UK Visas & Immigration

PARTIALLY COMPLETED APPLICATION

APPLICANT NAME: Douglas Schmidt

GWF NUMBER: GWF069986354
PASSPORT NUMBER: GB33O6D198
COUNTRY OF NATIONALITY: United States of America
DATE OF BIRTH: 18 April 1997
GENDER: Male
DATE OF APPLICATION:
TYPE OF VISA / APPLICATION: Visitor visa
SERVICE OPTION: VFS Global centre services
DURATION OF VISA: 6-month
TOTAL FEE:
SUBMISSION METHOD: Online
PAYMENT REFERENCE:
CONTACT EMAIL: b.aschuesler07@gmail.com
CONTACT LANGUAGE: English

Personal information

Email address b.aschuesler07@gmail.com

Travel information

What is the main reason for your visit to the UK? Short-term study (up to 6 months), including
recreational course

Will you be travelling to the UK as part of an No

organised group?

Will you be travelling to the UK with someone who No

is not your partner, spouse, or dependant?

Give details of the main purpose of your visit and I am visit to explore United Kingdom as I have not
anything else you plan to do on your trip. See been there before, I hope to meet couple of family
tourist and short stays for more information. members as well as friends.

Your planned travel information

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Date you plan to arrive in the UK 20 April 2023

Date you plan to leave the UK 20 May 2023

Course details

Are you enrolled or accepted on a UK course, at an No

accredited institution?

Is the course you plan on studying a recreational No

course lasting no longer than 30 days?

ATAS details

Do you need to obtain permission from the ATAS? No

Personal information

Given name(s) Douglas

Family name Schmidt

Are you now or have you ever been known by No

another name?

Who does this email address belong to? You

b.aschuesler07@gmail.com

Do you have another email address? No

What is your sex, as shown in your passport or Male

travel document?

What is your relationship status? Single

Country of nationality United States of America

Country of birth United States of America

Place of birth Lawton

Date of birth 18 April 1997

Do you have a valid national identity card? No

Do you currently hold, or have you ever held, any No

other nationality or citizenship?

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Address 2811 NW 46th St
Lawton
73505
United States of America

Is this address also your correspondence address? Yes

Address 2811 NW 46th St

Lawton
73505
United States of America

How long have you lived at this address? 6 years

What is the ownership status of your home? I own it

Provide your telephone number 4244842021

Where do you use this telephone number? For use whilst in the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

Passport details

Passport number or travel document reference GB33O6D198

number

Issuing authority Lawton, Oklahoma

Issue date 24 September 2020

Expiry date 24 September 2025

Dependant details

Does anyone rely on you for financial support? No

Include both those travelling with you and those
who are not.

Parent details

What is this person's relationship to you? Mother

Given names Elizabeth

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Family name Schmidt

Date of birth 24 March 1960

Country of nationality Germany

Have they always had the same nationality? Yes

What is this person's relationship to you? Mother

Given names Elizabeth

Family name Schmidt

Date of birth 24 March 1970

Country of nationality Germany

Have they always had the same nationality? Yes

Employment

What is your employment status? Unemployed

Previous employment organisation I have not worked in any of the jobs listed above

Income and expenditure

Do you have another income or any savings? I do not have any other income or savings

How much money are you personally planning to 10000.00 GBP

spend on your visit to the UK?

What is the total amount of money you spend each 1000.00 GBP
month?

Will anyone be paying towards the cost of your Yes

visit?

Who is paying towards the cost of your visit? My employer or company

How much money will they be paying towards your 10000.00 GBP
visit?

Why are they helping to pay for your visit? Charity

Family in the UK

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Do you have any family in the UK? No

Accommodation details

Do you have an address for where you are going to Yes

stay in the UK?

Where are you planning to stay in the UK? Michell Thomas

Enter the address for where you are staying 8 Greenacers Andover Road
Winchester
SO22 6BZ

When will you arrive there? 22 April 2023

When will you leave there? 22 May 2023

Travel history (UK)

Have you been to the UK in the past 10 years? No

Have you ever: No

entered the UK illegally

remained in the UK beyond the validity of your
visa or permission to stay
breached the conditions of your leave, for
example, worked without permission or
received public funds when you did not have
permission
given false information when applying for a
visa, leave to enter, or leave to remain
breached UK immigration law in any other way

For either the UK or any other country, have you No

ever been:

Refused a visa
Refused entry at the border
Refused permission to stay or remain
Refused asylum
Deported
Removed
Required to leave
Excluded or banned from entry

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Travel history (other)

How many times have you visited the following Zero

places in the past 10 years?

