Visa4UK Print Application

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27.12.2010 23:03:02ps://www.visa4uk.fco.gov.uk/AppProcess/s_Thankyou.aspx?check=true

APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

APPLICANT NAME: ALEXEY VINOGRADOV PLEASE ATTACH ONE PHOTOGRAPH:PASSPORT STYLE ANDSIZE (SIZE OF IMAGE45MM X 35MM)A RECENT AND TRUELIKENESS, SHOWING FULLFACE, WITH NO HAT,HELMET OR SUNGLASSES,ALTHOUGH YOU CAN WEAR(EVERYDAY)GLASSESTAKEN AGAINST A PLAIN,EVENLY LIT AND LIGHTBACKGROUND

APPLICATION NUMBER: GWF009701343

DATE OF APPLICATION: 27 DEC 2010

VISA TYPE: VISIT

VISA SUB-TYPE: (GENERAL) LONG TERM VISITOR VISA (5 YEAR)

VISA FEE: EUR 563.00

POSTAGE FEE: EUR 0.00

SUBMISSION METHOD: IN PERSON PHOTOGRAPHS THAT DONOT CONFORM TO

THESE STANDARDS WILLBE REJECTED AND MAY

CAUSE DELAY INPROCESSING THE

APPLICATION

ISSUING OFFICE: VISA APPLICATION CENTRE DUSSELDORF

PAYMENT MADE: YES - ONLINE

FORM: VAF1A

PART 1 > ABOUT YOU

1 GIVEN NAME(S) (AS SHOWN IN YOUR PASSPORT) ALEXEY

2 FAMILY NAME (AS SHOWN IN YOUR PASSPORT) VINOGRADOV

3 OTHER NAMES (INCLUDING ANY NAMES YOU ARE KNOWN BY AND/OR ANY OTHER NAMESTHAT YOU HAVE BEEN KNOW BY)

4 SEX MALE

5 WHAT IS YOUR MARITAL STATUS? SINGLE

6 DATE OF BIRTH 7 MAY 1976

7 PLACE OF BIRTH NOVOROSSIYSK

8 COUNTRY OF BIRTH RUSSIA

9 NATIONALITY RUSSIA

10 DO YOU HOLD, OR HAVE YOU EVER HELD, ANY OTHER NATIONALITIES? NO

PART 1 > TRAVEL DATES AND PURPOSE OF TRAVEL

11 WHAT IS THE MAIN PURPOSE OF YOUR VISIT TO THE UK? VISIT MY BROTHER

12 HOW LONG DO YOU INTEND TO STAY IN THE UK? 1-2 WEEKS

13 ON WHICH DATE DO YOU INTEND TO TRAVEL TO THE UK? 30 JAN 2011

14 ON WHICH DATE DO YOU INTEND TO LEAVE THE UK? 10 FEB 2011

PART 2 > PASSPORT INFORMATION

15 PLEASE ENTER THE DETAILS OF THE PASSPORT OR TRAVEL DOCUMENT THAT YOU WILLUSE TO TRAVEL TO THE UK.

CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER

4788304

16 PLACE OF ISSUE HAMBURG

17 ISSUING AUTHORITY RUSSIAN CONSULATE

18 DATE OF ISSUE 18 NOV 2010

19 DATE OF EXPIRY 18 NOV 2015

20 IS THIS YOUR FIRST PASSPORT? NO

PART 2 > PASSPORT INFORMATION > ADDITIONAL INFORMATION

21 YOU ANSWERED 'NO' TO THE QUESTION 'IS THIS YOUR FIRST PASSPORT?' WHERE THEINFORMATION IS AVAILABLE, PLEASE PROVIDE FULL DETAILS OF ALL PASSPORTS HELDOVER THE LAST 10 YEARS, INCLUDING WHERE THEY ARE NOW.

NO. 3102902 - NOT VALID, BUT AVAILABLE, NO. 1182703 - NOT VALID, BUT AVAILABLE

PART 3 > CONTACT DETAILS

22 PLEASE PROVIDE DETAILS OF YOUR FULL ADDRESS AND POSTAL CODE. THIS MUST BETHE ADDRESS AT WHICH YOU LIVE RATHER THAN YOUR FAMILY HOME.

