UK Visa Manual Form

Note: Kindly fill all the information as per your documents truthfully and attached
Passport copy of each applicant.

Name of Applicant: ..

Passport no: ..Duration of Visa:

Preferred date of submission: location of Interview:

1 Mobile No

2 Home Landline No

3 Email ID

4 Do you currently hold, or have you ever If Yes then name of Country
held, any other nationality or
nationalities?
5 Old Passport details
Country.
Yes Old Passport no..
No Issuing Authority
Date of issue..
Date of Expiry.....................
Passport with you or lost..

6 Person traveling with you

Nationality.
Full Name..
Date of Birth..
Do they have valid UK visa..Yes/No..
7 Stay address in UK Address..

.
.
.
Post code
Contact no..
Email
8 Permanent address in India
Address.
.
..
 ..
..
Post code..
How Long have you lived at this address..

9 Current Address in India Address.

Same as above: YesNo .
..
..
..
Post code..

10 Have you issue UK,UK Overseas country

in last 10 yrs Visa type
Yes.No. Date of issue..
Date of Expiry..
Issuing Authority..
11 Have you travelled to UK in last 10 Yrs
1) Date of Arrival.
Yes..No.. Date of Departure.
Purpose of Trip
2) Date of Arrival.
Date of Departure.
Purpose of Trip

12 Have you made application to Home

office in UK in last 10 yrs Yes No
13 Have you been refused UK visa in last
10 yrs Date of Refusal..
YesNO Port/Airport
Reason of refusal
Ref no..
14 Have you been refused visa for any
other country County.
Yes. NO.. Type of visa refused.
Date of refusal
Reason of Refusal

15 Have you been deported from any other

country Yes.No
16 Have you travelled any other country in
last 10 yrs
countrydate..purpose.
country date..purpose.

country date..purpose.
country date..purpose.
Country date..purpose.
 Country date..purpose.

17 Do you have UK national Number

Yes.No National Insurance no
Reason for getting it.

18 Interview Language

19 Marital Status
Single. Name of Spouse
Married Passport no..
Widow.. Nationality.
Divorce. Date of Birth
Separated.. Will you spouse traveling with you
Will you spouse living with you
20 Details of Father
Name..
Date of Birth..
Place of Birth..
21 Details of Mother
Name..
Date of Birth..
Place of Birth..
22 Details of Child
Name.
Passport no..
Date of Birth.
Place of birth..
21 Have you worked with below
organization? Type of organization
Name of Organization..
Govt. Rank..
Media. Start date.
Public Services End date
Security Police/Army

22 Current Working Status Full time employee

Part time employee..

Self-employed..
Retired
Student.
Supported by family..

23 Employee details
Monthly income after tax

Name of Company..
 Job Title/Designation
Type of work.
Full address of company.
.
..

Contact no
Email

24 When do start this job?

/../.
25 Do you any saving, investment
,property Bank saving.
Fixed deposits.
PF/PPF.
Shares..
NSC/RD..
Property (rent per month).

26 How much do you spend each month

on living costs? INR
27 How much of your total monthly income
is given to your family members and INR..
other dependents?
28 What is the cost to you personally of
your trip in GBP()? GBP.
29 The total amount of money you have
for this trip GBP
30 The cost of the aero plane, boat or train
tickets GBP.
31 The cost of your accommodation
GBP..
32 The cost of your living expenses
GBP..
33 Is someone other than you paying for
all or a part of your trip? GBP
34 Please enter details of what you plan to
do whilst in the UK

35 Friends and Family in UK

Relation
Full name
Nationality..
 Status in UK

Full address

..

..
Zip Code
Contact no
Email..
Are you living with this person in UK..

36 Do you received Medical Treatment in

UK
37 Any other information you wish to
provide extra

Signature:..

Name: