNTRYWITHA CRIMINALOFFENCEFORWHICHYOUHAVENOTYETBEENTRIEDIN THECOURT(INCLUDINGTRAFFICOFFENCES)? INTIMESOFEITHERPEACEORWARHAVEYOUEVERBEEN INVOLVEDINORSUSPECTEDOFINVOLVEMENTINWARCRIMES CRIMESAGAINSTHUMANITYORGENOCIDE? HAVEYOUEVERBEENINVOLVEDINSUPPORTEDOR ENCOURAGEDTERRORISTACTIVITIESINANYCOUNTRY?HAVE YOUEVERBEENAMEMBEROFORGIVENSUPPORTTOAN ORGANISATIONTHATHASBEENCONCERNEDINTERRORISM? HAVEYOUEVERBYANYMEANSORMEDIUMEXPRESSEDVIEWS THATJUSTIFYORGLORIFYTERRORISTVIOLENCEORTHATMAY ENCOURAGEOTHERSTOTERRORISTACTSOROTHERSERIOUS CRIMINALACTS? YES YES NO YES NO NO NO NO NO NO

83

NO

84

NO

85

NO

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

8/13

9/19/12

Visa4UK :: Print Online Visa Application

86

HAVEYOUENGAGEDINANYOTHERACTIVITIESTHATMIGHT INDICATETHATYOUMAYNOTBECONSIDEREDAPERSONOF GOODCHARACTER?

NO

PART6>PREVIOUSAPPLICATIONSANDTRAVELHISTORY>ADDITIONALINFORMATION 87 YOUSTATEDTHATYOUHADTRAVELLEDTOTHEUKINTHELAST 10YEARS. PLEASEPROVIDEDETAILSOFALLYOURTRIPSTOTHEUKOVER THELAST10YEARS. 88 YOUSTATEDTHATYOUHADTRAVELLEDOUTSIDEYOURCOUNTRY OFRESIDENCE,EXCLUDINGTHEUK,INTHELAST10YEARS. PLEASEPROVIDEDETAILSOFALLYOURTRIPSABROADINTHE LAST10YEARS. 89 YOUSTATEDTHATYOUHADBEENGRANTEDAUKVISAINTHE LAST10YEARS. PLEASEENTERTHEREFERENCENUMBER(S)IFKNOWN.THISCAN BEFOUNDONTHEPREVIOUSVISA(S)INYOURPASSPORT.YOU SHOULDENTERDETAILSEVENIFYOUDIDNOTUSETHEVISA(S). USA,UZBEKISTAN,JAMAICA,GRANDCAYMAN ISLANDS,THAILAND,INDONESIA,SWEDEN ,DENMARK,SINGAPORE,GERMANY,HONG KONG,ITALY, UK2905944THENHADAVALID10YEARMULTI ENTRYVISAWHENILOSTMYPASSPORTWHICH WASVALID CANNOTREMEMBEROFFHANDASMYPASSPORT WASLOSTBUTMUSTHAVEBEEN23TIMES

PART7>YOURVISIT 90 91 AREYOUANATIONALOFTHECOUNTRYINWHICHYOUARE APPLYING? AREYOUTRAVELLINGWITHANYONEELSE? YES NO

PART7>YOURVISIT>BUSINESSVISITOR 92 93 94 95 WHOINVITEDYOUTOTHEUK? WHATISTHENAMEOFTHEBUSINESSORORGANISATIONYOU WILLVISITINTHEUK? WHATDOESTHEBUSINESSORORGANISATIONDOINTHEUK? BUSINESSORORGANISATIONADDRESS: APT/FLOOR/SUITE/ROOM/STREET 96 97 98 99 CITY/TOWN/VILLAGE/SUBURB/STATE/PROVINCE(WHERE APPLICABLE) POSTAL/ZIPCODE BUSINESSORORGANISATIONLANDLINETELEPHONENUMBERIN THEUK BUSINESSORORGANISATIONEMAILADDRESSINTHEUK LONDON W1S1SR 442074477447 INFO@BONHAMS.COM NO RACHELDARBY SOTHEBYS,CHRISTIES,BONHAMS AUCTIONEERS 101NEWBONDSTREET

