UK Visas & Immigration

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APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE

APPLICATION ID:

~~ ~~~.'tibJ&1~d~~

GIVEN NAMES:

VI PEl

FAMILY NAME:

WENG

DATE OF BIRTH:
PLACE OF BIRTH:

TAIWAN

SEX:

FEMALE

NATIONALITY:

TAIWAN

PASSPORT NUMBER:
VISA APPLICATION NUMBER:
111111111111111111 1111111111111111111111
GWF030170414

DATE APPLICATION SUBMITIED

07 DEC 2013

ONLINE :
DATE OF PLANNED ARRIVAL IN

05 JAN 2014

THE UK:

VISA APPLICANT CONTACT DETAILS

~ffl.e~

APPLICANTS EMAIL ADDRESS :

"l- e;~ ft

APPLICANTS (LANOLINE)
TELEPHONE:
APPLICANTS MOBILE/CELLULAR:

VISA APPLICATION FEE AND PAYMENT CONFIRMATION

>> OFFICIAL USE ONLY

PAYMENT REFERENCE:
TOTAL FEE:

USD 492.00

PAYMENT MADE:

YES- ONLINE

PAYMENT DATE:

07 DEC 2013

VISA APPLICATION SUBMISSION LOCATION

SUBMISSION METHOD:

IN PERSON

VISA APPLICATION LOCATION :

UK VISA APPLICATION CENTRE- TAIPEI

>>OFFICE USE ONLY

CATEGORY:

PBS TIER 4 STUDENT

TYPE:

TIER 4 (GENERAL) STUDENT

EC NUMBER:

'

I
I

On!1n<J Vis.a App!icahon

APf'LICATION FOR UNITED KINGDOM ENlRY ClEARANCE

DECLARATION
I declare that the information given on this form whether input by myself, in pout on my behalf by a third party or automatically pre-populated is complete
and correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me . I confirm that if,
before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I
will inform the United Kingdom diplomatic mission handling my application.
I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am aware
that the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information I
provide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,
.
foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance with
the Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.
I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I
understand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I have
provided and documents I have submitted with this application. I further understand that the Home Office (or a trusted third party) may also make
reasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have complied
with the terms of any visa granted .
I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I have
applied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. I
understand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in these
circumstances my application will still be handled in line with Home Office published customer service standards.
I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of a
visa, therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused or
granted for a shorter time period than I applied for. I also understand that my visa application fee will be refunded only if the application is withdrawn in
writing within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.
I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, may
be shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse I partner if we
apply for visas for a trip together) for the sole purpose of considering my application .
I am aware that if there is any information I do not want you to disclose to them I will tell you by enclosing a letter with my supporting documentation. If
such requests prevent you from making legitimate inquiries, my application may be refused.
I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie or
withhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a false
document, lie or withhold relevant information my details may be passed to law enforcement agencies.
I understand that I may be? required to provide a record of my fingerprints and a photograph of my face ("biometric data") as part of my application . If I
refuse to do so, my application may be treated as invalid and, if so, will not be considered further. (See Statutory Instrument 2006 No 1743- The
Immigration (Provision of Physical Data) Regulations 2006, Regulation 7(1 )).
I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay in
the UK. I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.
I understand that my details may, in certain circumstances, be passed to fraud prevention agencies to prevent and detect fraud and money laundering.
I also understand that such agencies may provide the Home Office with information about me. Further details explaining when information may be
passed to or from fraud prevention agencies and how that information may be used can be obtained from the Home Office website.
I am aware that it is an offence under the Immigration Act 1971 (as amended) to make a statement which I know to be false, or not believe to be true, in
order to obtain a visa/entry clearance to the UK.
I hereby apply for a transfer of a visa/entry clearance to the United Kingdom .

