UK Paas Psample

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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


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


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


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


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

UK Paas Psample

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