100 DOYOUINTENDTOSETYOURSELFUPINBUSINESSINTHEUK?

PART7>YOURVISIT>YOURSTAYINTHEUK 101 PLEASENOTE:IFYOUARESTAYINGANYWHEREELSEWHILEIN THEUKPLEASEENTERADDITIONALCONTACTDETAILSINPART8> ADDITIONALDETAILS. WHEREWILLYOUSTAYINTHEUK? 102 GIVENNAME(S)(IFAPPLICABLE) 103 FAMILYNAMEORHOTEL/B&BNAME 104 APT/FLOOR/SUITE/ROOM/STREET 105 CITY/TOWN/VILLAGE/SUBURB/STATE/PROVINCE(WHERE RACHEL DARBY 37MILSONROAD,OFFMASHBROWNROAD SHEPPERDSBUSH WITHDISTANTFRIENDS

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

9/13

9/19/12

Visa4UK :: Print Online Visa Application

APPLICABLE) 106 POSTAL/ZIPCODE 107 LANDLINETELEPHONENUMBER 108 EMAILADDRESSORWEBSITEADDRESS(IFAPPLICABLE) NOTSURE 7850000025 RACHELZOEDARBY@HOTMAIL.COM

PART7>YOURVISIT>FRIENDSANDFAMILY 109 DOYOUHAVEANYFRIENDSORFAMILYINTHEUK? 110 HOWMANYFRIENDSAND/ORFAMILYDOYOUHAVEINTHEUK? YES 5

PART7>YOURVISIT>FRIENDSANDFAMILY(1) 111 PLEASEPROVIDEDETAILSOFYOURFRIENDSAND/ORFAMILY. FULLNAME 112 NATIONALITY 113 THEIRADDRESS 114 THEIRHOME(LANDLINE)TELEPHONENUMBER 115 THEIRPERMISSIONTOSTAYINTHEUK(IFAPPLICABLE) 116 WHATISTHEIRRELATIONSHIPTOYOU? INDIA 62SYDNEYSTREET 7785906919 HEISONAWORKVISA OTHER NO ADITYALAROIA

117 DOYOUINTENDTOVISITTHISPERSONWHILEYOUAREINTHEUK?

PART7>YOURVISIT>FRIENDSANDFAMILY(2) 118 PLEASEPROVIDEDETAILSOFYOURFRIENDSAND/ORFAMILY. FULLNAME 119 NATIONALITY 120 THEIRADDRESS 121 THEIRHOME(LANDLINE)TELEPHONENUMBER 122 THEIRPERMISSIONTOSTAYINTHEUK(IFAPPLICABLE) 123 WHATISTHEIRRELATIONSHIPTOYOU? INDIA 25CANNONSTREETLONDONEC4M5TA 2079614594 WORKSFORFIDELITY OTHER NO RAHULKHANNA

124 DOYOUINTENDTOVISITTHISPERSONWHILEYOUAREINTHEUK?

PART7>YOURVISIT>FRIENDSANDFAMILY(3) 125 PLEASEPROVIDEDETAILSOFYOURFRIENDSAND/ORFAMILY. FULLNAME 126 NATIONALITY 127 THEIRADDRESS 128 THEIRHOME(LANDLINE)TELEPHONENUMBER 129 THEIRPERMISSIONTOSTAYINTHEUK(IFAPPLICABLE) 130 WHATISTHEIRRELATIONSHIPTOYOU? UNITEDKINGDOM HARROW 7760341496 WORKSINREALESTATE OTHER NO SANJAYRAISINGHANI

131 DOYOUINTENDTOVISITTHISPERSONWHILEYOUAREINTHEUK?

PART7>YOURVISIT>FRIENDSANDFAMILY(4)

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

10/13

9/19/12

Visa4UK :: Print Online Visa Application

132 PLEASEPROVIDEDETAILSOFYOURFRIENDSAND/ORFAMILY. FULLNAME 133 NATIONALITY 134 THEIRADDRESS 135 THEIRHOME(LANDLINE)TELEPHONENUMBER 136 THEIRPERMISSIONTOSTAYINTHEUK(IFAPPLICABLE) 137 WHATISTHEIRRELATIONSHIPTOYOU?

TAMANNASINGH

INDIA C/OARORAPARKHOTELHEATHROW 7436845246 FLIGHTATTENDANTWITHBA WIFE YES

138 DOYOUINTENDTOVISITTHISPERSONWHILEYOUAREINTHEUK?

PART7>YOURVISIT>FRIENDSANDFAMILY(5) 139 PLEASEPROVIDEDETAILSOFYOURFRIENDSAND/ORFAMILY. FULLNAME 140 NATIONALITY 141 THEIRADDRESS 142 THEIRHOME(LANDLINE)TELEPHONENUMBER 143 THEIRPERMISSIONTOSTAYINTHEUK(IFAPPLICABLE) 144 WHATISTHEIRRELATIONSHIPTOYOU? UNITEDKINGDOM NOTSURE 447876560607 FASHIONANDHOME OTHER NO PUSPAPORTIER