APPLICANT'S SIGNATURE:
DATE SIGNED:
FORM COMPLETED BY:

VI PEIWENG

111111111111111111111111111111111111111
GWF030170414

Onhn~

UK Visas & Immigration

APPLICATION fOR UN II toO KINGDOM ENTRY CLE;<RANCl:

Vi::;.a Appiicatton

APPLICAN T NAME:
APPLICATION NUMBER:
DATE OF APPLICATI ON :
TYPE OF VISA:
PURPOSE OF APPLICATION:
TYPE OF APPLICATION:
TOTAL FEE:
SUBMISSION METHOD:
ISSUING OFFICE:
PAYMENT MADE:

Yi Pei Weng
GWF030170414
07/12/2013
PBS Tier 4 Student
Stu dy
Tier 4 (General) Student
USD 492 .00
In Person
UK Visa Application Centre -Taipei
YES- ONLINE

FORM:

Tier 4 (General) Student

PART 1 > PASSPORT A ND TRAVEL INFORMATION

PASSPORTITRAVELDOCUMENT
FAMILY NAME I SURNAME

11:'t

(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE

_
AND IN THE GIVEN NAME BOX)

GIVEN NAME(S) I FORENAME(S)

':fp ~

(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE

AND IN THE FAMILY NAME BOX)

*" tt ~ I ~ I *

DATE OF BIRTH

PLACE OF BIRTH

GENDER

NATIONALITY

TAIWAN

DO YOU CURRENTLY HOLD, OR HAVE YOU EVER HELD,

NO

TAIWAN

+li~' \

FEMALE

ANY OTHER NATIONALITY OR NATIONALITIES?

~ ~~~9>?il~ti
~ ~tllt,~,i ;~

CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER

PLACE OF ISSUE

TAIWAN

10

ISSUING AUTHORITY

MFA

11

DATE OF ISSUE

16NOV2011

--? 'i~ l:(R, it_etr~

12

DATE OF EXPIRY

16 NOV 2021

-7 ~i, t;~l' ~~ ~

13

COUNTRY OF RESIDENCE

TAIWAN

ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU

YES

14

-) 1~1;ip -&~ ~ ~
,,y, ,,l'fl ~ LJb
~f~l~~~~~~~~
1:1~

-)

ARE APPLYING?

15

IS THIS YOUR FIRST PASSPORT?

16

NATIONALITY

-;f..
'"