APT/FLOOR/SUITE/ROOM/STREET

GRIESSTRASSE 14

23 CITY/TOWN/VILLAGE/SUBURB/STATE/PROVINCE(WHERE APPLICABLE) HAMBURG

24 SELECT THE COUNTRY IN WHICH YOU LIVE GERMANY

25 POSTAL CODE/ZIP CODE 20535

26 HOW LONG HAVE YOU LIVED AT THIS ADDRESS? 2 YEARS

27 HOME (LANDLINE) TELEPHONE NUMBER 49 178 135 68 27

28 YOUR MOBILE/CELLULAR NUMBER 49 178 135 68 27

29 WILL THESE BE YOUR CONTACT DETAILS DURING THE APPLICATION PROCESS? YES

PART 4 > YOUR FAMILY > MOTHER AND FATHER


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30 IF KNOWN, PLEASE ENTER THE DETAILS OF YOUR MOTHER AND FATHER, EVEN IFDECEASED. IF YOU DO NOT KNOW THE ANSWERS TO ANY OF THE QUESTIONS PLEASESTATE 'NOT KNOWN'. IF THE DATE OF BIRTH IS NOT KNOWN, PLEASE ENTER A DATE OF'01 JAN 1900'.

MOTHER'S GIVEN NAME(S)

TAMARA

31 MOTHER'S FAMILY NAME VINOGRADOVA

32 MOTHER'S DATE OF BIRTH 21 NOV 1942

33 MOTHER'S PLACE AND COUNTRY OF BIRTH TOROPETS, RUSSIA, FORMER USSR

34 MOTHER'S NATIONALITY/NATIONALITIES RUSSIAN

35 FATHER'S GIVEN NAME(S) VLADIMIR

36 FATHER'S FAMILY NAME VINOGRADOV

37 FATHER'S DATE OF BIRTH 19 JAN 1947

38 FATHER'S PLACE AND COUNTRY OF BIRTH TARUTINO, UKRAINE, FORMER USSR

39 FATHER'S NATIONALITY/NATIONALITIES RUSSIAN

PART 4 > YOUR FAMILY > CHILDREN

40 DO YOU HAVE ANY DEPENDANT CHILDREN? NO

41 PLEASE NOTE: IF A CHILD IS TRAVELLING WITHOUT THEIR PARENTS, YOU SHOULDPRESENT WRITTEN NOTIFICATION FROM THE CHILD'S PARENT OR LEGAL GUARDIANTHAT THEY CONSENT TO THE CHILD'S VISIT.

WILL ANY OTHER CHILDREN BE TRAVELLING WITH YOU?

NO

PART 5 > EMPLOYMENT AND FINANCES

42 PLEASE NOTE: CHILDREN UNDER THE AGE OF 18 SHOULD ENTER THEIR PARENTSDETAILS.

WHAT ARE YOUR CURRENT PERSONAL CIRCUMSTANCES?

EMPLOYMENT FULL TIME

PART 5 > EMPLOYMENT AND FINANCES > EMPLOYMENT

43 WHAT IS YOUR PRESENT OCCUPATION? ENGINEER

44 WHAT IS THE NAME OF THE COMPANY OR ORGANISATION YOU WORK FOR? GERMANISCHER LLOYD INDUSTRIAL SERVICES GMBH

45 WHEN DID YOU START THIS JOB? 1 OCT 2010

46 WHAT IS YOUR WORK ADDRESS? BROOKTORKAI 18, 20457 HAMBURG, GERMANY

47 WHAT IS YOUR EMPLOYER'S TELEPHONE NUMBER? 49 40 36149 5256

48 WHAT IS YOUR EMPLOYER'S E-MAIL ADDRESS? [email protected]

49 PLEASE GIVE DETAILS OF ANY ADDITIONAL JOBS OR OCCUPATIONS. FORMER EMPLOYER FROM 2006 TILL OCTOBER 2010 - SGS GERMANY GMBH, RABOISEN28, 20095 HAMBURG

50 HAVE YOU EVER WORKED FOR ANY ORGANISATION OF A TYPE (STATE OR NON-STATE)LISTED BELOW?

ARMED FORCES (INCLUDING NATIONAL SERVICE)

