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    Application Form - Not Valid For Travel

    Uploaded by

    bokisloba964

    Copyright:

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

    Application Form - Not Valid For Travel

    Uploaded by

    bokisloba964
    27 views3 pages

    Original Title

    Application Form - Not Valid for Travel

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    27 views3 pages

    Application Form - Not Valid For Travel

    Uploaded by

    bokisloba964

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    11/13/24, 1:10 AM Application Form - NOT VALID FOR TRAVEL

    FOR OFFICIAL USE ONLY

    r
    Type of Visa/Preclearance:
    fo
    Application Form - NOT VALID FOR TRAVEL
    Application Reference / Transaction Number: 71548522
    Short Stay
    l id
    Journey Type: Multiple Journey
    Visa/Preclearance category: Visit Tourist
    ve al

    Surname: Pierce
    Forename: Allen
    tra t v

    Other names:
    Contact Email: ztrlicub@gmail.com
    Date of Birth: 18/09/1980
    Gender: Male
    o

    Nationality: Bangladesh
    N

    Passport / Travel Document Number: A07487905


    Issue Date: 04/06/2024
    Expiry Date: 03/06/2034
    Dates of Travel From: 30/11/2024
    Dates of Travel To: 05/12/2024

    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


    https://www.visas.inis.gov.ie/AVATS/SummaryDetails.aspx 1/3
    11/13/24, 1:10 AM Application Form - NOT VALID FOR TRAVEL
    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)

    https://www.visas.inis.gov.ie/AVATS/SummaryDetails.aspx 2/3
    11/13/24, 1:10 AM Application Form - NOT VALID FOR TRAVEL

    Date

    https://www.visas.inis.gov.ie/AVATS/SummaryDetails.aspx 3/3

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