Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE
APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE
APPLICATION ID:
GIVEN NAMES:
FAMILY NAME:
DATE OF BIRTH:
PLACE OF BIRTH:
SEX:
NATIONALITY:
PASSPORT NUMBER
VISA APPLICATION NUMBER:
DATE APPLICATION
SUBMITTED ONLINE:
DATE OF PLANNED ARRIVALIN THE UK:
VISA APPLICANT CONTACT DETAILS
APPLICANTS EMAILADDRESS:
APPLICANTS PRIMARYNUMBER:
APPLICANTS SECONDARYNUMBER:
VISA APPLICATION FEE AND PAYMENT CONFIRMATTOTAL FEE: INR
PAYMENT MADE:
PAYMENT DATE:
VISA APPLICATION SUBMISSION LOCATION
SUBMISSION METHOD: IN PERSON
VISA APPLICATIONLOCATION:
BRITISH HIGH COMMISSION NEW DELHI - NEW DELHI
>OFFICE USE ONLY
CATEGORY:
DECLARATION
I declare that the information given on this form whether input by myself, input on my behalf by a third party or automatically pre-populated is completeand correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me. I confirm that if,before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, Iwill inform the United Kingdom diplomatic mission handling my application.
I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am awarethat the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information Iprovide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance with the Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.
I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I understand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I have provided and documents I have submitted with this application. I further understand that the Home Office (or a trusted third party) may also make reasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have complied with the terms of any visa granted.
I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I have applied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. I understand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in these circumstances my application will still be handled in line with Home Office published customer service standards.
I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of a visa, therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused or granted for a shorter time period than I applied for. I also understand that my visa application feewil be refunded only if the application is withdrawn in writing within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.
I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, may be shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse / partner if we apply for visas for a trip together) for the sole purpose of considering my application. I am aware that if there is any information I do not want you to disclose to them I will tell you by enclosing a letter with my supporting documentation. If such requests prevent you from making legitimate inquiries, myapplication may be refused.
I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie or withhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a false document, lie or withhold relevant information my details may be passed to law enforcement agencies.
I understand that I may be required to provide a record of my fingerprints and a photograph of my face (“biometric data”) as part of my application. If I refuse to do so, my application may be treated as invalid and, if so, will not be considered further. (See Statutory Instrument 2006 No 1743 – The Immigration (Provision of Physical Data) Regulations 2006, Regulation 7(1)).
I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay in the UK.
I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.
I understand that my details may, in certain circumstances, be passed to fraud prevention agencies to prevent and detect fraud and money laundering.
I also understand that such agencies may provide the Home Office with information about me. Further details explaining when information may be passed to or from fraud prevention agencies and how that information may be used can be obtained from the Home Office website.
I am aware that it is an offence under the Immigration Act 1971 (as amended) to make a statement which I know to be false, or not believe to be true, in order to obtain a visa/entry clearance to the UK.
I hereby apply for a visa/entry clearance to the United Kingdom.
Information for sponsors
Personal information which is provided about a person acting in support of an application, including any documentary evidence provided by or about them, will be processed in accordance with the Data Protection Act 1998 by the Home Office, which is the data controller in relation to the informationprovided.
The Home Office will use this information to make decisions about the application and to prevent and detect fraud. We may share this information with other government departments or agencies, local and public authorities, foreign governments, companies (including financial and utility companies), employers or other bodies in order to make reasonable checks to verify the information provided in the application and confirm that sponsors have or will comply with the terms of any visa which may be or have been granted. Any information received by the Home Office about a sponsor may be used
in reaching a decision on the application. Full details of the way in which the data may be processed can be found on the Home Office website at
I confirm that, where I have a sponsor, I have informed my sponsor of the information set out above and my sponsor has confirmed that they consent to me providing the information about them which is set out in this application.
APPLICANT'S SIGNATURE:
DATE SIGNED:
FORM COMPLETED BY:
APPLICANT NAME:
APPLICATION NUMBER:
DATE OF APPLICATION:
TYPE OF VISA:
PURPOSE OF APPLICATION:
TYPE OF APPLICATION:
TOTAL FEE:
SUBMISSION METHOD:
ISSUING OFFICE: British High Commission New Delhi -
PAYMENT MADE:
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)
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE
AND IN THE FAMILY NAME BOX)
3 DATE OF BIRTH
4 PLACE OF BIRTH
5 GENDER
6 NATIONALITY INDIA
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 REPUBLIC OF INDIA
11 DATE OF ISSUE
12 DATE OF EXPIRY
13 CURRENT LOCATION INDIA
14 ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU
ARE APPLYING?
