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Date                                                             

Forenames       Family/Surname        Date of Birth   

Address        Country   

Post Code        Home Telephone        Mobile Number   

Email Address        Status       Single Widowed Never married Divorced Married Seperated     Do you own your own home    Yes No     Do you have a Bank Account    Yes No

YOUR PARTNER

Forenames       Family/Surname      Nickname        Date of Birth   

Nationality        Mobile  Number        Do they own a property (describe)  

Do they have a passport    Yes No     Have they been abroad - if so where        Have they a job   

Status       Single Widowed Never married Divorced Married Seperated

What country do you want a visa for         What type of visa do you want    Tourist Fiance settlement Settlement married Student Other

When do you want the visa to start                    How long do you want the visa   

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