Visa and Immigration Assessment

Visa & Immigration Assessment

About Applicant
Passport Information
Contact Details
Your Family
Children
Child Details
Father Details
Mother Details
Immigration History
Trip Information
Additional Information
Submit the Form

SECTION 1 – ABOUT YOU

Gender

Male

Female

Date of Birth

Place of Birth

Country of Birth

Nationality

Do you hold any other nationalities?

Yes

What is your marital status?

Married

Divorced

Single/Never Married

SECTION 2 – CURRENT PASSPORT INFORMATION

Place of Issue

Date of Issue

Date of Expiry

Is this your first passport?

Yes

SECTION 3 - YOUR CONTACT DETAILS

Country

Do you own the property?

I own it

It is rented

I live with family

Home Telephone Number

Mobile Number

Email Address

SECTION 4 - YOUR FAMILY (SPOUSE, PARTNER, CIVIL PARTNER)

Where is your Spouse/Partner Now?

Spouse/Partner's Date of Birth

Spouse/Partner's Nationality

Will your spouse/partner be travelling with you?

Yes

SECTION 4 - YOUR FAMILY

Do you have any children?

Yes

Will any other children be travelling with you?

Yes

SECTION 4 - YOUR FAMILY (CHILD 1, IF MORE PLEASE WRITE)

Child's Date of Birth

Child's Place of Birth

Child's Nationality

SECTION 4 - YOUR FAMILY (FATHER)

Father's Date of Birth

Father's Nationality / Nationalities

SECTION 4 - YOUR FAMILY (MOTHER)

Mother's Date of Birth

Mother's Nationality / Nationalities

SECTION 5 - IMMIGRATION HISTORY

A. Have you ever travelled outside your country or residence‚ in the last 10 years?

Yes

B. Have you ever travelled to the UK‚ in the last 10 years?

Yes

C. Have you ever been refused a visa for the UK?

Yes

D. Have you ever been refused a visa for any country?

Yes

E. Have you been granted a UK visa in the last 10 years?

Yes

F. Have you been refused entry on arrival to the UK in the last 10 years?

Yes

G. Have you ever been deported‚ removed or otherwise required to leave the UK?

Yes

H. Have you ever been deported‚ removed or otherwise required to leave another country?

Yes

I. Have you made an application to the Home Office to remain in the UK in the last 10 years?

Yes

J. Do you have a UK National Insurance Number?

Yes

K. Do you have any criminal convictions in any country (including traffic offences)?

Yes

L. 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)?

Yes

M. 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?

Yes

N. Have you ever been involved in or supported terrorist activities in any country?

Yes

O. Have you‚ ever been a member of‚ or given support to an organisation that has been concerned in terrorism?

Yes

P. Have you ever‚ by any means or medium‚ expressed views that justify or glorify terrorist violence or that may encourage others to terrorist acts or other serious criminal acts?

Yes

Q. Have you engaged in any other activities that might indicate that you may not be considered a person of good character?

Yes

SECTION 5 - TRIP INFORMATION

You stated that you had travelled outside your country, please give the approximate date and duration and purpose of your stay/s. (if applicable)

You stated that you had travelled to the UK. Please give the approximate date and duration and purpose of your stay/s. (if applicable)

You stated that you had been refused a visa for another country. Please give the details e.g. date‚ country‚ reason (if applicable)

SECTION 6 - ADDITIONAL INFORMATION

Have you ever been deported‚ removed or otherwise required to leave another country?

Yes

When do you wish to travel to the UK?

I hereby declare that the information provided is true and correct.