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>> FOR OFFICIAL USE ONLY VAF REF:

APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE


VISIT - BUSINESS VISITOR (BUSINESS) LONG TERM VISITOR VISA (5 YEAR)
APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE
APPLICATION ID: GIVEN NAME: FAMILY NAME: OTHER NAMES: DATE OF BIRTH: PLACE OF BIRTH: SEX: NATIONALITY: PASSPORT NUMBER: 15 JUL 1977 BHILAI MALE INDIA Z2427095 GWF017543773 DHANENDRA KUMAR PARDHI

VISA APPLICATION NUMBER:

DATE APPLICATION SUBMITTED ONLINE: APPLICANT INTENDS TO TRAVEL TO THE UK ON:

14 FEB 2013 26 FEB 2013

VISA APPLICANT CONTACT DETAILS


APPLICANTS EMAIL ADDRESS: APPLICANTS (LANDLINE) TELEPHONE: APPLICANTS MOBILE/CELLULAR: DPARDHI@QGTC.COM.QA 44372707 55099237

VISA APPLICATION FEE AND PAYMENT CONFIRMATION


VISA FEE: OTHER FEES: USD 818 USD 0

>> OFFICIAL USE ONLY

PAYMENT MADE: PAYMENT DATE: WORLDPAY REFERENCE: AUTHORISATION NUMBER:

YES - ONLINE 14 FEB 2013 2498658942

VISA APPLICATION SUBMISSION LOCATION


SUBMISSION METHOD: VISA APPLICATION LOCATION: VISA APPLICATION LOCATION REF: IN PERSON UK VISA APPLICATION CENTRE

>>OFFICE USE ONLY


CATEGORY: BUSINESS VISITOR

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TYPE: EC NUMBER:

(BUSINESS) LONG TERM VISITOR VISA (5 YEAR)

