Harmonized Application Form BITLUXURY APPLICATION FORM UK VISA SPONSORSHIP 1 REFERENCE NUMBER: Fields 13 shall be filled in in accordance with the data in the travel document. 1. Surname (Family name): FOR OFFICIAL USE ONLY 2. Middle Name (s) Date of application: 3. First name(s) (Given name(s)): Application number: Date of birth (daymonthyear): 5. Place of birth: 7.Nationality: Application lodged at: 6. Country of birth: Nationality at birth, if different: □ Embassy/consul ate Other nationalities: □ Service 8. Sex: 9. Civil status: provider □ Male □ Female □ Single □ Married □ Registered Partnership □ Separated □ □ Commercial Divorced □ Widow(er) □ Other (please specify): intermediary □ Border (Name): ……………… □ Other: 10. I am applying for? (Enter the type of job that you are applying for) File handled by: 11. National identity number, where applicable: Supporting documents: 12. Type of travel document: □ Travel document □ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special passport □ Means of □ Other travel document (please specify): subsistence □ Invitation 1 1 13. Number of travel 14. Date of 15. Valid until: 16. Issued by □ TMI document: issue: (country): □ Means of 17. Next Of Kin Details transport Surname (Family name): First name(s) : □ Other: Visa Date of birth (daymonthyear): Nationality: ID Number: decision: 18. Family relationship if applicable: □ Refused □ spouse □ child □ grandchild □ dependent ascendant □ Issued: □ Registered Partnership □ other: □A 19. Applicant's home address: Tel no.: □C 20. Residence in a country other than the country of current nationality: □ LTV □ No □ Yes. Residence permit or equivalent ………………… No. …………………….. Valid □ Valid: until…………… From: Until: *21. Current occupation: Number of entries: * □1□2□ Multiple 23. Purpose(s) of the journey: Number of □ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports □ Official visit □ Medical days: reasons □ Study □ Work □ Other (please specify): 24. Additional information on purpose of stay: OFFICIAL STAMP HERE Attach Passport Size Photo Use glue / stapler to stick 2 I am aware that the fee is refunded if the visa is refused. Applicable in case a multipleentry visa is applied for: I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent visits to the territory of United Kingdom TICK TO SELECT YOUR RELOCATION PACKAGE: BITLUX 1 £625.00 SPONSOR’S OFFER This package is for applicants who have the following requirements Abacus Care Solutions will offer you the following 1.Valid Passport 1. UK Visa Application 2. Police Clearance (Criminal Record Check) 2. Flight to the UK 3. Academic Certificates 3. Full Accommodation (3 Months) 4.Must be 18 and above 4. Enrolment Training Program 5. Medical Examination Certificates 5. Cruise Ship Admission 6. Certificate of Sponsorship Tick the box to select this package I agree that Bitluxury Global Limited will cover all my costs of OnceO fffee is required when you choose this package relocating to the UK. I am aware that they will be deducting a percentage when I start earning from my job BITLUX 2 £0.00 (No Fee) SPONSOR’S OFFER This package is for applicants who can cover their own costs Abacus Care Solutions will offer you the following 1.Valid Passport 1.Certificate of Sponsorship 2. Police Clearance (Criminal Record Check) 3. Academic Certificates 4.Must be 18 and above 5. Medical Examination Certificates 6. Valid Bank Statements Tick the box to select this package I agree that Bitluxury Global Limited will offer the certificate of No Fee is required when you choose this package sponsorship only. Place and date: Signature: (signature of parental authority/legal guardian, if applicable): 3
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