15 IS THIS YOUR FIRST PASSPORT? NO
16 NATIONALITY DOCUMENTNUMBER
ISSUINGAUTHORITY
DATE OF ISSUE DATE OF EXPIRY IS THIS DOCUMENT LOST, STOLEN OR IN YOUR POSSESSION
TRAVEL INFORMATION
17 ARE YOU TRAVELLING WITH ANYONE?
18 NATIONALITY FAMILY NAME GIVEN NAMES DATE OF BIRTH VISA HELD INDIA
19 DATE OF PLANNED ARRIVAL IN THE UK
20 HOW LONG DO YOU INTEND TO STAY IN THE UK?
WHAT IS THE MAIN ADDRESS AND CONTACT DETAILSOF WHERE YOU WILL BE STAYING WHILST IN THE UK?
PRIMARY CONTACT NUMBER:
PART 2 > PERSONAL DETAILS AND TRAVEL HISTORY
PERSONAL DETAILS
22 WHAT IS YOUR PERMANENT RESIDENTIAL ADDRESS
AND CONTACT DETAILS?
LINE 1:
LINE 2:
LINE 3:
LINE 4:
POST CODE:
COUNTRY:
PRIMARY CONTACT NUMBER:
SECONDARY CONTACT NUMBER:
EMAIL:
23 HOW LONG HAVE YOU LIVED AT THIS ADDRESS?
24 ARE YOUR PREFERRED CONTACT DETAILS DIFFERENTFROM THE CONTACT DETAILS ALREADY PROVIDEDABOVE?
TRAVEL HISTORY
25 HAVE YOU BEEN ISSUED ANY VISA FOR THE UK, UKOVERSEAS TERRITORIES OR COMMONWEALTHCOUNTRY 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 10YEARS?
28 DATE OF ARRIVAL DEPARTURE DATE PURPOSE OF THE TRIP
29 HAVE YOU MADE AN APPLICATION TO THE HOMEOFFICE TO REMAIN IN THE UK IN THE LAST 10 YEARS?
30 HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THELAST 10 YEARS
(FOR EXAMPLE AT A UK AIRPORT OR SEAPORT)?
31 HAVE YOU BEEN REFUSED A VISA FOR ANY COUNTRYINCLUDING THE UK IN THE LAST 10 YEARS?
32 HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISEREQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UKIN THE LAST 10 YEARS?
33 HAVE YOU EVER VOLUNTARILY ELECTED TO DEPARTTHE UK?
34 ARE YOU, OR HAVE YOU BEEN SUBJECT TO, ANEXCLUSION ORDER FROM THE UK?
35 HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRYOF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10
YEARS?
36 DO YOU HAVE A UK NATIONAL INSURANCE NUMBER?
37 DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANYCOUNTRY
(INCLUDING SPENT/UNSPENT CONVICTIONS ANDTRAFFIC OFFENCES)?
38 HAVE YOU EVER BEEN CHARGED IN ANY COUNTRYWITH A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOTYET BEEN TRIED IN THE COURT (INCLUDING TRAFFICOFFENCES)?
39 HAVE YOU EVER BEEN INVOLVED IN, SUPPORTED ORENCOURAGED TERRORIST ACTIVITIES IN ANY
COUNTRY? HAVE YOU EVER BEEN A MEMBER OF, ORGIVEN SUPPORT TO, AN ORGANISATION THAT HASBEEN CONNECTED WITH TERRORISM?
40 HAVE YOU EVER, BY ANY MEANS OR MEDIUM,EXPRESSED VIEWS THAT JUSTIFY OR GLORIFY
TERRORIST VIOLENCE, OR THAT MAY ENCOURAGEOTHERS TO COMMIT ACTS OF TERRORISM OR OTHERSERIOUS CRIMINAL ACTS?
41 IN TIMES OF EITHER PEACE OR WAR HAVE YOU EVERBEEN INVOLVED IN, OR SUSPECTED OF INVOLVEMENT IN, WAR CRIMES, CRIMES AGAINST HUMANITY ORGENOCIDE?
42 HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THATMIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TOTHE UK?
43 IF WE NEED TO INTERVIEW YOU, WHAT LANGUAGE WOULD YOU LIKE TO USE IN THE INTERVIEW?
PART 3 > FAMILY DETAILS
SPOUSE / PARTNER
44 WHAT IS YOUR MARITAL STATUS? MARRIED / CIVIL PARTNER
45 WILL YOUR SPOUSE/PARTNER BE TRAVELLING WITHYOU?
46 CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER
47 NATIONALITY
48 FAMILY NAME / SURNAME
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HEREAND IN THE GIVEN NAME BOX)
GIVEN NAME(S) / FORENAME(S)
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER ITHERE AND IN THE FAMILY NAME BOX)
