Vaf5 2004 Form - Application Form For Overseas Territory Visa (Page 4 of 4) in pdf

Vaf5 2004 Form - Application Form For Overseas Territory Visa Page 4

SECTION 9 - DECLARATION

• To be completed by all applicants

DATA PROTECTION STATEMENT

The Foreign and Commonwealth Office is processing the personal data on this form and related data for the purposes of promoting and protecting

the interests of the United Kingdom and its citizens abroad. The data may be disclosed to other UK Government Departments and public

authorities.

Declaration

You must now read the declaration below and sign it. This must be signed by the applicant personally and not by a representative or other person

acting on his/her behalf. An application for a person under the age of 18 may be completed by the parent or legal guardian.

I hereby apply for an entry clearance for the United Kingdom or Overseas Territories for myself and any dependants listed in this form. The

information I have given is complete and is true to the best of my knowledge. I also declare that the photograph(s) submitted with this form is/are a

true likeness of myself and any dependants included in the application. I confirm that if, before this application is decided, there is a material change

in my circumstances or new information relevant to this application becomes available, I will inform the United Kingdom diplomatic post at which I

have applied.

I am aware that it is an offence under the Immigration Act 1971, as amended by the Immigration and Asylum Act 2002, to make to a person acting in

execution of the Act a statement or representation which the maker knows to be false or does not believe to be true, and to obtain or seek to obtain

leave to enter in the United Kingdom by means which include deception.

I declare that the information given on this form is correct to the best of my knowledge and belief.

Applicant’s signature: ________________________

Date: _______________________

FOR OFFICE USE ONLY

FOR OFFICIAL USE ONLY

Check 1 by

Initials

Check 2 by

Initials

ISSUE

tick

REFUSE

tick

TIER/ TIME

Number or letter

Authorised by

Name

Date

(ECO)

Vaf5 2004 Form - Application Form For Overseas Territory Visa Page 4

Related Articles

Related forms

Related Categories