NO

51 GOVERNMENT (CENTRAL OR LOCAL) NO

52 JUDICIARY NO

53 MEDIA NO

54 PUBLIC OR CIVIL ADMINISTRATION NO

55 SECURITY (INCLUDING POLICE AND PRIVATE SECURITY COMPANIES) NO

PART 5 > EMPLOYMENT AND FINANCES > INCOME AND EXPENDITURE

56 WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL SOURCES OF EMPLOYMENT OROCCUPATION, AFTER TAX?

2379 EURO

57 DO YOU RECEIVE INCOME FROM ANY OTHER SOURCES‚ INCLUDING FRIENDS OR FAMILY? NO

58 DO YOU HAVE SAVINGS‚ PROPERTIES OR OTHER INCOME‚ FOR EXAMPLE‚ FROM STOCKSAND SHARES?

YES

59 HOW MUCH OF YOUR MONTHLY INCOME IS USED TO SUPPORT YOUR FAMILY MEMBER'SAND OTHER DEPENDANTS?

CURRENTLY 0

60 HOW MUCH DO YOU SPEND EACH MONTH ON LIVING COSTS? 825 EURO

61 HOW MUCH MONEY IS AVAILABLE FOR YOUR VISIT? 6000 EURO

62 WHO WILL PAY FOR YOUR TRAVEL TO THE UNITED KINGDOM? I

63 WHO WILL PAY FOR YOUR EXPENSES SUCH AS ACCOMMODATION AND FOOD? MY BROTHER OR I

64 IF SOMEONE OTHER THAN YOURSELF IS PAYING FOR ALL OR ANY PART OF THIS VISIT,HOW MUCH MONEY WILL THEY GIVE YOU?

-

65 WHAT IS THE COST TO YOU PERSONALLY OF YOUR STAY IN THE UNITED KINGDOM? MAX. 400 EURO PER WEEK, FROM EXPERIENCE

66 YOU STATED THAT YOU HAVE SAVINGS‚ PROPERTY OR INCOME.

PLEASE GIVE DETAILS AND STATE WHICH CURRENCY E.G. US DOLLARS OR UK POUNDSSTERLING.

ABT 6000 EURO

PART 6 > PREVIOUS APPLICATIONS AND TRAVEL HISTORY

67 HAVE YOU EVER TRAVELLED TO THE UK‚ IN THE LAST 10 YEARS? YES

68 HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY OR RESIDENCE‚ EXCLUDING THEUK‚ IN THE LAST 10 YEARS?

YES

69 HAVE YOU EVER BEEN REFUSED A VISA FOR ANY COUNTRY‚ INCLUDING THE UK? NO

70 HAVE YOU BEEN GRANTED A UK VISA IN THE LAST 10 YEARS? YES


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71 HAVE YOU BEEN REFUSED ENTRY ON ARRIVAL TO THE UK IN THE LAST 10 YEARS? NO

72 HAVE YOU EVER BEEN DEPORTED‚ REMOVED OR OTHERWISE REQUIRED TO LEAVE ANYCOUNTRY INCLUDING THE UK?

NO

73 HAVE YOU MADE AN APPLICATION TO THE HOME OFFICE TO REMAIN IN THE UK IN THELAST 10 YEARS?

NO

74 DO YOU HAVE A UK NATIONAL INSURANCE NUMBER? NO

75 DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY COUNTRY (INCLUDING TRAFFICOFFENCES)?

NO

76 HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY WITH A CRIMINAL OFFENCE FORWHICH YOU HAVE NOT YET BEEN TRIED IN THE COURT (INCLUDING TRAFFIC OFFENCES)?

NO

77 IN TIMES OF EITHER PEACE OR WAR HAVE YOU‚ EVER BEEN INVOLVED IN‚ OR SUSPECTEDOF INVOLVEMENT IN‚ WAR CRIMES‚ CRIMES AGAINST HUMANITY OR GENOCIDE?

NO

78 HAVE YOU EVER BEEN INVOLVED IN‚ SUPPORTED‚ OR ENCOURAGED TERRORISTACTIVITIESIN ANY COUNTRY? HAVE YOU‚ EVER BEEN A MEMBER OF‚ OR GIVEN SUPPORTTO AN ORGANISATION THAT HAS BEEN CONCERNED IN TERRORISM?

