2012英国签证网上填表样本
英国签证个人资料表(学生适用)
英国签证个人资料表（学生适用）一、个人情况1、姓名：_________________________2、姓名拼音：_______________________________3、曾用名：________________________4、曾用名拼音：_____________________________5、身份证号：_____________________________________________6、性别：___________7、出生日期：________年_______月_______日8、出生地：___________省__________市9、现住址：_____________________________________________________________________10、邮编：________________，11、在此地址居住了________年12、家庭电话：_______________________ 13、手机号：_________________________14、电子邮件：__________________________________________________________________15、通讯地址是否与现住址一致？□是□否→请写明：_____________________________________，邮编：________________ 16、你的健康状况是否良好？□是□否→病史：___________________________________二、护签情况（无论是因公护照、因私护照均要填写。
如果空间不够，请另附纸写明）1、护照号码：________________________2、护照签发地：_________省________市3、签发机关：____________________4、护照签发日期：________年_______月_______日5、护照有效期至：________年_______月_______日（此次回国后至少6个月以上有效）6、此护照是否是你的第一本护照？□是□否→请列出过去10年中曾持有的所有护照信息①护照号：______________，□注销□遗失②护照号：______________，□注销□遗失7、你是否曾经拥有其他国籍或其他国家的护照？□否□是→国家：_______________，护照号：___________________8、过去10年中，你曾经去过的所有国家或地区：①抵达日期：______年____月____日，抵达城市：___________，停留天数：_______天目的：____________________________________________________________________②抵达日期：______年____月____日，抵达城市：___________，停留天数：_______天目的：____________________________________________________________________ 9、你是否曾经被任何国家拒签或者拒绝入境？□否□是→时间：________年，拒签国家：__________________，拒签号：______________原因：________________________________________________________________________10、你是否申请过英国签证？□否□是→①上次获得签证的时间：______年____月____日②签证号码：_______________________③是否申请过续签？□否□是→时间：________年______月______日原因：__________________________________________ 结果：□获得签证□被拒绝④是否有英国的国家保险号？□否□是→号码：_________，获得原因：__________11、过去10年中，你是否去过英国？□否□是→①抵达日期：______年____月____日，抵达城市：__________，停留天数：_______天目的：______________________________________________________________________②抵达日期：______年____月____日，抵达城市：__________，停留天数：_______天目的：_____________________________________________________________________ 12、你是否有亲属或朋友在英国？□否□是→姓名：____________，与你的关系：_____________，你是否打算去拜访他们？□否□是三、学习情况（列出你目前就读的学校）学校名称：___________________________________________ □初中□高中□大学学校地址：________省________市_______________________________________________ 学校邮编：___________ 就读时间：______年____月____日至______年____月____日四、家庭情况（如有直系兄弟姐妹，请另附纸写明）1、父亲姓名：_____________________ 姓名拼音：_______________________________出生日期：______年_____月_____日手机：___________ 邮箱：__________________ 地址：__________________________________________________ 邮编：_____________ 2、母亲姓名：_____________________ 姓名拼音：_______________________________出生日期：______年_____月_____日手机：___________ 邮箱：__________________ 地址：__________________________________________________ 邮编：_____________本人声明以上资料全部属实，如有不实愿承担一切后果。
英国签证网络在线填写表格
Appendix 1 FLR(O)Request for Fee Exemption from applicant who is destitute seeking to apply for leave to remain on the basis of Article 8 right to respect for family or private life under Appendix FM or paragraph 276ADEYou should only complete this form if you are seeking a fee exemption because you are destitute and so are unable to pay the fee for your leave to remain application form FLR(O). Definition of destitutionYou will only be considered to be destitute if:a) You do not have adequate accommodation or any means of obtaining it (whether ornot your other essential living needs are met); orb) You have adequate accommodation or the means of obtaining it, but cannot meetyour other essential living needs.Please ensure that you also complete and submit Form FLR (O) 04/2013.If you wish to use a representative to assist you in completing this form, they should be registered with the Law Society or the Office of the Immigration Services Commissioner (OISC). You can also refer to the Immigration Enquiry Bureau (IEB) on 0870 606 7766 or consult our website at: .You should only complete this form if:∙You are applying for leave to remain in the UK on the basis of family or private life under ECHR Article 8 using form FLR(O); and∙You are destitute, and so are unable to pay the fee for your leave to remain application form FLR(O).You must complete every section of this form.The decision on whether you qualify for a fee exemption will be made on the basis of the information you provide in this form and the evidence submitted with it. It is up to you to provide sufficient information and evidence to show that you are destitute.12You should not complete this form if you applying for leave to remain in the UK on the basis of family or private life under ECHR Article 8 using form FLR(O) and are not destitute. In that situation you should use form FLR(O) and not submit this Appendix 1.You will need to provide full documentary evidence along with this fee exemptionapplication to demonstrate your financial circumstances. The nature of this evidence may vary according to your individual circumstances, but some examples of relevant documents you may wish to include are stated below. Documents should be on letter headed paper from an official source. Letters from charities should show the registered charity number. Copies of bank and savings documents should be certified by the bank/financial institution. Please tick the boxes below to show which documents you are enclosing:Savings account statementsTenancy agreement or documents relating to your mortgage Utility and other relevant billsLetter confirming employment (the person writing should state their position in the company and contact details)Pay slips P60P45Letters from a charity or Local Authority confirming you are in receipt of support Letters from any