NO

DOCUMENT

ISSUING

NUMBER

AUTHORITY

DATE OF ISSUE

:J. ""., ~

-~ 131'
~ 'J. t f,,

DATE OF EXPIRY

IS THIS DOCUMENT
LOST, STOLEN OR

~~~~~
TAIWAN

IN YOUR
POSSESSION
15 JAN 2013

15 JAN 2008

IN YOUR
POSSESSION

TRAVEL INFORMATION

-)

17

ARE YOU TRAVELLING WITH ANYONE?

NO

18

DATE OF PLANNED ARRIVAL IN THE UK

OS JAN 2014

19

HOW LONG DO YOU INTEND TO STAY IN THE UK?

8 MONTHS

~u~t?r
~ f-1~~,1 l- k_Q t~ r.i)
-7 ~~~-tt- ~

-7

ff1

[3

it( t 0--\:@ f~% 1-

~~

i\PPLICATION FOR UNITED KINGDOM ENl RY CLEARANCE

Onhn.;? Vi&a '"'\ppHcattO!l

20

WHAT IS THE MAIN ADDRESS AND CONTACT DETAILS

LINE 1: TRAJAN HOUSE

OF WHERE YOU WILL BE STAYING WHILST IN THE UK?

LINE 2: MILL STREET

~~ -ft ~ c~s t . ~~ t~~ IS) .

~ f ~~ l ~4 1'tt :tJ: .J! ~~:l~~ (J
tj,f, k ~W-o--i\ .

LINE 3: OXFORD
POST CODE: OX2 ODJ
PRIMARY CONTACT NUMBER: 441273339339
EMAIL: MEVANS@STUDYGROUP.COM

PART 2 > PERSONAL DETAILS AND TRAVEL HISTORY

PERSONAL DETAILS

21

WHAT IS YOUR PERMANENT RES IDENTIAL ADDRESS

AND CONTACT DETAILS?

~-1~~~~. ~~n t~tk fh\"'''

LINE 1: I
LINE 2:

1g ,

1~

~ ~ -i:j}

POST CODE: i~~;,

COUNTRY: TAIWAN

fl 25

PRIMARY CONTACT NUMBER:!

EMAIL:

22

HOW LONG HAVE YOU LIVED AT THIS ADDRESS?

19 YEARS AND 6 MONTHS -")

23

ARE YOUR PREFERRED CONTACT DETAILS DIFFERENT

NO

~ t ~ ~'~ 1j; /'[_); ~ d-! ~~~ ~ ~ t t,:e 1lf )' ~

TRAVEL HISTORY

24

HAVE YOU BEEN ISSUED ANY VISA FOR THE UK, UK

OVERSEAS TERRITORIES OR COMMONWEALTH
COUNTRY IN THE LAST 10 YEARS?

25
26

DATE OF ARRIVAL

DEPARTURE DATE

03 JUL 2010

23 AUG 2010

PURPOSE OF THE TRIP

STU DYING ENGLISH LANGUAG E
COURSES IN LONDON

27

HAVE YOU MADE AN APPLICATION TO THE HOME

NO

OFFICE TO REMAIN IN THE UK IN THE LAST 10 YEARS?

28

HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THE

NO

LAST 10 YEARS
(FOR EXAMPLE AT A UK AIRPORT OR SEAPORT)?
29

HAVE YOU BEEN REFUSED A VISA FOR ANY COUNTRY

NO

INCLUDING THE UK IN THE LAST 10 YEARS?

30

HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISE NO

REQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UK
IN THE LAST 10 YEARS?

31

HAVE YOU EVER VOLUNTARILY ELECTED TO DEPART

NO

THE UK?
32

ARE YOU, OR HAVE YOU BEEN SU BJECT TO, AN

EXCLUSION ORDER FROM THE UK?
HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY
OF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10
YEARS?

34

DO YOU HAVE A UK NATIONAL INSURANCE NUMBER?

NO

.1i ~ ~ J

~
~

FROM THE CONTACT DETAILS ALREADY PROVIDED

ABOVE?

{! ~ J..Ptl i

APPLICATION fOR UNIIlOD

Onhn-e Vis.a App!icalton

35

DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY

KI~!GDOM

cNlHY Cl.b\RANCE

NO

COUNTRY
(INCLUDIN G SPENT/UNSPENT CONVICTIONS AND
TRAFFIC OFFENCES)?

36

HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY

NO

WITH A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOT