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DECLARATION
I HEREBY APPLY FOR AN ENTRY CLEARANCE TO THE UNITED KINGDOM. THE INFORMATION I HAVE GIVEN IS COMPLETE AND TRUE TO THE BEST OF MY KNOWLEDGE. I ALSO DECLARE THAT THE PHOTOGRAPH SUBMITTED WITH THIS FORM IS A TRUE LIKENESS OF ME. 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 MISSION HANDLING MY APPLICATION. I AM AWARE THAT IT IS AN OFFENCE UNDER THE IMMIGRATION ACT 1971 (AS AMENDED) TO MAKE A STATEMENT, WHICH I KNOW TO BE FALSE, OR NOT BELIEVE TO BE TRUE, IN ORDER TO OBTAIN A VISA/ENTRY CLEARANCE TO THE UK. I AM ALSO AWARE THAT MY APPLICATION WILL BE AUTOMATICALLY REFUSED AND I MAY BE BANNED FROM GOING TO THE UK FOR 10 YEARS IF I USE A FALSE DOCUMENT, LIE OR WITHHOLD RELEVANT INFORMATION. I MAY ALSO BE BANNED IF I HAVE BREACHED IMMIGRATION LAWS IN THE UK. I AM FURTHER AWARE THAT SHOULD I USE A FALSE DOCUMENT, LIE OR WITHHOLD RELEVANT INFORMATION MY DETAILS MAY BE PASSED TO LAW ENFORCEMENT AGENCIES. I DECLARE THAT THE DOCUMENTS THAT I HAVE SUPPLIED WITH THIS APPLICATION ARE GENUINE AND THE STATEMENTS I HAVE MADE WITH THIS APPLICATION ARE TRUTHFUL. I UNDERSTAND THAT UK BORDER AGENCY (OR A TRUSTED THIRD PARTY) MAY MAKE REASONABLE CHECKS TO CONFIRM THE ACCURACY AND AUTHENTICITY OF EVIDENCE I HAVE PROVIDED AND DOCUMENTS I HAVE SUBMITTED WITH THIS APPLICATION. I FURTHER UNDERSTAND THAT UK BORDER AGENCY (OR A TRUSTED THIRD PARTY) MAY ALSO MAKE REASONABLE CHECKS ON ANY SPONSORS TO MY APPLICATION TO VERIFY STATEMENTS CONTAINED IN THE APPLICATION AND ESTABLISH THAT I WILL COMPLY OR HAVE COMPLIED WITH THE TERMS OF ANY VISA GRANTED. I UNDERSTAND THAT I MAY BE REQUIRED TO PROVIDE A RECORD OF MY FINGERPRINTS AND A PHOTOGRAPH OF MY FACE ('BIOMETRIC DATA') AS PART OF MY APPLICATION. IF I REFUSE TO DO SO, MY APPLICATION MAY BE TREATED AS INVALID AND, IF SO, WILL NOT BE CONSIDERED FURTHER. (SEE STATUTORY INSTRUMENT 2006 NO 1743 - THE IMMIGRATION (PROVISION OF PHYSICAL DATA) REGULATIONS 2006, REGULATION 7(1)). I UNDERSTAND THAT UK ENTRY CLEARANCE APPLICATIONS MAY BE HANDLED BY BRITISH MISSIONS IN OTHER LOCATIONS, INCLUDING OUTSIDE THE COUNTRY IN WHICH I HAVE APPLIED FOR ENTRY CLEARANCE AND THAT THIS MAY INVOLVE THE TRANSFERRING OF MY APPLICATION AND SUPPORTING DOCUMENTS TO AND FROM ANOTHER MISSION. I UNDERSTAND THAT THE UK BORDER AGENCY WILL BE RESPONSIBLE FOR TRANSFERRING MY APPLICATION AND SUPPORTING DOCUMENTS SAFELY. I UNDERSTAND IN THESE CIRCUMSTANCES MY APPLICATION WILL STILL BE HANDLED IN LINE WITH UK BORDER AGENCY PUBLISHED CUSTOMER SERVICE STANDARDS. I UNDERSTAND THAT THE FEE PAYABLE IS FOR AN APPLICATION PROCESSING AND ENTRY CLEARANCE DECISION-MAKING SERVICE, NOT FOR THE GUARANTEED DELIVERY OF A VISA, THEREFORE I WILL NOT BE ENTITLED TO A REFUND SHOULD MY APPLICATION FOR ENTRY TO THE UK OR COMMONWEALTH AND OVERSEAS TERRITORIES BE REFUSED OR GRANTED FOR A SHORTER TIME PERIOD THAN I APPLIED FOR. I ALSO UNDERSTAND THAT MY VISA APPLICATION FEE WILL BE REFUNDED ONLY IF THE APPLICATION IS WITHDRAWN IN WRITING WITHIN 3 MONTHS AND 7 DAYS OF THE ORIGINAL DATE OF APPLICATION AND PRIOR TO THE SUBMISSION OF BIOMETRIC DATA OR ANY PROCESSING TAKING PLACE. I AM AWARE THAT I MAY BE BILLED FOR ANY MEDICAL TREATMENT UNDERTAKEN IN THE UK AND THAT I DO NOT HAVE RECOURSE TO PUBLIC FUNDS DURING MY STAY IN THE UK. I UNDERSTAND THAT ALL INFORMATION PROVIDED BY ME WILL BE PROCESSED BY THE UK BORDER AGENCY IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I AM AWARE THAT THE UK BORDER AGENCY IS THE DATA CONTROLLER IN RELATION TO THE INFORMATION PROVIDED BY ME IN THIS APPLICATION FORM. I AM AWARE THAT THE INFORMATION I PROVIDE, INCLUDING BIOMETRIC DATA, WILL BE TREATED IN CONFIDENCE, BUT IT MAY BE DISCLOSED TO OTHER GOVERNMENT DEPARTMENTS, AGENCIES, LOCAL AUTHORITIES, FOREIGN GOVERNMENTS AND OTHER BODIES, TO ENABLE THE UK BORDER AGENCY OR THOSE BODIES TO PERFORM THEIR FUNCTIONS. ANY DISCLOSURES WILL BE IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME MAY ALSO BE USED FOR STAFF TRAINING PURPOSES. I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME, OR INFORMATION MADE AVAILABLE TO UK BORDER AGENCY DURING THE PROCESSING OF MY APPLICATION, MAY BE SHARED WITH MY SPONSOR(S) OR ANY PERSON(S) ACTING ON THEIR BEHALF OR ANY APPLICANT LINKED TO MY APPLICATION (FOR EXAMPLE TO MY SPOUSE / PARTNER IF WE APPLY FOR VISAS FOR A TRIP TOGETHER) FOR THE SOLE PURPOSE OF CONSIDERING MY APPLICATION. I AM AWARE THAT IF THERE IS ANY INFORMATION I DO NOT WANT YOU TO DISCLOSE TO THEM I WILL TELL YOU BY ENCLOSING A LETTER WITH MY SUPPORTING DOCUMENTATION. IF SUCH REQUESTS PREVENT YOU FROM MAKING LEGITIMATE INQUIRIES, MY APPLICATION MAY BE REFUSED. I DECLARE THAT THE INFORMATION GIVEN ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO CONSENT TO THE PROCESSING OF INFORMATION PROVIDED BY ME BY THE UK BORDER AGENCY.

