"Jamaican Visa Application Form - Jamaican High Commission" - Greater London, United Kingdom

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Page background image
Passport size Photograph
JAMAICAN VISA APPLICATION
of Visa Applicant to be
affixed here
1. Last Name (s) …………………………………………………………………….
2. First Name(s)………………………………….…………………..……………………..
3.
Previous names if Applicable…………………..………………………………………………………………………………………………………………………………………………….
4.
Marital Status: Married
Single
Widowed
Divorced
Gender: Male
Female
5.
Date of birth [dd/mm/yyyy] ………../………./……….. Place & Country of Birth ……………………………………….……………………………………………………………………
6.
Present Nationality …………………………………………………………………………… Former Nationality …………………………………..………………………………………..
7.
Passport No# ………………………..…………………… Place & Country of Issue …………………………………..……………………………………………………………………..
8.
Date of Issue [dd/mm/yyyy] .…………../…….……./…………..
Expiry Date [dd/mm/yyyy] ……….…../…..………./…...……..
9.
Please specify the basis of authorization for (re)entry to your country of permanent or temporary residence:
Permanent Residence
Visa
Other ……………………..…………… No# ………………..…… Date of Expiry [dd/mm/yyyy] ……../………./……………….
10. (a) Present Address ……………………………………………………..……………………………………… Country …………………………………………………..………………….
Home Telephone No ………………………………………….. Fax No ………………….…………………. Email ………………………………….………………………………
(b) Permanent Address …………………………………………………………………………………………………….. Country …………………………….……………………………….
11. Occupation ………………………………………………… Business Address & Telephone No ………………………….……………………………………………………………………..
12. Purpose of Visit:
Vacation
Family Visit
Business
Other (Please Specify) ………………….………………………………………
13. Duration of Proposed Visit ……….. …………………………………………..……………………………………………………………………………………………………………………...
14. Dates of Previous Visits ……………………………………………………….………………………………………………………………………………………………………………………..
15. Address in Jamaica …………………………………………….…………………………………………………………………………………………………………………………...
16. Means of support during visit:
Cash
Credit Card
Travellers’’ Cheques
Other (Specify) ……………………………………...
17. Particulars of any minor children (under age 18) accompanying you:
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ……………………………………………
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ………………………………….…………
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ………………………….…………………
18.
Provide the particulars of two (2) References (if any) in Jamaica:
Name………………………………………..……….…………………
Name …………………………………………………………………………………………….
Address …………………………………………………..……………
Address ………………………………………………………………………………………….
…………………………………………………………………………..
…………………………………………………………………………………………………….
Telephone No………………………………………………………….
Telephone No……………………………………………………………………………………
19. I hereby certify that I have read and understood all the questions set out in this application and that all the answers I have furnished on this document are
true and correct to the best of my knowledge. I understand that any false or misleading statement may result in the refusal of a visa or entry to Jamaica.
Signature of Applicant …………………………………………………………………….………………………………
Date ………….……/……………..…/………………………..…
FOR OFFICAL USE ONLY
Visa #
Receipt #
Official Stamp of
Issuing Post to be
Affixed Here
Name of Consular Officer ……………………………….…………………….. Signature …………………………… Date …….…./………/……..…
Jamaican High Commission, London
December 2009
Passport size Photograph
JAMAICAN VISA APPLICATION
of Visa Applicant to be
affixed here
1. Last Name (s) …………………………………………………………………….
2. First Name(s)………………………………….…………………..……………………..
3.
Previous names if Applicable…………………..………………………………………………………………………………………………………………………………………………….
4.
Marital Status: Married
Single
Widowed
Divorced
Gender: Male
Female
5.
Date of birth [dd/mm/yyyy] ………../………./……….. Place & Country of Birth ……………………………………….……………………………………………………………………
6.
Present Nationality …………………………………………………………………………… Former Nationality …………………………………..………………………………………..
7.
Passport No# ………………………..…………………… Place & Country of Issue …………………………………..……………………………………………………………………..
8.
Date of Issue [dd/mm/yyyy] .…………../…….……./…………..
Expiry Date [dd/mm/yyyy] ……….…../…..………./…...……..
9.
Please specify the basis of authorization for (re)entry to your country of permanent or temporary residence:
Permanent Residence
Visa
Other ……………………..…………… No# ………………..…… Date of Expiry [dd/mm/yyyy] ……../………./……………….
10. (a) Present Address ……………………………………………………..……………………………………… Country …………………………………………………..………………….
Home Telephone No ………………………………………….. Fax No ………………….…………………. Email ………………………………….………………………………
(b) Permanent Address …………………………………………………………………………………………………….. Country …………………………….……………………………….
11. Occupation ………………………………………………… Business Address & Telephone No ………………………….……………………………………………………………………..
12. Purpose of Visit:
Vacation
Family Visit
Business
Other (Please Specify) ………………….………………………………………
13. Duration of Proposed Visit ……….. …………………………………………..……………………………………………………………………………………………………………………...
14. Dates of Previous Visits ……………………………………………………….………………………………………………………………………………………………………………………..
15. Address in Jamaica …………………………………………….…………………………………………………………………………………………………………………………...
16. Means of support during visit:
Cash
Credit Card
Travellers’’ Cheques
Other (Specify) ……………………………………...
17. Particulars of any minor children (under age 18) accompanying you:
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ……………………………………………
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ………………………………….…………
Name ……………………………………………………………………… Date of Birth ………./………../………… Place of Birth ………………………….…………………
18.
Provide the particulars of two (2) References (if any) in Jamaica:
Name………………………………………..……….…………………
Name …………………………………………………………………………………………….
Address …………………………………………………..……………
Address ………………………………………………………………………………………….
…………………………………………………………………………..
…………………………………………………………………………………………………….
Telephone No………………………………………………………….
Telephone No……………………………………………………………………………………
19. I hereby certify that I have read and understood all the questions set out in this application and that all the answers I have furnished on this document are
true and correct to the best of my knowledge. I understand that any false or misleading statement may result in the refusal of a visa or entry to Jamaica.
Signature of Applicant …………………………………………………………………….………………………………
Date ………….……/……………..…/………………………..…
FOR OFFICAL USE ONLY
Visa #
Receipt #
Official Stamp of
Issuing Post to be
Affixed Here
Name of Consular Officer ……………………………….…………………….. Signature …………………………… Date …….…./………/……..…
Jamaican High Commission, London
December 2009