YET BEEN TRIED IN TH E COURT (INCLUDING TRAFFIC
OFFENCES)?
37

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 TO, AN ORGANISATION TH AT HAS
BEEN CONNECTED WITH TERRORISM?

38

HAVE YOU EVER, BY ANY MEANS OR MEDIUM,

NO

EXPRESSED VIEWS THAT JUSTIFY OR GLORIFY

TERRORIST VIOLENCE, OR THAT MAY ENCOURAGE
OTHERS TO COMMIT ACTS OF TERRORISM OR OTHER
SERIOUS CRIMINAL ACTS?
39

IN TIMES OF EITHER PEACE OR WAR HAVE YOU EVER

NO

BEEN INVOLVED IN, OR SUSPECTED OF INVOLVEMENT

IN, WAR CRIMES, CRIMES AGAINST HUMANITY OR
GENOCIDE?
40

HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT

NO

MIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TO

THE UK?

41

IF WE NEED TO INTERVIEW YOU, WHAT LANGUAGE

CHI NESE

WOULD YOU LIKE TO USE IN THE INTERVIEW?

PART 3 >FAMILY DETAILS

SPOUSE/PARTNER

42

WHAT IS YOUR MARITAL STATUS?

FATHER
43

NATIONALITY

44

FAMILY NAME I SURNAME

SINGLE

\_ i, ~ , ~ tt ~ ( ~ f 1f ;&. ~~ tJ

TAIWAN

(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT

HERE AND IN THE GIVEN NAME BOX)
45

GIVEN NAME(S) I FORENAME(S)

(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)

46

DATE OF BIRTH

47

PLACE OF BIRTH

TAIWAN

MOTHER

48

NATIONALITY

49

FAMILY NAME I SURNAME

TAIWAN

(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT

HERE AND IN THE GIVEN NAM E BOX)

Page 5

CODE

Onhn~

/l.PPUCt\TION FOR UNITf.D KINGDOM tJHRY CU:.ARANCC

Visa ;.\pp!icahr.>n

50

GIVEN NAME(S) I FORENAME(S)

(IF THEY ONLY HAVE ONE NAME, PLEASE ENTE R IT
HERE AND IN THE FAMILY NAME BOX)

51

DATE OF BIRTH

52

PLACE OF BIRTH

DEPENDENT CHILDREN

53

DO YOU HAVE ANY DEPENDENT CHILDREN?

NO

NON DEPENDENT CHILDREN

54

ARE ANY OTHER CHILDREN TRAVELLING WITH YOU?

NO

PART 4 >MEDICAL TREATMENT

MEDICAL TREATMENT

55

HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN

THE UK?

NO

PART 5 > TIER 4 STUDENT

SPONSOR

56

GIVE YOUR TIER 4 SPONSOR'S LICENCE NUMBER

, C 1. t t ~ L1 ce\c e AI._ M.he t

286524PQ4

-/

f1 "> -

'{

~ cAS l; i J JZ ~ ~->;

57

WHAT IS THE NAME OF YOUR SPONSOR?

BELLERBYS COLLEGES

58

WHAT IS THE FULL ADDRESS OF YOUR SPONSOR?

ORGANISATION: BELLERBYS EDUCATIONAL SERVICES

rrn~-rtl~d:. ~~~~.w 1~~~})~~

~J~ -tJ: ~lilA'~~~. ~t :z_
ft~<~ ~ID

LIMITED
LINE 1: 1 BILLINTON WAY
LINE 2: BRIGHTON
POST CODE: BN1 4LF
PRIMARY CONTACT NUMBER:
EMAIL:

STUDIES

59

WHAT IS YOUR CONFIRMATION OF ACCEPTANCE FOR

STUDIES NUMBER?

60

WHAT IS THE TITLE OF YOUR COURSE?

I4

*4'

BUSINESS, FINANCE AND MANAGEMENT FOUNDATION

?~~ t 1 ~ ~ ~ {-=f

~-

PROGRAMME

~
~ ~rtl h~YJ Leve I ($cAs)

61

WHAT IS THE LEVEL OF THE COURSE AND

~
QUALIFICATION?

QCF_NQF3 - )

62

START DATE OF COURSE

06 JAN 2014

63

END DATE OF COURSE

15 AUG 2014 -) -~..J.~

64

HAVE YOU ALREADY STARTED STUDYING THIS

COURSE?

NO

-->,

7 i~ ~

,te-\!v e

bi} " -t

-lit tl

\~ 'f) "+

~t~,~{ ~~t'S>& 21) ~~~~ J ~