APPLICANT'S SIGNATURE:

DATE SIGNED:

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APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

APPLICANT NAME: APPLICATION NUMBER: DATE OF APPLICATION: TYPE OF VISA: PURPOSE OF APPLICATION: TYPE OF APPLICATION: VISA FEE: POSTAGE FEE: SUBMISSION METHOD: ISSUING OFFICE: PAYMENT MADE:

DHANENDRA KUMAR PARDHI GWF017543773 14 FEB 2013 VISIT BUSINESS VISITOR (BUSINESS) LONG TERM VISITOR VISA (5 YEAR) USD 818 USD 0 IN PERSON UK VISA APPLICATION CENTRE YES - ONLINE

FORM:

VAF1C

PART 1 > ABOUT YOU 1 2 3 GIVEN NAME(S) (AS SHOWN IN YOUR PASSPORT) FAMILY NAME (AS SHOWN IN YOUR PASSPORT) OTHER NAMES (INCLUDING ANY NAMES YOU ARE KNOWN BY AND/OR ANY OTHER NAMES THAT YOU HAVE BEEN KNOW BY) SEX WHAT IS YOUR MARITAL STATUS? DATE OF BIRTH PLACE OF BIRTH COUNTRY OF BIRTH NATIONALITY DO YOU HOLD, OR HAVE YOU EVER HELD, ANY OTHER NATIONALITIES? MALE MARRIED/CIVIL PARTNER 15 JUL 1977 BHILAI INDIA INDIA NO DHANENDRA KUMAR PARDHI

4 5 6 7 8 9 10

PART 1 > TRAVEL DATES AND PURPOSE OF TRAVEL 11 12 13 14 WHAT IS THE MAIN PURPOSE OF YOUR VISIT TO THE UK? HOW LONG DO YOU INTEND TO STAY IN THE UK? ON WHICH DATE DO YOU INTEND TO TRAVEL TO THE UK? ON WHICH DATE DO YOU INTEND TO LEAVE THE UK? EQUIPMENT INSPECTION AND TEST 7 DAYS 26 FEB 2013 5 MAR 2013

PART 2 > PASSPORT INFORMATION 15 PLEASE ENTER THE DETAILS OF THE PASSPORT OR TRAVEL DOCUMENT THAT YOU WILL USE TO TRAVEL TO THE UK. Z2427095

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CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER 16 17 18 19 20 PLACE OF ISSUE ISSUING AUTHORITY DATE OF ISSUE DATE OF EXPIRY IS THIS YOUR FIRST PASSPORT? DOHA INDIAN CONSULAR 25 JAN 2013 24 JAN 2023 NO

PART 2 > PASSPORT INFORMATION > ADDITIONAL INFORMATION 21 YOU ANSWERED 'NO' TO THE QUESTION 'IS THIS YOUR FIRST PASSPORT?' WHERE THE INFORMATION IS AVAILABLE, PLEASE PROVIDE FULL DETAILS OF ALL PASSPORTS HELD OVER THE LAST 10 YEARS, INCLUDING WHERE THEY ARE NOW. PASSPORT NO. 1. - A8737571 - 22 MAY 2000 TO 21 MAY 2010 - AVAILABLE WITH APPLICATION. PASSPORT NO. 2. - H6654577 - 15 NOV 2009 TO 14 NOV 2019 AVAILABLE WITH APPLICATION

