Index - Aviva Visas

Application Form

Applicant Details

Surname (As appears in passport)

Surname at birth (if any)

First Name and Middle Name (As appears in passport)

Country/ies intending to travel/visit

Dates of travel in each countries (Please email us your travel itinerary if travelling different countries)

Purpose of travel (tourism/Business etc.)

Date of Birth

If applicant is Minor, please provide full details of both parents

Father Name

Mother Name

Address

Phone Number

Place of Birth

Country of Birth

Current Nationality

Nationality at Birth

Sex (Male or Female)

Single/Married/Separated/Civil partnership/Divorce etc

Ordinary Passport or travel document, please specify? (A signed national passport or official travel document issued less than 10 years, valid for at least 3 months beyond the validity of the requested visa.)

If travel documents please specify colour (blue, black, red etcc.)

Passport No. (Please scan and email data page)

Passport Issue date

Passport Expiry date

Full residence address in the UK

Phone numbers (mobile & Landline)

Email address

UK Visa number (Please scan and email data page)

UK VISA TYPE (C-VISIT, ILR, Work permits, student etc)

UK Visa Issue date

UK Visa expiry date

Occupation (Student, Employed, self-employed, Dependent, Retired, Unemployed, Housewife, Benefits, etc.)

Educational Establishment

Name

Full Address

Phone Number

If employed/Self-employed

Name of employer/Business

Job title

Full address

Telephone number of Employer

Schengen visa issued over last 3 years, if so, What dates? (From and until)

Finger print collected for Schengen Visa, if yes, Date if known

Date of travel date to Schengen countries

Return date from Schengen area

Hotel Name

Inviting Person Name

Address of Hotel or person (if known)

Telephone number

Cost of travelling covered by(Applicant or Sponsor)

Contact Details of Sponsor

Name

Surname

Address

Are you travelling with spouse/child who is UK/EU national

Spouse of EU/ British national? Yes/No (If Married and has access to British/European passport please complete below)

Do you have a child who is British or EU national Yes/No (If has child British/EU and has access to British/European passport please complete below)

Does your child or Spouse hold a British/European passport? Yes/No

If spouse or has a child who is BRITISH/EU National please complete below. Please mention if child/spouse

Surname

Name of Spouse/Child

Date of Birth

Nationality

Spouse’s Passport number

Spouse Passport expiry date