CODE

65

WHAT IS THE ADDRESS OF THE MAIN SITE OF STUDY?

ORGANISATION: BELLERBYS COLLEGE OXFORD

~1B:~~ft 9 ~t1I~~ j:J'

LINE 2: MILL STREET

LINE 1: TRAJAN HOUSE

"

1~~~ i-~;:,;7\ cJi; cAS - ll~~~,

1-f~ ~~~~ ~1J' e~(i\~ /. ~.tb f

66
67

LINE 3: OXFORD
POST CODE: OX2 ODJ
PRIMARY CONTACT NUMBER: i
EMAIL:.
- ----~

CONFIRM WHICH OF THE FOLLOWING OPTIONS APPLY

STUDYING

HAVE YOU BEEN ASSESSED BY THE SPONSOR BY

NO

OTHER MEANS, FOR EXAMPLE REFERENCES OR A

PORTFOLIO OF ARTWORK?
68

ENGLISH LANGUAGE TEST

PLEASE INDICATE HOW YOU MEET THE MINIMUM

ENGLISH LANGUAGE REQUIREMENT RELEVANT TO
YOUR COURSE

69

AWARDING BODY

BRITISH COUNCIL

70

TITLE OF QUALIFICATION

IELTS

71

LEVEL OF QUALIFICATION

5.5

72

DATE OF AWARD

16NOV2013

73

AWARD REFERENCE NUMBER

-7

MAINTENANCE AND FEES

74

HOW MUCH ARE THE FEES FOR YOUR COURSE OF

i~~ ~ ~~ t

.....

J.fLTS ~f\ t:~ Wd

t -r ~

~ uKv1- ~:r~~ --~~ u\(\/1 tJ~Vfi~Y ._

~ ~ ~ ~~
{..,_ Cc.n clld(,lte \)e-t:all s~

STUDY?
75

HAVE ANY OF YOUR COURSE FEES BEEN PAID?

YES- PAID TO UK EDUCATION PROVIDER

76

PLEASE ENTER THE AMOUNT GBP()

8600.5

77

WHAT DOCUMENT HAS BEEN PROVIDED AS EVIDENCE

OF PAYMENT

SHOWN IN THE CAS

DO YOU HAVE AN ESTABLISHED PRESENCE IN THE UK? NO

79

FOR THIS INITIAL APPLICATION WHAT IS YOUR YOUR

l 0/ ;
81

J.,-

HOW MUCH FUNDING GBP() PER MONTH DO YOU HAVE 6400 -)

~-:

-;f~ ~J ~{ ~

1000

83

WHAT DOCUMENT HAS BEEN PROVIDED AS EVIDENCE

SHOWN IN THE CAS

NO

COURSE FEES

87

MAINTENANCE

88

TOTAL

89

DO YOU HAVE MONEY IN YOUR OWN NAME?

-l~t~~ YES
~
6204.5

J.,

~i"~~~ ~ c t17 1-.

112 2. 1 1 J

~~ ~c.Q(J ~1J~a~ ,~~ Y~s

Page7

-)

~if ~ ~ ~ \1 1t~
(_ (~ 1 )?_ ~\,J,?'
t> ~'I 'Ul "

SPONSOR THAT MEETS THE UK VISA AND IMMIGRATION

DEFINITION OF A FINANCIAL SPONSOR?

86

c;

~ -f"~ \ ~b
( 0 f <7

j;_

~ t -~ ~ Aj ti \_ ~% 1 ~ ( ~,l? CA; ~ _1: ~

OF PAYMENT?

reatfld

i; ~t\- ; i

PLEASE ENTER THE AMOUNT GBP()

DO YOU HAVE ANY REMAINING FEES AND j

MAINTENANCE STILL DUE FOR PAYMENT?

,J..,

15)>

YES- PAID TO UK EDUCATION t-'KUVIDER

PAID TO YOUR SPONSOR?

85

~ ~-:!-

h 171 ~j ~ lo" ~ fX LorAG'>\ ~ f"l!! l

~b 1~~

TO COVER YOUR THE MAINTENANCE CHARGES?

DO YOU RECEIVE suPPORT FROM A FINANCIAL

.:f_r

82

84

-;L

OUTSIDE THE INNER LONDON BOROUGHS

PRIMARY SITE OF STUDY?

HAVE ANY OF YOUR ACCOMMODATION FEES BEEN

t")

1'-

78

1~ ,G}~ y
'7 Jl e >C (AS _b@ -,
'\?
-=) ~ I.a~-~ ~\~ tft. ft-iJ !t'>b oY~~~~~
~~ n~ ~

k <..

-1 ~ -t::. ,l- .-t" ~ .t,

A._/

i -

I:/\ -:;~ lfP :t~ f3)

t? 0 :z. ~>-fl. P,t ...>

tt~~Jt :::1.- f{ ~
~ -:.or J _
-1; f<'d t {)_ ~ )

fZ It,-~ ~ 1'!f ~ ll-_-"

~ ( ~~A'
~ '~~l ~
1

n ~ ,~ 11 . _

j;

t11

ti

1("

t:

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90

Vis-a ApplicahO!l

WHAT EVIDENCE HAVE YOU PROVIDED THAT SHOWS

APPLICATION fOR UN II cO KINGDOM NT RY