PART 3 > CONTACT DETAILS 22 PLEASE PROVIDE DETAILS OF YOUR FULL ADDRESS AND POSTAL CODE. THIS MUST BE THE ADDRESS AT WHICH YOU LIVE RATHER THAN YOUR FAMILY HOME. APT/FLOOR/SUITE/ROOM/STREET 23 24 25 26 27 28 29 CITY/TOWN/VILLAGE/SUBURB/STATE/PROVINCE(WHERE APPLICABLE) SELECT THE COUNTRY IN WHICH YOU LIVE POSTAL CODE/ZIP CODE HOW LONG HAVE YOU LIVED AT THIS ADDRESS? HOME (LANDLINE) TELEPHONE NUMBER YOUR MOBILE/CELLULAR NUMBER WILL THESE BE YOUR CONTACT DETAILS DURING THE APPLICATION PROCESS? DOHA QATAR 22271 5 YEARS 44372707 55099237 YES 3RD FLOOR QGTC / ROYAL PLAZA

PART 4 > YOUR FAMILY > MOTHER AND FATHER 30 IF KNOWN, PLEASE ENTER THE DETAILS OF YOUR MOTHER AND FATHER, EVEN IF DECEASED. IF YOU DO NOT KNOW THE ANSWERS TO ANY OF THE QUESTIONS PLEASE STATE 'NOT KNOWN'. IF THE DATE OF BIRTH IS NOT KNOWN, PLEASE ENTER A DATE OF '01 JAN 1900'. MOTHER'S GIVEN NAME(S) 31 32 33 34 35 36 37 38 39 MOTHER'S FAMILY NAME MOTHER'S DATE OF BIRTH MOTHER'S PLACE AND COUNTRY OF BIRTH MOTHER'S NATIONALITY/NATIONALITIES FATHER'S GIVEN NAME(S) FATHER'S FAMILY NAME FATHER'S DATE OF BIRTH FATHER'S PLACE AND COUNTRY OF BIRTH FATHER'S NATIONALITY/NATIONALITIES PARDHI 11 MAY 1948 TIRODA / INDIA INDIAN BHOLA RAM PARDHI 11 DEC 1939 DABETOLA BHANDARA AND INDIA INDIAN KAMLA

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PART 4 > YOUR FAMILY > SPOUSE / PARTNER 40 41 42 43 44 FULL NAME OF SPOUSE / PARTNER SPOUSE/PARTNER'S NATIONALITY / NATIONALITIES SPOUSE/PARTNER'S DATE OF BIRTH DOES YOUR SPOUSE / PARTNER CURRENTLY LIVE WITH YOU? WILL YOUR SPOUSE/PARTNER BE TRAVELLING WITH YOU? HARSHA TURKAR INDIA 3 NOV 1982 YES NO

PART 4 > YOUR FAMILY > CHILDREN 45 46 DO YOU HAVE ANY DEPENDANT CHILDREN? HOW MANY CHILDREN DO YOU HAVE? YES 1

PART 4 > YOUR FAMILY > DEPENDANT CHILD(1) 47 PLEASE NOTE: CHILDREN THAT ARE TRAVELLING WITH YOU MAY ALSO NEED A VISA. IF THEY NEED A VISA, THEY WILL HAVE TO COMPLETE THEIR OWN APPLICATION. CHILD'S FULL NAME 48 49 50 51 52 CHILD'S DATE OF BIRTH CHILD'S PLACE OF BIRTH CHILD'S PASSPORT NUMBER DOES THIS CHILD CURRENTLY LIVE WITH YOU? WILL THIS CHILD BE TRAVELLING WITH YOU? 27 FEB 2009 BHILAI K9610631 YES NO DIVENA

PART 4 > YOUR FAMILY > CHILDREN 53 PLEASE NOTE: IF A CHILD IS TRAVELLING WITHOUT THEIR PARENTS, YOU SHOULD PRESENT WRITTEN NOTIFICATION FROM THE CHILD'S PARENT OR LEGAL GUARDIAN THAT THEY CONSENT TO THE CHILD'S VISIT. WILL ANY OTHER CHILDREN BE TRAVELLING WITH YOU? NO

PART 5 > EMPLOYMENT AND FINANCES 54 PLEASE NOTE: CHILDREN UNDER THE AGE OF 18 SHOULD ENTER THEIR PARENTS DETAILS. WHAT ARE YOUR CURRENT PERSONAL CIRCUMSTANCES? EMPLOYMENT FULL TIME

