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    Application Form - Not Valid For Travel

    Uploaded by

    leonbertrand77
    Arthur Martin Essame from Cameroon is applying for a short stay tourist visa to travel to Ireland from January 26th to February 10th, 2024. He must submit his application form summary sheet, original passport, photographs, proof of visa fee payment if required, and any supporting documents to the Visas Division of the Department of Justice in Dublin within 30 days. He declares that the information provided is true and understands that false information could lead to his application being refused.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form - Not Valid For Travel

    Uploaded by

    leonbertrand77
    143 views3 pages
    Arthur Martin Essame from Cameroon is applying for a short stay tourist visa to travel to Ireland from January 26th to February 10th, 2024. He must submit his application form summary sheet, original passport, photographs, proof of visa fee payment if required, and any supporting documents to the Visas Division of the Department of Justice in Dublin within 30 days. He declares that the information provided is true and understands that false information could lead to his application being refused.

    Original Description:

    travel irlande

    Original Title

    Application Form - Not Valid for Travel

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    Arthur Martin Essame from Cameroon is applying for a short stay tourist visa to travel to Ireland from January 26th to February 10th, 2024. He must submit his application form summary sheet, original passport, photographs, proof of visa fee payment if required, and any supporting documents to the Visas Division of the Department of Justice in Dublin within 30 days. He declares that the information provided is true and understands that false information could lead to his application being refused.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    143 views3 pages

    Application Form - Not Valid For Travel

    Uploaded by

    leonbertrand77
    Arthur Martin Essame from Cameroon is applying for a short stay tourist visa to travel to Ireland from January 26th to February 10th, 2024. He must submit his application form summary sheet, original passport, photographs, proof of visa fee payment if required, and any supporting documents to the Visas Division of the Department of Justice in Dublin within 30 days. He declares that the information provided is true and understands that false information could lead to his application being refused.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    Application Form - NOT VALID FOR TRAVEL https://www.visas.inis.gov.ie/AVATS/SummaryDetails.

    aspx

    FOR OFFICIAL USE ONLY

    r
    Type of Visa/Preclearance:
    fo
    Application Form - NOT VALID FOR TRAVEL
    Application Reference / Transaction Number: 62405452
    Short Stay
    l id
    Journey Type: Single Journey
    Visa/Preclearance category: Visit Tourist
    ve al

    Surname: Essame
    Forename: Arthur Martin
    Other names:
    tra t v

    Contact Email: arthuressame@yahoo.fr


    Date of Birth: 04/09/1983
    Gender: Male
    o

    Nationality: Cameroon
    N

    Passport / Travel Document Number: AA620138


    Issue Date: 15/09/2023
    Expiry Date: 15/09/2028
    Dates of Travel From: 26/01/2024
    Dates of Travel To: 10/02/2024

    Please note the address/contact details of the Irish Embassy/Consulate/Visa Office to which
    your application has been sent.
    Visas Division
    Department of Justice
    6/7 Hanover Street
    Dublin 2
    Ireland
    Email : travelrequest@justice.ie
    Website : https://www.irishimmigration.ie/applications-direc
    Please check above website for details of where you should now submit the following
    documentation, together with the relevant fee. Documents must be submitted within 30 days of
    completing your online application.

    1 of 3 11/2/2023, 4:19 PM
    Application Form - NOT VALID FOR TRAVEL https://www.visas.inis.gov.ie/AVATS/SummaryDetails.aspx

    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 (See www.irishimmigration.ie for more
    information. If you are applying to the Visas Offices in Abuja, Abu Dhabi, Beijing, London,
    Moscow or Turkey please check the relevant website for any additional local requirements)
    6. All supporting documentation must be in English or accompanied by a notarised translation

    Please note that your application will be held online for 30 days and it can be retrieved and
    printed any time during this period. However, it will not be possible for you to make changes to
    any of the details you have provided. If you need to advise us of anything you have omitted or
    incorrectly entered, you should submit this information in writing to the Embassy/Consulate or
    Visa Office shown above, with your supporting documentation.
    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.

    2 of 3 11/2/2023, 4:19 PM
    Application Form - NOT VALID FOR TRAVEL https://www.visas.inis.gov.ie/AVATS/SummaryDetails.aspx

    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

    3 of 3 11/2/2023, 4:19 PM

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