Comfort and Leisure Travel Agency. UK Tourist Visa Application Form

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1 UK Tourist Visa Application Form Passport and Travel Information Passport / Travel Document Family Name / Surname: (If you only have one name, please enter it here and in the Family Name box) Date of Birth Place of Birth Gender Nationality Do you currently hold, or have you ever held, any other nationality or nationalities? (Yes / No) If Yes, please provide details: Current Passport or Travel Document Number Place of Issue Issuing Authority Date of Issue Date of Expiry Current Location Are you a national of the country in which you are applying? (Yes / No) Is No, please provide your nationality: Is this your first passport? (Yes / No) If No, please provide details of your old passports: Nationality Document Number Issuing Authority Date of Issue Date of Expiry Is this document lost, stolen or in your possession?

2 What is the main address and contact details of where you will be staying whilst in the UK? Personal Details and Travel History Personal Details What is your premanent residential address and contact details? How long have you lived at this address? Are your preferred contact details different from the contact details already provided above? (Yes / No) Is Yes, please provide your preferred contact details: Travel History Have you been issued any visa for the UK, UK Overseas Territories or Commonwealth Country in the last 10 years? (Yes / No) Is Yes, please provide your visa details: Type of Visa Issued: Date of Issue: Date of Expiry: Issuing Authority: Have you ever travelled to the UK in the last 10 years? (Yes / No) Is Yes, please provide your travel details: Date of Arrival: Departure Date: Purpose of the trip: Have you made an application to the Home Office to remain in the UK in the last 10 years? (Yes / No)

3 Have you been refused entry to the UK in the last 10 years (for example at a UK airport or seaport)? (Yes / No) Have you been refused a visa for any country including the UK in the last 10 years? (Yes / No) Have you been deported, removed or otherwise required to leave any country including the UK in the last 10 years? (Yes / No) Have you ever voluntarily elected to depart the UK? (Yes / No) Are you, or have you been subject to, an exclusion order from the UK? (Yes / No) Have you ever travelled outside your country of residence, excluding the UK, in the last 10 years? (Yes / No) Date of travel: Country visited: Reason for the trip: Do you have a UK National Insurance Number? (Yes / No) Do you have any criminal convictions in any country? (including spent/unspent convictions and traffic offences)? (Yes / No) 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)? 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 organisation that has been connected with terrorism? (Yes / No) 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? (Yes / No)

4 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 / No) Have you engaged in any other activities that might indicate that you may not be admitted to the UK? (Yes / No) If we need to interview you, what language would you like to use in the interview? Family Details Spouse / Partner What is your marital status?: Will your spouse/partner be travelling with you?: Current Passport or Travel Document Number: Family Name / Surname: (If you only have one name, please enter it here and in the Given Name box) Given Name(s) / Forename(s): (If they only have one name, please enter it here and in the Family Name box) Does your spouse / partner currently live with you? (Yes / No) Father Family Name / Surname: (If they only have one name, please enter it here and in the Given Name box) Given Name(s) / Forename(s): (If they only have one name, please enter it here and in the Family Name box) Place of Birth

5 Mother Family Name / Surname: (If they only have one name, please enter it here and in the Given Name box) Given Name(s) / Forename(s): (If they only have one name, please enter it here and in the Family Name box) Place of Birth Dependent Children Do you have any dependent children? (Yes / No) Is Yes, please provide the following details: Passport Number: Family Name: Given Names: Place of Birth: Travelling with You (Yes / No): Live with You (Yes / No): Address 1: Address 2: Address 3: Address 4:

6 Postal Code: Country: Contact Number: Non Dependent Children Are any other children travelling with you? (Yes / No): Is Yes, please provide the following details: Passport Number: Family Name: Given Names: Place of Birth: Travelling with You (Yes / No): Live with You (Yes / No): Address 1: Address 2: Address 3: Address 4: Postal Code: Country: Contact Number: Employment and Income Employment

7 Have you ever worked for any organisation (state or non-state) listed below? (Yes / No) Armed Forces (including National Service) Government (Central or Local) Judiciary Media Public or Civil Administration Security (including police and private security companies)? What is your current working status?: What is your total monthly income from all sources of employment or occupation, after tax? (in GBP) Name of Company/Organisation/Employer: Job Description / Title / Rank: Type of work undertaken: Address: When did you start this job?: Do you have any additional paid jobs or occupations? (Yes / No) Income and Expenditure Do you have savings, properties or other income, for example from stocks and shares? (Yes / No): Is Yes, please provide the following details: Total Monthly Income From: Amount in GBP( ): How much do you spend each month on living costs? (in GBP) How much of your total monthly income is given to your family members and other dependants? (in GBP) What is the cost to you personally of your trip in GBP( )? The total amount of money you have for this trip in GBP:

8 The cost of the aeroplane, boat or train tickets in GBP: The cost of your accommodation in GBP: The cost of your living expenses in GBP: Is someone other than you paying for all or a part of your trip? (Yes / No) What is the total amount in GBP( )? Family in the UK Family and Friends Please enter details of what you plan to do whilst in the UK: Do you have any family in the UK?: Is Yes, please provide the following details: Relationship: Family Name: Given Name: Status in the UK: Address 1: Address 2: Address 3: Address 4: Postal Code: Primary Contact Number: Secondary Contact Number: Visit or Stay: Medical Treatment

9 you ever received medical treatment in the UK? (Yes / No): Additional Information Is there any other information you wish to be considered as part of your application? (Yes /No): Visa Confirmation Questions Do you intend to work in the UK? (Yes / No) : Do you intend to study in the UK? (Yes / No) :

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