PART 5 > EMPLOYMENT AND FINANCES > EMPLOYMENT 55 56 WHAT IS YOUR PRESENT OCCUPATION? WHAT IS THE NAME OF THE COMPANY OR ORGANISATION YOU WORK FOR? WHEN DID YOU START THIS JOB? WHAT IS YOUR WORK ADDRESS? SENIOR MECHANICAL ENGINEER QATAR GAS TRANSPORT COMPANY - NAKILAT

57 58

22 OCT 2007 QATAR GAS TRANSPORT COMPANY, ROYAL PLAZA, AL SADD, DOHA , QATAR 44576376 ADMIN@QGTC.COM.QA

59 60

WHAT IS YOUR EMPLOYER'S TELEPHONE NUMBER? WHAT IS YOUR EMPLOYER'S E-MAIL ADDRESS?

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61 62

PLEASE GIVE DETAILS OF ANY ADDITIONAL JOBS OR OCCUPATIONS. HAVE YOU EVER WORKED FOR ANY ORGANISATION OF A TYPE (STATE OR NON-STATE) LISTED BELOW? ARMED FORCES (INCLUDING NATIONAL SERVICE)

NOT APPLICABLE NO

63 64 65 66 67

GOVERNMENT (CENTRAL OR LOCAL) JUDICIARY MEDIA PUBLIC OR CIVIL ADMINISTRATION SECURITY (INCLUDING POLICE AND PRIVATE SECURITY COMPANIES)

NO NO NO NO NO

PART 5 > EMPLOYMENT AND FINANCES > INCOME AND EXPENDITURE 68 WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL SOURCES OF EMPLOYMENT OR OCCUPATION, AFTER TAX? DO YOU RECEIVE INCOME FROM ANY OTHER SOURCES INCLUDING FRIENDS OR FAMILY? DO YOU HAVE SAVINGS PROPERTIES OR OTHER INCOME FOR EXAMPLE FROM STOCKS AND SHARES? HOW MUCH OF YOUR MONTHLY INCOME IS USED TO SUPPORT YOUR FAMILY MEMBER'S AND OTHER DEPENDANTS? HOW MUCH DO YOU SPEND EACH MONTH ON LIVING COSTS? HOW MUCH MONEY IS AVAILABLE FOR YOUR VISIT? WHO WILL PAY FOR YOUR TRAVEL TO THE UNITED KINGDOM? WHO WILL PAY FOR YOUR EXPENSES SUCH AS ACCOMMODATION AND FOOD? IF SOMEONE OTHER THAN YOURSELF IS PAYING FOR ALL OR ANY PART OF THIS VISIT, HOW MUCH MONEY WILL THEY GIVE YOU? WHAT IS THE COST TO YOU PERSONALLY OF YOUR STAY IN THE UNITED KINGDOM? QR 45000

69

NO

70

NO

71

QR 10000

72 73 74 75

QR 15000 QR 20000 QATAR GAS TRANSPORT COMPANY QATAR GAS TRANSPORT COMPANY

76

NOT APPLICABLE

77

NOT APPLICABLE

PART 6 > PREVIOUS APPLICATIONS AND TRAVEL HISTORY 78 79 HAVE YOU EVER TRAVELLED TO THE UK IN THE LAST 10 YEARS? HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY OR RESIDENCE EXCLUDING THE UK IN THE LAST 10 YEARS? HAVE YOU EVER BEEN REFUSED A VISA FOR ANY COUNTRY INCLUDING THE UK? HAVE YOU BEEN GRANTED A UK VISA IN THE LAST 10 YEARS? HAVE YOU BEEN REFUSED ENTRY ON ARRIVAL TO THE UK IN THE LAST 10 YEARS? HAVE YOU EVER BEEN DEPORTED REMOVED OR OTHERWISE REQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UK? HAVE YOU MADE AN APPLICATION TO THE HOME OFFICE TO REMAIN IN THE UK IN THE LAST 10 YEARS? DO YOU HAVE A UK NATIONAL INSURANCE NUMBER? DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY COUNTRY (INCLUDING TRAFFIC OFFENCES)? YES YES

80

NO

81 82

YES NO

83

NO

84

NO

85 86

NO NO

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87

HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY WITH A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOT YET BEEN TRIED IN THE COURT (INCLUDING TRAFFIC OFFENCES)? 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? 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? HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT MIGHT INDICATE THAT YOU MAY NOT BE CONSIDERED A PERSON OF GOOD CHARACTER?