~~~t~1~ ~1 f h~{)~

NO.

BOTH THE AMOUNT OF FUNDS AVAILABLE AND YOUR

RELATIONSHIP TO YOUR PARENTS OR LEGAL

~t-#~ _{j)~~ ~~~t,d~

GUARDIANS?

~ J 2-8'

~
POINTS CLAIMED
91

CONFIRMATION OF ACCEPTANCE FOR STU DIES

92

MAINTENANCE

93

TOTAL

* -~~ ~ bJ,~.rtil ~\l

~\\ - {jJ ~ ~1~, tf ft ~JP~-

30

f.ij,~lMt nbJ ~>~-ftrl ~

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-\1?--'l

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~~

PART 6 >ADDITIONAL INFORMATION

ADDITIONAL INFORMATION
94

IS THERE ANY OTHER INFORMATION YOU WISH TO BE

NO.

CONSIDERED AS PART OF YOUR APPLICATION?

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bL\-t

Cl~ARANCE

req ell red

uncler

he.!d ~i Ofrllc(\rlt

.gul dt~n a

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:=

Onhn-? Visa .A.pp!icat1on

APPUCAllON FOR UNITf.O KINGDOM ENTRY CLEARANCE

DECLARATION
I declare that the information given on this form whether input by myself, inpout on my behalf by a third party or automatically pre-populated is complete
and correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me . I confirm that if,
before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I
will inform the United Kingdom diplomatic mission handling my application.
I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am aware
that the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information I
provide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,
foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance with
the Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.
I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I
understand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I have
provided and documents I have submitted with this application . I further understand that the Home Office (or a trusted third party) may also make
reasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have complied
with the terms of any visa granted .
I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I have
applied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. I
understand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in these
circumstances my application will still be handled in line with Home Office published customer service standards.
I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of a
visa , therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused or
granted for a shorter time period than I applied for. I also understand that my visa application fee will be refunded only if the application is withdrawn in
writing within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.
I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, may
be shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse I partner if we
apply for visas for a trip together) for the sole purpose of considering my application .
I am aware that if there is any information I do not want you to disclose to them I will tell you by enclosing a letter with my supporting documentation. If
such requests prevent you from making legitimate inquiries, my application may be refused .
I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie or
withhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a false
document, lie or withhold relevant information my details may be passed to law enforcement agencies.
I understand that I may be? required to provide a record of my fingerprints and a photograph of my face ("biometric data") as part of my application. If I
refuse to do so, my application may be treated as invalid and , if so, will not be considered further. (See Statutory Instrument 2006 No 1743- The
Immigration (Provision of Physical Data) Regulations 2006, Regulation 7(1 )).
I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay in
the UK. I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.
I understand that my details may, in certain circumstances, be passed to fraud prevention agencies to prevent and detect fraud and money laundering.
I also understand that such agencies may provide the Home Office with information about me. Further details explaining when information may be
passed to or from fraud prevention agencies and how that information may be used can be obtained from the Home Office website .
I am aware that it is an offence under the Immigration Act 1971 (as amended) to make a statement which I know to be false, or not believe to be true, in
order to obtain a visa/entry clearance to the UK.
I hereby apply for a transfer of a visa/entry clearance to the United Kingdom.

APPLICANT'S SIGNATURE:
DATE SIGNED:
FORM COMPLETED BY:

Yl PEIWENG

111111111111111111

IIIII III ~111111111 Ill

GWF030170414