Yurtdisi Egitim Basvuru Formu

Transcription

1 Yurtdisi Egitim Basvuru Formu Isim (Pasaportunuzda yazdigi gibi) Given name(s) (as shown in your passport) Soyadi (Pasapurtunuzda yazdigi gibi) Family name (as shown in your passport) Ikinci bir adiniz varsa Other names (including any other names you are known by and/or any other names that you have been known by) Cinsiyetiniz / Sex Medeni Haliniz / Marital status? Erkek / Male Kadin / Female Bekar / Single Evli / Married Evlilik Disi Birliktelik / Unmarried Partner Bosanmis / Divorced Dul / Widowed Ayri / Seperated Dogum tarihiniz / Date of Birth DD MM YYYY Dogum yeriniz / Place of birth Hangi Ulkede Dogdunuz / Country of Birth Uyrugunuz / Nationality Baska bir vatandaslik sahibimisiniz? Do you hold any other nationalities? Evet / Yes Hayir / Cevabinz evet ise ayrinti veriniz If Yes please provide details Guncel Pasaportunuz veya Seyehat Dokumunuzun Numarasi Current passport or travel document number Pasaportunuzun verildigi yer / Issuing Authority Verildigi Tarih / Date of issue Bitis Tarihi / Date of expiry DD/MM/YYYY DD/MM/YYYY

2 Bu sizin ilk pasaportunuz mu? Is this your first passport? Evet / Yes Hayir / Eger ilk Pasaportunuz degilse son 10 yillik pasaportunuzun nerede oldugunu belirtiniz If give details of previous passports covering the last 10 years including where these passports are now. Ikamet ettiginiz adres ve posta kodu / Your full residential address and postal code Ev telefonu / Home (landline) telephone number Cep telefonu / Mobile telephone number E mail Baska kontak bilgileriniz varsa belirtiniz. / Contact details if different from above. Esiniz sizinle birlikte geliyormu yada daha sonra gelecek mi? Is your partner accompanying you or joining you later? t Applicable Esinizin ad ve Soyadi : Full name of spouse/partner : Esinizin dogum / Spouse/Partner s date of birth DD MM YYYY Esinizin dogum yeri ve ulkesi / Spouse/Partner s place and country of birth Esinizin uyrugu Spouse/Partner s nationality Sizinle birlikte gelen veya daha sonra gelebilecek olan 18 yas altinda cocugunuz varmi? Do you have any children under 18 accompanying you or joining you at a later date? Cevabiniz evet ise lutfen ayrintilari asagida belirtiniz. If Yes please provide full details about the child/children

3 Isim Full Name Dogum Tarihi Date of Birth Dogum Yeri Place of birth Pasaport Numarasi Passport number Babanizin adi Father s given name(s) Babanizin soyadi Father s family name Annenizin adi Mother s given name(s) Annenizin soyadi Mother s family name Babanizin dogum tarihi Father s date of birth Babanizin dogum yeri ve ulkesi Father s place and country of birth Annenizin dogum tarihi Mother s date of birth DD/MM/YYYY DD/MM/YYYY Babanizin uyrugu / Father s nationality Annenizin dogum yeri ve ulkesi Mother s place and country of birth Annenizin uyrugu / Mother s nationality Birlesik kiralligin size vermis oldugu bir sigorta numarasi var mi? If you have a UK National Insurance Number what is the number? Gecmis 10 sene icinde birlesik kralliga seyehatte bulundunuzmu? Have you travelled to the UK in the last 10 years? Cevabiniz evetsen ayrintilari asagida belirtiniz Tarih / Date Neden / Purpose Süreler (giris cikis tarihleri) Durations Herhangi bir ulkeden pasaportunuza red geldimi birlesik krallikta dahil olmak uzere? Have you ever been refused a visa for any country including the UK? Cevabiniz evetsen ayrintilari asagida belirtiniz Tarih / Date Ulke / Country Neden / Reason Referans Numarasi /

4 Birlesik Krallik gectigimiz 10 yil icinde size vize verdi mi? Have you been granted a visa for the UK in the last 10 years? Tarih / Date Amac / Purpose Süreler (giris cikis tarihleri) Durations Referans Numarasi / Herhangi bir zaman icinde Birlesik Krallik Devletine girisiniz iptal edildi mi? Have you ever been refused entry on arrival to the UK? Tarih / Date Neden / Reason Referans Numarasi / Hic gocmenlik sartlarini yasal olarak ihlal ettin mi? Have you ever been in breach of your immigration conditions for the uk? Hic daha once baska bir ulkeden yada Birlesik Kralliktan surgun ve uzaklastirma yada baska bir sekilde ayilmak zorunda kaldin mi? Have you ever been deported, removed or otherwise required to leave any country, including the UK? Tarih / Date Ulke / Country Neden / Reason Referans Numarasi / Hic 10 yil icinde Birlesik Krallik ic isleri bakanligina basvuru yaptiniz mi? Have you made an application to the Home Office to remain in the UK in the last 10 years?

5 Tarih / Date Basvuru nedeniniz / Reason for application Verildimi / red mi? Granted/refused? Reason (if refused) Referans number Hic daha once herhangi bir sucla mahkemede yarginadiniz mi? Have you ever been charged in any country with a criminal offence for which you have not yet been tried in court? Tarih / Date Ulke/ Country Offence 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? >>> If Yes please provide details in Part 7 Additional information. Refer to Guidance notes for definitions 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 concerned in terrorism? >>>>>> 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?>>>>>> If Yes please provide details in Part 7, Additional information. Refer to Guidance notes for definitions Have you engaged in any other activities that might indicate that you may not be considered a person of good character? >>>>>> If Yes please provide details in Part 7, Additional information. Refer to Guidance notes for definitions If Yes please provide details in Part 7, Additional information.

6 Additional Information Read Guidance notes, Part 7 Type of document How many? Passports and/or travel documents Marriage or civil partnership certificate Other (state which) Other (state which)