NO

88

NO

89

NO

90

NO

91

NO

PART 6 > PREVIOUS APPLICATIONS AND TRAVEL HISTORY > ADDITIONAL INFORMATION 92 YOU STATED THAT YOU HAD TRAVELLED TO THE UK IN THE LAST 10 YEARS. PLEASE PROVIDE DETAILS OF ALL YOUR TRIPS TO THE UK OVER THE LAST 10 YEARS. 93 YOU STATED THAT YOU HAD TRAVELLED OUTSIDE YOUR COUNTRY OF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10 YEARS. PLEASE PROVIDE DETAILS OF ALL YOUR TRIPS ABROAD IN THE LAST 10 YEARS. MULTIPLE BUSINESS TRIP TO ITALY, MULTIPLE BUSINESS TRIP TO GERMANY, MULTIPLE BUSINESS TRIP TO NETHERLAND, MULTIPLE BUSINESS TRIP TO FRANCE, MULTIPLE BUSINESS TRIP TO POLAND, MULTIPLE BUSINESS TRIP TO SWITZERLAND, MULTIPLE BUSINESS TRIP TO UNITED STATES. C VISIT BUSINESS VISA - UK310875Q - 26 JUNE 2011 TO 26 DEC 2011 OBTAINED C - VISIT - BUSINESS VISA - UK310875Q ISSUED ON 26 JUNE 2011 VALID TILL 26 DEC 2011. VISITED LONDON HEATHROW - 5 JULY 2011

94

YOU STATED THAT YOU HAD BEEN GRANTED A UK VISA IN THE LAST 10 YEARS. PLEASE ENTER THE REFERENCE NUMBER(S) IF KNOWN. THIS CAN BE FOUND ON THE PREVIOUS VISA(S) IN YOUR PASSPORT. YOU SHOULD ENTER DETAILS EVEN IF YOU DID NOT USE THE VISA(S).

PART 7 > YOUR VISIT 95 96 ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU ARE APPLYING? ARE YOU TRAVELLING WITH ANYONE ELSE? NO NO

PART 7 > YOUR VISIT > ADDITIONAL INFORMATION 97 YOU STATED THAT YOU ARE NOT A NATIONAL OF THE COUNTRY YOU ARE APPLYING IN. PLEASE PROVIDE DETAILS OF YOUR IMMIGRATION STATUS E.G. A RESIDENCE PERMIT, VISA OR GREEN CARD. QATAR RESIDENCE PERMIT - 27735614496

PART 7 > YOUR VISIT > BUSINESS VISITOR 98 99 WHO INVITED YOU TO THE UK? WHAT IS THE NAME OF THE BUSINESS OR ORGANISATION YOU WILL VISIT IN THE UK? WHAT DOES THE BUSINESS OR ORGANISATION DO IN THE UK? BUSINESS OR ORGANISATION ADDRESS: APT/FLOOR/SUITE/ROOM/STREET 102 CITY/ TOWN/ VILLAGE/ SUBURB/ STATE/ PROVINCE (WHERE APPLICABLE) WASHINGTON, TYNE AND WEAR INDUSTRIAL EQUIPMENT MANUFACTURER SNORKEL LIFTS

100 101

INDUSTRIAL TRUCKS AND LIFTS VIGO CENTRE, BIRTLEY ROAD

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103 104

POSTAL/ ZIP CODE BUSINESS OR ORGANISATION LANDLINE TELEPHONE NUMBER IN THE UK BUSINESS OR ORGANISATION EMAIL ADDRESS IN THE UK DO YOU INTEND TO SET YOURSELF UP IN BUSINESS IN THE UK?

NE38 9DA 845 1557755

105 106

JIMMY.WATERS@SNORKELLIFTS.COM NO

PART 7 > YOUR VISIT > YOUR STAY IN THE UK 107 PLEASE NOTE: IF YOU ARE STAYING ANYWHERE ELSE WHILE IN THE UK PLEASE ENTER ADDITIONAL CONTACT DETAILS IN PART 8> ADDITIONAL DETAILS. WHERE WILL YOU STAY IN THE UK? 108 109 110 111 GIVEN NAME(S) (IF APPLICABLE) FAMILY NAME OR HOTEL/B&B NAME APT/ FLOOR/ SUITE/ ROOM/ STREET CITY/ TOWN/ VILLAGE/ SUBURB/ STATE/ PROVINCE (WHERE APPLICABLE) POSTAL/ ZIP CODE LANDLINE TELEPHONE NUMBER EMAIL ADDRESS OR WEBSITE ADDRESS (IF APPLICABLE) SHORTSTAY MK SUITE MILTON KEYNES HOTEL / BED AND BREAKFAST

