Visa Extension Questionnaire

Visa Extension Questionnaire

You

Your UK Visas Online Client Registration no.	Click here for a reminder	Your e-mail address
Your last name
Your first names		Other names used by you now or previously
Your date of birth		Your nationality
Your Present home address in the UK		Your Post or Zip Code
Your Present home address in the UK		Your home phone no.

Your Immigration History

When did you first enter the UK?
Since you have been in the UK have you spent any long absences (3 months or more) outside the UK?	YES NO
Please give the following details about those absences:
		Dates of Absence	Reasons for Travelling
	1st Absence
	2nd Absence
	3rd Absence
	4th Absence

Your Family

Do you have a spouse (husband or wife) and/or children living with you in the UK?		YES NO
Are any of them applying for indefinite leave to remain as your dependants?		YES NO
Please give the following details about those family members:
	Name	Date of Birth	Relationship to you	Nationality
1st Family Member
2nd Family Member
3rd Family Member
4th Family Member

On what basis is your home in the UK occupied?			If "Other" please specify
Do you or your spouse or both pay any mortgage or rent for your home?		YES NO
How much do you or your spouse or both pay each month?
Are you receiving any state benefits or public funds?		YES NO
Please tick those public funds which you are currently receiving:
		Housing and homelessness assistance		Disabled person’s tax credit
		Attendance allowance		Social fund payment
		Severe disablement allowance		Council tax benefit
		Invalid care allowance		Child benefit
		Disability living allowance		Income-based jobseeker’s allowance
		Income support		Housing benefit
		Working families’ tax credit
Are you working in the UK?		YES NO
What is your net pay each month?
Does a relative or friend regularly give you money?		YES NO
How much money do you receive each month?

Previous Convictions

Have you received a prison sentence in the UK or elsewhere?		YES NO
Please give the following details about those family members:
	Nature of Offence	Date Sentenced	Length of Sentence	Country Where Sentenced
1st Conviction
2nd Conviction
3rd Conviction

Your Queries

If you have any queries about any of the questions on the form please enter them here:

Click on the CONTINUE button when you have filled out as much of the Questionnaire as you can.

© 2002-2005 UK Visas Online Ltd - unauthorised copying or use of this or any other page of this website is prohibited