51 DOES YOUR SPOUSE / PARTNER CURRENTLY LIVE WITHYOU?
52 NATIONALITY
53 FAMILY NAME / SURNAME
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER ITHERE AND IN THE GIVEN NAME BOX)
54 GIVEN NAME(S) / FORENAME(S)(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER ITHERE AND IN THE FAMILY NAME BOX)
55 DATE OF BIRTH
56 PLACE OF BIRTH
57 NATIONALITY
58 FAMILY NAME / SURNAME
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER ITHERE AND IN THE GIVEN NAME BOX)
59 GIVEN NAME(S) / FORENAME(S)
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
60 DATE OF BIRTH
61 PLACE OF BIRTH
62 DO YOU HAVE ANY DEPENDENT CHILDREN?
63 ARE ANY OTHER CHILDREN TRAVELLING WITH YOU?
PART 4 > EMPLOYMENT AND INCOME
EMPLOYMENT
64 HAVE YOU EVER WORKED FOR ANY OF THE FOLLOWING ORGANISATIONS:
ARMED FORCES (INCLUDING NATIONAL SERVICE)
GOVERNMENT (CENTRAL OR LOCAL)
JUDICIARY
MEDIA
PUBLIC OR CIVIL ADMINISTRATION
SECURITY (INCLUDING POLICE AND PRIVATE SECURITYCOMPANIES)?
65 WHAT IS YOUR CURRENT WORKING STATUS?
INCOME AND EXPENDITURE
66 DO YOU HAVE SAVINGS, PROPERTIES OR OTHERINCOME, FOR EXAMPLE FROM STOCKS AND SHARES?
67 TOTAL MONTHLY INCOME FROM AMOUNT IN GBP(£)
68 HOW MUCH DO YOU SPEND EACH MONTH ON LIVINGCOSTS?
69 HOW MUCH OF YOUR TOTAL MONTHLY INCOME ISGIVEN TO YOUR FAMILY MEMBERS AND OTHER
DEPENDANTS?
70 WHAT IS THE COST TO YOU PERSONALLY OF YOURTRIP IN GBP(£)?
71 THE TOTAL AMOUNT OF MONEY YOU HAVE FOR THISTRIP
72 THE COST OF THE AEROPLANE, BOAT OR TRAIN TICKETS
73 THE COST OF YOUR ACCOMMODATION
74 THE COST OF YOUR LIVING EXPENSES
75 IS SOMEONE OTHER THAN YOU PAYING FOR ALL OR APART OF YOUR TRIP?
PART 5 > FAMILY IN THE UK
FAMILY AND FRIENDS
76 PLEASE ENTER DETAILS OF WHAT YOU PLAN TO DOWHILST IN THE UK
MY MAIN PURPOSE TO GO UK
77 DO YOU HAVE ANY FAMILY IN THE UK?
78 RELATIONSHIP
FAMILY NAME
GIVEN NAME
NATIONALITY
STATUSIN THEUK
ADDRESS 1
ADDRESS 2
ADDRESS 3
ADDRESS 4
POSTAL CODE
PRIMARYCONTACTNUMBER
SECONDARY CONTACTNUMBER
PART 6 > MEDICAL TREATMENT
MEDICAL TREATMENT
79 HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN
THE UK?
PART 7 > ADDITIONAL INFORMATION
80 IS THERE ANY OTHER INFORMATION YOU WISH TO BE CONSIDERED AS PART OF YOUR APPLICATION?
VISA CONFIRMATION QUESTIONS
81 DO YOU INTEND TO WORK IN THE UK?
82 DO YOU INTEND TO STUDY IN THE UK?
DECLARATION
I declare that the information given on this form whether input by myself, input on my behalf by a third party or automatically pre-populated is complete
and correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me. I confirm that if,before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, Iwill inform the United Kingdom diplomatic mission handling my application.
I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am awarethat the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information Iprovide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,
foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance withthe Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.
I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful.
Iunderstand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I haveprovided and documents I have submitted with this application. I further understand that the Home Office (or a trusted third party) may also makereasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have compliedwith the terms of any visa granted.
I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I haveapplied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. Iunderstand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in thesecircumstances my application will still be handled in line with Home Office published customer service standards.
I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of avisa, therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused orgranted for a shorter time period than I applied for. I also understand that my visa application fee will be refunded only if the application is withdrawn inwriting within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.
I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, maybe shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse / partner if weapply for visas for a trip together) for the sole purpose of considering my application. I am aware that if there is any information I do not want you todisclose to them I will tell you by enclosing a letter with my supporting documentation. If such requests prevent you from making legitimate inquiries, myapplication may be refused.
I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie orwithhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a falsedocument, lie or withhold relevant information my details may be passed to law enforcement agencies.
I understand that I may be required to provide a record of my fingerprints and a photograph of my face (“biometric data”) as part of my application. If Irefuse to do so, my application may be treated as invalid and, if so, will not be considered further. (See Statutory Instrument 2006 No 1743 - TheImmigration (Provision of Physical Data) Regulations 2006, Regulation 7(1)).
I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay inthe UK.
I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.
I understand that my details may, in certain circumstances, be passed to fraud prevention agencies to prevent and detect fraud and money laundering.