112 113 114

MK9 2BE 8456838408 HELLO@SHORTSTAY-MK.CO.UK

PART 7 > YOUR VISIT > FRIENDS AND FAMILY 115 DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK? NO

PART 8 > ADDITIONAL INFORMATION 116 IS THERE ANY OTHER INFORMATION YOU WISH TO BE CONSIDERED AS PART OF YOUR APPLICATION? HAVE YOU USED AN AGENT OR REPRESENTATIVE TO COMPLETE THIS APPLICATION? NO

117

NO

DECLARATION
I HEREBY APPLY FOR AN ENTRY CLEARANCE TO THE UNITED KINGDOM. THE INFORMATION I HAVE GIVEN IS COMPLETE AND TRUE TO THE BEST OF MY KNOWLEDGE. I ALSO DECLARE THAT THE PHOTOGRAPH SUBMITTED WITH THIS FORM IS A TRUE LIKENESS OF ME. 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 MISSION HANDLING MY APPLICATION. I AM AWARE THAT IT IS AN OFFENCE UNDER THE IMMIGRATION ACT 1971 (AS AMENDED) TO MAKE A STATEMENT, WHICH I KNOW TO BE FALSE, OR NOT BELIEVE TO BE TRUE, IN ORDER TO OBTAIN A VISA/ENTRY CLEARANCE TO THE UK. I AM ALSO AWARE THAT MY APPLICATION WILL BE AUTOMATICALLY REFUSED AND I MAY BE BANNED FROM GOING TO THE UK FOR 10 YEARS IF I USE A FALSE DOCUMENT, LIE OR WITHHOLD RELEVANT INFORMATION. I MAY ALSO BE BANNED IF I HAVE BREACHED IMMIGRATION LAWS IN THE UK. I AM FURTHER AWARE THAT SHOULD I USE A FALSE DOCUMENT, LIE OR WITHHOLD RELEVANT INFORMATION MY DETAILS MAY BE PASSED TO LAW ENFORCEMENT AGENCIES. I DECLARE THAT THE DOCUMENTS THAT I HAVE SUPPLIED WITH THIS APPLICATION ARE GENUINE AND THE STATEMENTS I HAVE MADE WITH THIS APPLICATION ARE TRUTHFUL. I UNDERSTAND THAT UK BORDER AGENCY (OR A TRUSTED THIRD PARTY) MAY MAKE REASONABLE CHECKS TO CONFIRM THE ACCURACY AND AUTHENTICITY OF EVIDENCE I HAVE PROVIDED AND DOCUMENTS I HAVE SUBMITTED WITH THIS APPLICATION. I FURTHER UNDERSTAND THAT UK BORDER AGENCY (OR A TRUSTED THIRD PARTY) MAY ALSO MAKE REASONABLE CHECKS ON ANY SPONSORS TO MY APPLICATION TO VERIFY STATEMENTS CONTAINED IN THE APPLICATION AND ESTABLISH THAT I WILL COMPLY OR HAVE COMPLIED WITH THE TERMS OF ANY VISA GRANTED. I UNDERSTAND THAT I MAY BE REQUIRED TO PROVIDE A RECORD OF MY FINGERPRINTS AND A PHOTOGRAPH OF MY FACE ('BIOMETRIC DATA') AS PART OF MY APPLICATION. IF I REFUSE TO DO SO, MY APPLICATION MAY BE TREATED AS INVALID AND, IF SO, WILL NOT BE CONSIDERED FURTHER. (SEE STATUTORY INSTRUMENT 2006 NO 1743 - THE IMMIGRATION (PROVISION OF PHYSICAL DATA) REGULATIONS 2006, REGULATION 7(1)). I UNDERSTAND THAT UK ENTRY CLEARANCE APPLICATIONS MAY BE HANDLED BY BRITISH MISSIONS IN OTHER LOCATIONS, INCLUDING OUTSIDE THE COUNTRY IN WHICH I HAVE APPLIED FOR ENTRY CLEARANCE AND THAT THIS MAY INVOLVE THE TRANSFERRING OF MY APPLICATION AND SUPPORTING DOCUMENTS TO AND FROM ANOTHER MISSION I UNDERSTAND THAT THE UK BORDER AGENCY WILL BE