145 DOYOUINTENDTOVISITTHISPERSONWHILEYOUAREINTHEUK?

PART8>ADDITIONALINFORMATION 146 ISTHEREANYOTHERINFORMATIONYOUWISHTOBECONSIDERED ASPARTOFYOURAPPLICATION? 147 HAVEYOUUSEDANAGENTORREPRESENTATIVETOCOMPLETE THISAPPLICATION? NO NO

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

11/13

9/19/12

Visa4UK :: Print Online Visa Application

DECLARATION
IHEREBYAPPLYFORANENTRYCLEARANCETOTHEUNITEDKINGDOM.THEINFORMATIONIHAVEGIVENISCOMPLETEANDTRUE TOTHEBESTOFMYKNOWLEDGE.IALSODECLARETHATTHEPHOTOGRAPHSUBMITTEDWITHTHISFORMISATRUELIKENESSOF ME.ICONFIRMTHATIF,BEFORETHISAPPLICATIONISDECIDED,THEREISAMATERIALCHANGEINMYCIRCUMSTANCESORNEW INFORMATIONRELEVANTTOTHISAPPLICATIONBECOMESAVAILABLE,IWILLINFORMTHEUNITEDKINGDOMDIPLOMATICMISSION HANDLINGMYAPPLICATION. IAMAWARETHATITISANOFFENCEUNDERTHEIMMIGRATIONACT1971(ASAMENDED)TOMAKEASTATEMENT,WHICHIKNOWTO BEFALSE,ORNOTBELIEVETOBETRUE,INORDERTOOBTAINAVISA/ENTRYCLEARANCETOTHEUK.IAMALSOAWARETHATMY APPLICATIONWILLBEAUTOMATICALLYREFUSEDANDIMAYBEBANNEDFROMGOINGTOTHEUKFOR10YEARSIFIUSEAFALSE DOCUMENT,LIEORWITHHOLDRELEVANTINFORMATION.IMAYALSOBEBANNEDIFIHAVEBREACHEDIMMIGRATIONLAWSINTHE UK.IAMFURTHERAWARETHATSHOULDIUSEAFALSEDOCUMENT,LIEORWITHHOLDRELEVANTINFORMATIONMYDETAILSMAY BEPASSEDTOLAWENFORCEMENTAGENCIES. IDECLARETHATTHEDOCUMENTSTHATIHAVESUPPLIEDWITHTHISAPPLICATIONAREGENUINEANDTHESTATEMENTSIHAVE MADEWITHTHISAPPLICATIONARETRUTHFUL.IUNDERSTANDTHATUKBORDERAGENCY(ORATRUSTEDTHIRDPARTY)MAYMAKE REASONABLECHECKSTOCONFIRMTHEACCURACYANDAUTHENTICITYOFEVIDENCEIHAVEPROVIDEDANDDOCUMENTSIHAVE SUBMITTEDWITHTHISAPPLICATION.IFURTHERUNDERSTANDTHATUKBORDERAGENCY(ORATRUSTEDTHIRDPARTY)MAYALSO MAKEREASONABLECHECKSONANYSPONSORSTOMYAPPLICATIONTOVERIFYSTATEMENTSCONTAINEDINTHEAPPLICATION ANDESTABLISHTHATIWILLCOMPLYORHAVECOMPLIEDWITHTHETERMSOFANYVISAGRANTED. IUNDERSTANDTHATIMAYBEREQUIREDTOPROVIDEARECORDOFMYFINGERPRINTSANDAPHOTOGRAPHOFMYFACE ('BIOMETRICDATA')ASPARTOFMYAPPLICATION.IFIREFUSETODOSO,MYAPPLICATIONMAYBETREATEDASINVALIDAND,IF SO,WILLNOTBECONSIDEREDFURTHER.(SEESTATUTORYINSTRUMENT2006NO1743THEIMMIGRATION(PROVISIONOF PHYSICALDATA)REGULATIONS2006,REGULATION7(1)). IUNDERSTANDTHATUKENTRYCLEARANCEAPPLICATIONSMAYBEHANDLEDBYBRITISHMISSIONSINOTHERLOCATIONS, INCLUDINGOUTSIDETHECOUNTRYINWHICHIHAVEAPPLIEDFORENTRYCLEARANCEANDTHATTHISMAYINVOLVETHE TRANSFERRINGOFMYAPPLICATIONANDSUPPORTINGDOCUMENTSTOANDFROMANOTHERMISSION.IUNDERSTANDTHATTHE