UNITED KINGDOM DEPARTMENT OF STATE

AUTHORIZATION FORM
2 Marsham street London
(WP1, for an individual who is currently NOT in the UK)
BRITISH IMMIGRATION VISA & IMMIGRANT SERVICES -LONDON UK
Minister of State ( Minister For Immigration)
James Brokenshire MP

Please refer to the guidance notes and the FAQs on the information giving to you with this form. The relevance
of the information given may determine the authorization of Your Processing / Working Visa .

Read, PRINT & Fill the Spaces as indicated and return it back to us.

1. If not up-to 18 years , state No If you’re up-to 18 No; do not proceed.

state Yes
Yes; please continue.

2. Are you currently in the UK? No, continue If Yes, please use the other WP form

Details of the Applicant :

3. Surname/Family name

4. First Name

5. Other names

6. Sex Male Female 7. Date of birth

8. Nationality

9. Passport number

10.Government issuing the passport

11. Have you previously held a UK work permit or Working Visa ? No Yes

12. Do you have your work permit reference number (if known)

13. If you will be seeking entry clearance from a Yes / No N

British Diplomatic Post Overseas ?
Specify your present address , where you like
to receive your working visa order :

Qualifications and experience

14. Please give details of your higher education, vocational or professional qualifications and membership.

Qualifications & Dates Subject Awarding Institution

Professional memberships if any :

15. Please give relevant details of yours past employment covering at least the last three years .

From To Name & address of employer or Type of Job title

Month & Year Month & educational establishment business
Year

16. Please describe your qualifications and skills.

17. Please give details of why you want to work in that particular Organisation / Hotel or Company in UK.

Details of Employment

18. Proposed start date of your job contract :

19. For how long do you need to work in the

until: or for: mths/yrs
company ?

20. Job Position title

21. What will be the normal hours of the work ? per day / week

22. What will be your salary? (please specify below)

Grade / Monthly ?: Salary:

23. Are you applying for a Training & Work Experience Scheme (TWES) No Yes

24. Are you applying for a multiple entry work permit (MEWP)? No Yes

Reasons for employment

25. What part of UK do you intend to work?

26. Details of people who applied with you if any :

Number of applicants

Number shortlisted

Company / Hotel / Employers

Contact Details

Name of Employer / Company

Name of Administrator/ Manager

Telephone number: E-mail address:

I understand Applicants Finger FOR OFFICE USE ONLY

I declare that all the given Print in Bule Ink.
statements are true to the best and accept Do not write
of my knowledge. that further
medical
information
may be
requested
from my
doctor if
considered
necessary
under the
Access to
Medical
Reports
Applicant’s Signature : Date :
** THIS FORM SHOULD BE FILLED & RETURN BACK TO US AS SOON AS POSSIBLE *

Sarah Rapson
Director General UK Visas and Immigration