FOR OFFICIAL USE ONLY

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Type of Visa/Preclearance:
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Application Form - NOT VALID FOR TRAVEL
Application Reference / Transaction Number: 61948192
Short Stay
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Journey Type: Multiple Journey
Visa/Preclearance category: Training
Surname: .
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Forename: Abhishek
Other names:
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Contact Email: abhishek.g@gea.com

Date of Birth: 09/10/1998
Gender: Male
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Nationality: India
Passport / Travel Document Number: U2937163
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Issue Date: 22/10/2020

Expiry Date: 21/10/2030
Dates of Travel From: 19/11/2023
Dates of Travel To: 17/02/2024

WARNING!

YOU HAVE NOT COMPLETED THE APPLICATION PROCESS YET

In order to complete the application process you must:

1. print and sign this summary application sheet

2. log on to the online payment and appointment booking website below to pay the visa application fee (if
applicable) and service charges AND book an appointment at a visa application centre (VAC) to have your
biometric information (fingerprints and live capture facial image) taken
3. attend for your appointment at the VAC and bring the signed summary application sheet and your documents
(see below) with you to your appointment

Your appointment at the VAC must take place within 30 days of completing your online application.

Payment/appointment booking website: https://visa.vfsglobal.com/ind/en/irl/

Documents you must bring with you to the VAC when you attend for your appointment

1. Printed and signed application summary sheet

2. Original passport
3. Passport sized colour photographs
4. Evidence of payment of the visa fee (unless you are fee exempt)
5. Supporting documents for the relevant visa category
6. All supporting documentation must be in English or accompanied by a notarised translation

Please see www.irishimmigration.ie "Visas" for further information on the documents which you are required to
bring with you to the VAC

Application will be held online for 30 days

Please note that your application will be held online for 30 days. It can be retrieved and printed at any time during
this period. However, it will not be possible for you to make changes to any of the details that you have provided.

DECLARATION BY APPLICANT

You must now read the declaration below and sign it. This must be signed by the applicant
personally.

An application for a person under the age of 18 should be completed by the parent or legal
guardian.

DECLARATION

I hereby apply for a visa/preclearance to travel to Ireland. The information I have given is complete and is true to
the best of my knowledge. I also declare that the photograph submitted with this form is a true likeness of me, the
applicant. I confirm that if, before the application is decided, there is a material change in my circumstances or new
information relevant to this application becomes available, I will inform the Embassy/ Consulate/Visa Office
handling my application.

I understand that I may be required to provide my biometric information (fingerprints and facial image) before my
application will be processed and that any such information, together with my biographical information, will be
collected by the United Kingdom Home Office or another authorised agent on behalf of the Immigration Service
Delivery of the Department of Justice and Equality.

I understand that I may be recorded by electronic means (CCTV) when I attend at a centre for the purpose of
providing my biometrics and biographical details or lodging my documents and that any such recordings may be
retained for the purpose of maintaining the integrity of the visa/preclearance application process.

I understand that additional information may be required before my application can be processed. I understand that
failure to provide such data, if requested to do so by the Embassy/Consulate/ Visa Office, may result in the refusal
of my application.

I understand that any false or misleading information, or false supporting documentation, may result in the refusal
of my application and that this may result in me being prevented from making further Irish visa/preclearance
applications for a period of up to five years. An appeal, against the decision to refuse to grant the visa/preclearance
sought, may not be permitted.

I also understand that if I have incorrectly claimed to be exempt from the requirements to provide biometrics my
application may be refused and I may be prevented from making further Irish visa/preclearance applications for a
period of up to five years. An appeal, against the decision to refuse to grant the visa/preclearance sought, may not
be permitted.

I understand that the outcome of this visa/preclearance application may be made available to the United Kingdom
Home Office for the purpose of preserving the integrity of the Common Travel Area.
I understand that the application form and supporting documentation or copies thereof, may be conveyed to the
Irish deciding authority as considered appropriate by the receiving office, including commercial courier (in a sealed
package) or other postal or electronic means.

Signature of applicant / parent or legal guardian

(in case of an applicant under 18 years of age)

Date