APPLICATION FORM FOR OVERSEAS TERRITORY VISA (VAF5 2004)
THIS FORM IS PROVIDED FREE OF CHARGE
FOR OFFICIAL
USE ONLY
SECTION 1 – WHICH OVERSEAS TERRITORY ARE YOU APPLYING TO VISIT?
Your photograph must be:
•
Passport style and
size (size of image
45mm x 35mm)
•
A recent and true
likeness, showing full
face, with no hat,
helmet or sunglasses,
SECTION 2 – WHAT TYPE OF VISA ARE YOU APPLYING FOR?
although you can wear
everyday glasses.
Visitor
Student
•
In colour taken against
Work Permit Holder
Settlement
a plain, evenly lit and
Temporary Residence Permit Holder
light background.
SECTION 3 – ABOUT YOU
• Please tell us your:
3.1 Full name, as it appears in your passport. Please underline your family name.
3.2 Date of birth (dd/mm/yy)
3.3 Place of birth.
3.4 Nationality
3.5 Sex
3.6 Marital status
Male
Female
Single
Married
Divorced
Widowed
Separated
3.7 What is your father’s full name?
3.8 What is your mother’s full name?
3.9 Passport number (this passport)
3.10 Issue and expiry dates
3.11 Place of issue
3.12 Is this your first passport?
3.13 Previous passport issue and expiry dates
3.14 Place previous passport was issued
Yes
No
(dd/mm/yy)
• Your contact details
3.15 Your permanent home address
3.16 Your correspondence address if different from 3.15
3.17 Home or mobile telephone number
3.18 Any home fax number
3.19 Your personal e-mail address
SECTION 4 – YOUR FAMILY
4.1 If you are married or living with your partner, what is your husband, wife or partner’s name?
4.2 What is your husband, wife or partner’s date of birth (dd/mm/yy)?
4.3 Where is your husband, wife or partner now?
4.4 What is your husband, wife or partner’s nationality?
4.5 Is your husband, wife or partner travelling with you?
Yes, on my passport
Yes, on his/her own passport
No
4.6 Do you have any children?
Yes
No
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