NO

79 HAVE YOU EVER‚ BY ANY MEANS OR MEDIUM‚ EXPRESSED VIEWS THAT JUSTIFY ORGLORIFY TERRORIST VIOLENCE OR THAT MAY ENCOURAGE OTHERS TO TERRORIST ACTSOR OTHER SERIOUS CRIMINAL ACTS?

NO

80 HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT MIGHT INDICATE THAT YOU MAYNOT BE CONSIDERED A PERSON OF GOOD CHARACTER?

NO

PART 6 > PREVIOUS APPLICATIONS AND TRAVEL HISTORY > ADDITIONAL INFORMATION

81 YOU STATED THAT YOU HAD TRAVELLED TO THE UK IN THE LAST 10 YEARS.

PLEASE PROVIDE DETAILS OF ALL YOUR TRIPS TO THE UK OVER THE LAST 10 YEARS.

21. DECEMBER 2008 - 4. JANUAR 2009, VISIT OF MY BROTHER, 9. APRIL 2010 - 22. APRIL2010, VISIT OF MY BROTHER

82 YOU STATED THAT YOU HAD TRAVELLED OUTSIDE YOUR COUNTRY OF RESIDENCE,EXCLUDING THE UK, IN THE LAST 10 YEARS.

PLEASE PROVIDE DETAILS OF ALL YOUR TRIPS ABROAD IN THE LAST 10 YEARS.

BULGARIA 18.07.2007 - 28.07.2007, 04.09.2010 - 13.09.2010, CZECH REPUBLIC10.04.2008 - 14 .04.2008, TURKEY - ROUGHLY EVERY TWO YEARS FOR ABOUT A WEEK ASVACATION

83 YOU STATED THAT YOU HAD BEEN GRANTED A UK VISA IN THE LAST 10 YEARS.

PLEASE ENTER THE REFERENCE NUMBER(S) IF KNOWN. THIS CAN BE FOUND ON THEPREVIOUS VISA(S) IN YOUR PASSPORT. YOU SHOULD ENTER DETAILS‚ EVEN IF YOU DIDNOT USE THE VISA(S).

UK328976L

PART 7 > YOUR VISIT

84 ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU ARE APPLYING? NO

85 APART FROM THOSE LISTED AS FAMILY EARLIER IN THE APPLICATION WILL YOU BETRAVELLING WITH ANYONE ELSE?

NO

PART 7 > YOUR VISIT > ADDITIONAL INFORMATION

86 YOU STATED THAT YOU ARE NOT A NATIONAL OF THE COUNTRY YOU ARE APPLYING IN.PLEASE PROVIDE DETAILS OF YOUR IMMIGRATION STATUS E.G. A RESIDENCE PERMIT,VISA OR GREEN CARD.

RESIDENCE PERMIT

PART 7 > YOUR VISIT > GENERAL VISITOR

87 WHAT WILL YOU DO IN THE UK? VISIT MY BROTHER

88 DO YOU INTEND TO WORK IN THE UK? NO

89 DO YOU INTEND TO STUDY IN THE UK? NO

PART 7 > YOUR VISIT > YOUR STAY IN THE UK

90 PLEASE NOTE: IF YOU ARE STAYING ANYWHERE ELSE WHILE IN THE UK PLEASE ENTERADDITIONAL CONTACT DETAILS IN PART 8> ADDITIONAL DETAILS.

WHERE WILL YOU STAY IN THE UK?

WITH IMMEDIATE FAMILY

91 GIVEN NAME(S) (IF APPLICABLE) DMITRI

92 FAMILY NAME OR HOTEL/B&B NAME VINOGRADOV

93 APT/ FLOOR/ SUITE/ ROOM/ STREET 207, BLACKSTOCK ROAD

94 CITY/ TOWN/ VILLAGE/ SUBURB/ STATE/ PROVINCE (WHERE APPLICABLE) LONDON

95 POSTAL/ ZIP CODE N5 2LL

96 LANDLINE TELEPHONE NUMBER 44 794 223 44 05

97 EMAIL ADDRESS OR WEBSITE ADDRESS (IF APPLICABLE) [email protected]

PART 7 > YOUR VISIT > FRIENDS AND FAMILY

98 DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK? YES

99 HOW MANY FRIENDS AND/ OR FAMILY DO YOU HAVE IN THE UK? 1

PART 7 > YOUR VISIT > FRIENDS AND FAMILY (1)