UKBORDERAGENCYWILLBERESPONSIBLEFORTRANSFERRINGMYAPPLICATIONANDSUPPORTINGDOCUMENTSSAFELY.I UNDERSTANDINTHESECIRCUMSTANCESMYAPPLICATIONWILLSTILLBEHANDLEDINLINEWITHUKBORDERAGENCYPUBLISHED CUSTOMERSERVICESTANDARDS. IUNDERSTANDTHATTHEFEEPAYABLEISFORANAPPLICATIONPROCESSINGANDENTRYCLEARANCEDECISIONMAKING SERVICE,NOTFORTHEGUARANTEEDDELIVERYOFAVISA,THEREFOREIWILLNOTBEENTITLEDTOAREFUNDSHOULDMY APPLICATIONFORENTRYTOTHEUKORCOMMONWEALTHANDOVERSEASTERRITORIESBEREFUSEDORGRANTEDFORA SHORTERTIMEPERIODTHANIAPPLIEDFOR.IALSOUNDERSTANDTHATMYVISAAPPLICATIONFEEWILLBEREFUNDEDONLYIF THEAPPLICATIONISWITHDRAWNINWRITINGWITHIN3MONTHSAND7DAYSOFTHEORIGINALDATEOFAPPLICATIONANDPRIOR TOTHESUBMISSIONOFBIOMETRICDATAORANYPROCESSINGTAKINGPLACE. IAMAWARETHATIMAYBEBILLEDFORANYMEDICALTREATMENTUNDERTAKENINTHEUKANDTHATIDONOTHAVERECOURSE TOPUBLICFUNDSDURINGMYSTAYINTHEUK. IUNDERSTANDTHATALLINFORMATIONPROVIDEDBYMEWILLBEPROCESSEDBYTHEUKBORDERAGENCYINACCORDANCEWITH THEDATAPROTECTIONACT1998.IAMAWARETHATTHEUKBORDERAGENCYISTHEDATACONTROLLERINRELATIONTOTHE INFORMATIONPROVIDEDBYMEINTHISAPPLICATIONFORM.IAMAWARETHATTHEINFORMATIONIPROVIDE,INCLUDING BIOMETRICDATA,WILLBETREATEDINCONFIDENCE,BUTITMAYBEDISCLOSEDTOOTHERGOVERNMENTDEPARTMENTS, AGENCIES,LOCALAUTHORITIES,FOREIGNGOVERNMENTSANDOTHERBODIES,TOENABLETHEUKBORDERAGENCYORTHOSE BODIESTOPERFORMTHEIRFUNCTIONS.ANYDISCLOSURESWILLBEINACCORDANCEWITHTHEDATAPROTECTIONACT1998.I ALSOUNDERSTANDTHATTHEINFORMATIONPROVIDEDBYMEMAYALSOBEUSEDFORSTAFFTRAININGPURPOSES. IALSOUNDERSTANDTHATTHEINFORMATIONPROVIDEDBYME,ORINFORMATIONMADEAVAILABLETOUKBORDERAGENCY DURINGTHEPROCESSINGOFMYAPPLICATION,MAYBESHAREDWITHMYSPONSOR(S)ORANYPERSON(S)ACTINGONTHEIR BEHALFORANYAPPLICANTLINKEDTOMYAPPLICATION(FOREXAMPLETOMYSPOUSE/PARTNERIFWEAPPLYFORVISASFORA TRIPTOGETHER)FORTHESOLEPURPOSEOFCONSIDERINGMYAPPLICATION.IAMAWARETHATIFTHEREISANYINFORMATIONI DONOTWANTYOUTODISCLOSETOTHEMIWILLTELLYOUBYENCLOSINGALETTERWITHMYSUPPORTINGDOCUMENTATION.IF SUCHREQUESTSPREVENTYOUFROMMAKINGLEGITIMATEINQUIRIES,MYAPPLICATIONMAYBEREFUSED. IDECLARETHATTHEINFORMATIONGIVENONTHISFORMISCORRECTTOTHEBESTOFMYKNOWLEDGEANDBELIEF.IALSO CONSENTTOTHEPROCESSINGOFINFORMATIONPROVIDEDBYMEBYTHEUKBORDERAGENCY. APPLICANT'SSIGNATURE:

DATESIGNED:

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

12/13

9/19/12

Visa4UK :: Print Online Visa Application

https://www.visa4uk.fco.gov.uk/AppProcess/s_ThankYou.aspx

13/13

Vous aimerez peut-être aussi