UK Paas Psample
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Transcript of UK Paas Psample
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1
UK PERSONAL PARTICULAR FORM
I PASSPORT DETAILS
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 - (dd/mm/yy)
4
Place of Birth
5
Gender
6
Nationality
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
11
Date of Issue
12
Date of Expiry
13
Current Location
14
Are you a national of the country in which you areapplying?
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15
Is this your first passport?
16
Nationality
17
If No.
Passport Number
18
Issuing Authority
19
Date of Issue
20
Date of Expiry
21
Is this passport lost, stolen or in your possession
II TRAVEL INFORMATION
22
Are you traveling with anyone?
23
Nationality
24
Family Name
25
Given Names
26
Date of Birth
27
Visa status - (holding visa/ going to apply/ not required)
28
Date of planned arrival in the UK
29
How long do you intend to stay in the UK?
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30
What is the main address and contact details of where you
will be staying whilst in the UK?
III PERSONAL DETAILS
31
What is your permanent residential address and contact
details?
32
How long have you lived at this address? (dd/mm/yy)
33
Are your preferred contact details different from the
contact details already provided above?
34
Please Enter Details
IV TRAVEL HISTORY
35
Have you been issued any visa for the UK, UK Overseas
Territories or Commonwealth Country in the last 10 years?
36
Type of Visa Issued
37
Date of Issue - (dd/mm/yy)
38
Date of Expiry - (dd/mm/yy)
39
Issuing Authority
40
Have you ever traveled to the UK in the last 10 years?
41
Date of Arrival - (dd/mm/yy)
42
Departure date - (dd/mm/yy)
43
Purpose of the trip
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44
Have you made an application to the Home Office to
remain in the UK in the last 10 years?
45
Have you been refused entry to the UK in the last 10 years
(for example at a UK airport or seaport)?
46
Have you been refused a visa for any country including the
UK in the last 10 years?
47
Country of visa application
48
Type of Visa refused
49
Date of Refusal - (dd/mm/yy)
50
Reason for Refusal
51
Have you been deported, removed or otherwise required to
leave any country including the UK in the last 10 years?
52
Have you ever voluntarily elected to depart the UK?
53
Are you, or have you been subject to, an exclusion order
from the UK?
54
Have you ever traveled outside your country of residence,
excluding the UK, in the last 10 years?
55
Date of travel - (dd/mm/yy)
56
Country visited
57
Reason for the trip
58
Do you have a UK National Insurance Number?
59
Do you have any criminal convictions in any country
(including spent/unspent convictions and traffic offences)?
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60
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)?
61
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 organization that has
been connected with terrorism?
62
Have you ever, by any means or medium, expressed views
that justify or glorify terrorist violence, or that may
encourage others to commit acts of terrorism or other
serious criminal acts?
63
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?
64
Have you engaged in any other activities that might
indicate that you may not be admitted to the UK?
65
If we need to interview you, what language would you like
to use in the interview?
V FAMILY DETAILS
66
What is your marital status?
67
Will your spouse/partner be traveling with you?
68
Current Passport or Travel Document Number
69
Nationality
70
Spouses - Family Name / Surname - (If you only have one
name, please enter it here and in the Given Name box)
71
Given Name(s) / Forename(s) - (If they only have one
name, please enter it here and in the Family Name box)
72
Date of Birth - (dd/mm/yy)
73
Does your spouse / partner currently live with you?
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74
Address Details (if not living with you)
75
Nationality of father
76
Family Name / Surname - (If you only have one name,
please enter it here and in the Given Name box)
77
Given Name(s) / Forename(s) - (If you only have onename, please enter it here and in the Family Name box)
78
Date of Birth - (dd/mm/yy)
79
Place of Birth
80
Nationality of Mother
81
Family Name / Surname (If you only have one name,
please enter it here and in the Given Name box)
82
Given Name(s) / Forename(s) (If you only have one name,
please enter it here and in the Family Name box)
83
Date of Birth - (dd/mm/yy)
84
Place of Birth
VI DEPENDENT CHILDREN
85
Do you have any dependent children?
86
Passport Number
87
Nationality
88
Family Name
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89
Given Names
90
Date of Birth - (dd/mm/yy)
91
Place of Birth
92
Traveling with You
93
Live with You
94
Address
95
Postal Code
96
Contact Number
VII NON DEPENDENT CHILDREN
97
Are any other children traveling with you? If so, then
provide their name, relationship, passport details andcomplete address, with pin code and contact number
VIII EMPLOYMENT AND INCOME
98
Have you ever worked for any of the following
organizations:
99
Armed Forces (including National Service)
100
Government (Central or Local)
101
Judiciary
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102
Media
103
Public or Civil Administration
104
Security (including police and private security companies)?
105
Organization
106
Job Description/Title/Rank
107
Type of work undertaken
108
Start Date - (dd/mm/yy)
109
End Date - (dd/mm/yy) if working currently, then mention
"still working"
110
What is your current working status?
111
What is your total monthly income from all sources of
employment or occupation, after tax?
112
Name of Company/Organization/Employer
113
Job Description / Title / Rank
114
Type of work undertaken
115
Address
116
When did you start this job? (dd/mm/yy)
117
Do you have any additional paid jobs or occupations?
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IX INCOME AND EXPENDITURE
118
Total Monthly Income from all sources
119
Do you have bank savings, properties or other income such
as rental income, income from share and fund provided by
relatives. (List all the sources)
120
If you mentioned yes for the above, then provide the
monthly income earning from each source separately
121
How much do you spend each month on living costs?
122
How much of your total monthly income is given to your
family members and other dependants?
123
What is the cost to you personally of your trip ?
124
The total amount of money you have for this trip
125
The cost of the aero plane, boat or train tickets
126
The cost of your accommodation
127
The cost of your living expenses
128
Is someone other than you paying for all or a part of your
trip?
129
if yes - What is the total amount they are paying to you ?
X FAMILY AND FRIENDS IN UK
130
Please enter details of what you plan to do whilst in the UK
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131
Do you have any friends or family in the UK?
132
if yes - Their name and Residential status
133
Their complete address with Contact no
( need their passport copies, visa copies )
XI MEDICAL TREATMENT
134
Have you ever received medical treatment in the UK?
XII ADDITIONAL INFORMATION
135
Is there any other information you wish to be considered as
part of your application?
XIII VISA CONFIRMATION QUESTIONS
136
Do you intend to work in the UK?
137
Is the main purpose of your trip to visit/stay with a close
family relative who is settled in the UK?
138
Do you intend to study in the UK?
IV
I Declare all the above mentioned information are true
to my Knowledge Signature / date