Australia
Canada
New Zealand
USA
Switzerland
European Economic Area (do not include
travel to the UK)
Which countries are part of the European
Economic Area (EEA)?

Austria Greece Norway

Belgium Hungary Poland
Bulgaria Iceland Portugal
Croatia Ireland Romania
Republic Italy Slovakia
of Latvia Slovenia
Cyprus Liechtenstein Spain
Czech Lithuania Sweden
Republic Luxembourg
Denmark Malta
Estonia Netherlands
Finland
France
Germany

Have you been to any other countries in the past No

10 years?

Other history

In either peace or war time have you ever been No

involved in, or suspected of involvement in, war
crimes, crimes against humanity, or genocide?

I have read all of the information about war crimes,

including the guidance

Have you ever been involved in, supported or No

encouraged terrorist activities in any country?

Have you ever been a member of, or given support No

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to, an organisation which has been concerned in
terrorism?

Have you, by any means or medium, expressed No

views that justify or glorify terrorist violence or
that may encourage others to commit terrorist or
other serious criminal acts?

I have read all of the information about terrorist

activities, organisations and views, including the
guidance

Have you ever been a member of, or given support No

to, an organisation which is or has been concerned
with extremism?

Have you, by any means or medium, expressed any No

extremist views?

I have read all of the information about extremist

organisations and views, including the guidance

Have you, as a part of your employment or No

otherwise, undertaken paid or unpaid activity on
behalf of a non-UK government which you know to
be dangerous to the interests or national security
of the UK or its allies?

Have you ever engaged in any other activities No

which might indicate that you may not be
considered to be a person of good character?

Is there any other information about your character No

or behaviour which you would like to make us
aware of?

Convictions and other penalties

At any time have you ever had any of the following, No, I have never had any of these
in the UK or in another country?

A criminal conviction
A penalty for a driving offence, for example
disqualification for speeding or no motor
insurance
An arrest or charge for which you are currently
on, or awaiting trial

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A caution, warning, reprimand or other out-of-
court penalty
A civil court judgment against you, for
example for non payment of debt, bankruptcy
proceedings or anti-social behaviour
A civil penalty issued under UK immigration
law

Extra information

If you needed to add more information about your

application but were not able to, you can write it
here.
If there is no further information you want to add,
click the 'Save and continue' button.
Add further details:

English language

We may have to talk to you about your application. English

Which language would you prefer to use?

Documents

Mandatory documents The passport or travel document for Douglas

Schmidt from United States of America

Other documents Evidence of funds available to you, and which

are clearly accessible by you

Evidence that your sponsor is not, or will not

be, in breach of UK immigration laws at the
time of your visit

Evidence of support you will receive from your

sponsor including details of what support is
being provided and how

Evidence of the relationship, if any, between

you and your sponsor

Consent

I confirm that I understand and accept these

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If your application is successful, there will be conditions
conditions on your visa or leave to remain. This will
include, for example, whether you are able to work
in the UK.
If you stay in the UK without permission:

You can be detained

You can be prosecuted, fined and imprisoned
You can be removed and banned from
returning to the UK
You will not be allowed to work
You will not be able to rent a home in England
You will not be able to claim any benefits and
can be prosecuted if you try to
You can be charged by the NHS for medical
treatment
You can be denied access to a bank account
DVLA can prevent you from driving by taking
away your driving licence
You cannot get free medical treatment from the
NHS, unless you are exempt from charges. If you
do not pay for any billed treatment this may affect
future visa applications.
You or your family members are not entitled to
receive state-funded education whilst in the UK
(except for children of academics visiting the UK
for 12 months).
You should leave the UK when your visa ends. If
not, you may be removed and banned from the UK.

Declaration
By sending this application, you confirm that to the best of your knowledge and belief the following is correct:

the information relating to the application

the supporting evidence

I understand that the data I have given can be used as set out in the privacy policy
I consent to organisations, including financial institutions, providing information to the Home Office when
requested in relation to this application.
I understand that any passports/travel documents submitted in support of my application, which remain
uncollected after 3 months from the date they were ready for collection, will be returned to an office of the
authority that issued the document. If this happens, the Visa Application Centre will be able to advise where the
document has been sent.

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I have discussed with any other applicants that I am acting on behalf of, and confirmed that the contents of the
application are correct and complete.
I agree to the terms and conditions.
I understand that if false information is given, the application can be refused and I may be prosecuted, and, if I
am the applicant, I may be banned from the UK.

I am the applicant aged 18 or over

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