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RESPONSIBLE FOR TRANSFERRING MY APPLICATION AND SUPPORTING DOCUMENTS SAFELY. I UNDERSTAND IN THESE CIRCUMSTANCES MY APPLICATION WILL STILL BE HANDLED IN LINE WITH UK BORDER AGENCY PUBLISHED CUSTOMER SERVICE STANDARDS. I UNDERSTAND THAT THE FEE PAYABLE IS FOR AN APPLICATION PROCESSING AND ENTRY CLEARANCE DECISION-MAKING SERVICE, NOT FOR THE GUARANTEED DELIVERY OF A VISA, THEREFORE I WILL NOT BE ENTITLED TO A REFUND SHOULD MY APPLICATION FOR ENTRY TO THE UK OR COMMONWEALTH AND OVERSEAS TERRITORIES BE REFUSED OR GRANTED FOR A SHORTER TIME PERIOD THAN I APPLIED FOR. I ALSO UNDERSTAND THAT MY VISA APPLICATION FEE WILL BE REFUNDED ONLY IF THE APPLICATION IS WITHDRAWN IN WRITING WITHIN 3 MONTHS AND 7 DAYS OF THE ORIGINAL DATE OF APPLICATION AND PRIOR TO THE SUBMISSION OF BIOMETRIC DATA OR ANY PROCESSING TAKING PLACE. I AM AWARE THAT I MAY BE BILLED FOR ANY MEDICAL TREATMENT UNDERTAKEN IN THE UK AND THAT I DO NOT HAVE RECOURSE TO PUBLIC FUNDS DURING MY STAY IN THE UK. I UNDERSTAND THAT ALL INFORMATION PROVIDED BY ME WILL BE PROCESSED BY THE UK BORDER AGENCY IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I AM AWARE THAT THE UK BORDER AGENCY IS THE DATA CONTROLLER IN RELATION TO THE INFORMATION PROVIDED BY ME IN THIS APPLICATION FORM. I AM AWARE THAT THE INFORMATION I PROVIDE, INCLUDING BIOMETRIC DATA, WILL BE TREATED IN CONFIDENCE, BUT IT MAY BE DISCLOSED TO OTHER GOVERNMENT DEPARTMENTS, AGENCIES, LOCAL AUTHORITIES, FOREIGN GOVERNMENTS AND OTHER BODIES, TO ENABLE THE UK BORDER AGENCY OR THOSE BODIES TO PERFORM THEIR FUNCTIONS. ANY DISCLOSURES WILL BE IN ACCORDANCE WITH THE DATA PROTECTION ACT 1998. I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME MAY ALSO BE USED FOR STAFF TRAINING PURPOSES. I ALSO UNDERSTAND THAT THE INFORMATION PROVIDED BY ME, OR INFORMATION MADE AVAILABLE TO UK BORDER AGENCY DURING THE PROCESSING OF MY APPLICATION, MAY BE SHARED WITH MY SPONSOR(S) OR ANY PERSON(S) ACTING ON THEIR BEHALF OR ANY APPLICANT LINKED TO MY APPLICATION (FOR EXAMPLE TO MY SPOUSE / PARTNER IF WE APPLY FOR VISAS FOR A TRIP TOGETHER) FOR THE SOLE PURPOSE OF CONSIDERING MY APPLICATION. I AM AWARE THAT IF THERE IS ANY INFORMATION I DO NOT WANT YOU TO DISCLOSE TO THEM I WILL TELL YOU BY ENCLOSING A LETTER WITH MY SUPPORTING DOCUMENTATION. IF SUCH REQUESTS PREVENT YOU FROM MAKING LEGITIMATE INQUIRIES, MY APPLICATION MAY BE REFUSED. I DECLARE THAT THE INFORMATION GIVEN ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I ALSO CONSENT TO THE PROCESSING OF INFORMATION PROVIDED BY ME BY THE UK BORDER AGENCY.

APPLICANT'S SIGNATURE:

DATE SIGNED:

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