100 PLEASE PROVIDE DETAILS OF YOUR FRIENDS AND / OR FAMILY.

FULL NAME

DMITRI VINOGRADOV

101 NATIONALITY RUSSIA

102 THEIR ADDRESS 207, BLACKSTOCK ROAD, LONDON, N5 2LL

103 THEIR HOME (LANDLINE) TELEPHONE NUMBER 44 794 223 44 05

104 THEIR PERMISSION TO STAY IN THE UK (IF APPLICABLE) WORK PERMIT F363486

105 WHAT IS THEIR RELATIONSHIP TO YOU? BROTHER

106 DO YOU INTEND TO VISIT THIS PERSON WHILE YOU ARE IN THE UK? YES


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PART 8 > ADDITIONAL INFORMATION

107 IS THERE ANY OTHER INFORMATION YOU WISH TO BE CONSIDERED AS PART OF YOURAPPLICATION?

NO

108 HAVE YOU USED AN AGENT OR REPRESENTATIVETO COMPLETE THIS APPLICATION? NO


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DECLARATION

I HEREBY APPLY FOR AN ENTRY CLEARANCE TO THE UNITED KINGDOM. THE INFORMATION I HAVE GIVEN IS COMPLETE AND TRUE TO THE BEST OF MY KNOWLEDGE. I ALSODECLARE 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 MATERIALCHANGE IN MY CIRCUMSTANCES OR NEW INFORMATION RELEVANT TO THIS APPLICATION BECOMES AVAILABLE, I WILL INFORM THE UNITED KINGDOM DIPLOMATIC MISSIONHANDLING MY APPLICATION.

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, INORDER TO OBTAIN A VISA/ENTRY CLEARANCE TO THE UK. I AM ALSO AWARE THAT MY APPLICATION WILL BE AUTOMATICALLY REFUSED AND I MAY BE BANNED FROM GOING TOTHE 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. IAM FURTHER AWARE THAT SHOULD I USE A FALSE DOCUMENT, LIE OR WITHHOLD RELEVANT INFORMATION MY DETAILS MAY BE PASSED TO LAW ENFORCEMENT AGENCIES.

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 UK BORDER AGENCY (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 UK BORDER AGENCY (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 HAVECOMPLIEDWITH THE TERMS OF ANY VISA GRANTED.

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 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 UK BORDER AGENCY WILL BE RESPONSIBLE FOR TRANSFERRING MY APPLICATION AND SUPPORTING DOCUMENTS SAFELY. I UNDERSTAND IN THESECIRCUMSTANCES MY APPLICATION WILL STILL BE HANDLED IN LINE WITH UK BORDER AGENCY PUBLISHED CUSTOMER SERVICE STANDARDS.

I AM AWARE THAT I MAY BE BILLED FOR ANY 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 ALL INFORMATION PROVIDED BY ME WILL BE PROCESSED BY THE UK BORDER AGENCY IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I AMAWARE THAT THE UK BORDER AGENCY IS THE DATA CONTROLLER IN RELATION TO THE INFORMATION PROVIDED BY ME IN THIS APPLICATION FORM. I AM AWARE THAT THEINFORMATION I PROVIDE, 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 UK BORDER AGENCY OR THOSE BODIES TO PERFORM THEIR FUNCTIONS. ANY DISCLOSURESWILL BE IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME MAY ALSO BE USED FOR STAFF TRAININGPURPOSES.

I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME, OR INFORMATION MADE AVAILABLE TO UK BORDER AGENCY 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 LEGITIMATEINQUIRIES,

MY APPLICATION MAY BE REFUSED.

I DECLARE THAT THE INFORMATION GIVEN ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO CONSENT TO THE PROCESSING OF INFORMATIONPROVIDED BY ME BY THE UK BORDER AGENCY.

APPLICANT'S SIGNATURE:

DATE SIGNED:


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