friends or family who are providing you with support Letters confirming you or your spouse/partner are in receipt of public fundsOther documents –please specify what they are.If you are including other documents please give details in the box below:This isnot an application for leave to remain on the basis of Article 8 family or private life grounds. It is an assessment as to whether we consider you to be destitute in order towaive the application fee for Form FLR(O). If you are seeking a fee exemption you should submit your FLR(O) form and Appendix 1 request for fee exemption form at the same time. The FLR(O) may require you to submit additional documentary evidence.If you are granted a fee exemption, this does not guarantee that your application for leave to remain will be successful.If you decide not to continue with your application, you must contact us immediately. Section 1 - Biometric residence permits (BRP)If you qualify for a fee exemption because you are destitute, we will contact you and provide you with information about enrolling your biometric data without having to pay a fee. Failure to provide your biometric data will result in your application being rejected.If you do not qualify for a fee exemption your application will be rejected. If you wish to apply for leave to remain on the basis of your family or private life you will need to re-submit your FLR(O) form, with the relevant fee.Section 2 – Your personal details3Section 3 – DependantsPlease complete this section for children under the age of 18 years living with you in the UK4If you have more than 3 dependants please provide details on a separate sheet of paper.5REASONS WHY YOU ARE DESTITUTE:Note: You should demonstrate in your answers to questions 4.1 to 7.4 below, whether you have adequate accommodation or the means of obtaining it, and if you have adequate accommodation, whether you cannot meet your other essential living needs. If you have been without support from a third party for some time you will be expected to explain how you have supported yourself during this period and provide evidence.Please answer all the questions below. If you do not fully complete the form we may reject your application.Section 4 – Your current accommodation circumstances4.1 What address can we contact you at?House/Flat NumberStreet NameTown or CityCountyPost CodeNo4.3 If yes, when did you move into your current address?If no, where are you currently living? Please provide the full address unless you are homeless.House/Flat NumberStreet NameTown or CityCountyPost Code4.4 Please provide details of any previous UK addresses:House/Flat NumberStreet NameTown or CityCountyPost CodeContinue on a separate page if necessary.674.5 Have you been asked to leave the accommodation in which you are currently living?No4.6 If Yes, please provide details of why this is:4.7 Do you own or rent your home? Please specify:Own homeRent home4.8 If you do not own or rent your home who presently provides you with accommodation?FriendRelativeRefugeLocal AuthorityCharitable organisationOtherIf you have stated “other” please give details in the box below: 4.9 Who do you live with and what is their relationship to you?If Yes, specify how much you pay, and how regularly you pay this (weekly/monthly):84.11 Does anyone support you financially or by providing your essential living needs such as food? If so, who?4.12 Are they able to continue supporting you? If not, please explain why in the box at Section 8.4.13 Are you homeless tonight?4.14If Yes, please explain why:4.15 If yes, on what date will you become street homeless? (day/month/year)Section 5 – Your financial detailsPlease note we require evidence of your finances, including bank statements, building society savings books or other formal documentation in support of your application for a Fee Exemption. If you are being supported by a friend or relative, we require written evidence in the form of a letter confirming this, with formal documentation showing th at person’s financial resources. If you are beingsupported by a charity or other organisation, including a Local Authority, we also require formal documentation to evidence this. Please provide full details of exactly what the support entails, why you are eligible for such support and when the support began.95.3 Do you have any of the following material assets(You must tick any or all of the assets you have)∙ Cash savings∙ Property in the UK∙ Property outside of the UK∙ Land in the UK∙ Land outside the UK∙ Valuable jewellery∙ TV, DVD player, electrical goods∙ Car or vehicle5.5 What is the value of all/each of the above assets?Please specify the relevant currency:5.6 Please indicate any other material assets.5.7 Do you have any of the following monetary assets?∙ Cash held in the UK or overseas∙ Savings/investments in the UK or overseas105.8 Please provide name of bank or building society/other in which the asset is held and the name of the country where these assets are:5.9 What is the value of your savings or investments?Please specify the relevant currency:5.11 Please list any other monetary assets:Section 6 – Public Funds6.1 Do you receive any of the following public funds?You must declare any or all of the following you receive:∙ Attendance allowance ∙ Carer ’s allowance ∙ Child benefit ∙ Child tax credit∙ Contribution-based Jobseeker’s Allowance∙ Contribution-based Employment and Support Allowance ∙ Council tax benefit∙ Disability living allowance ∙ Housing benefit∙ Housing and Homelessness assistance ∙ Incapacity Benefit∙ Income based job seekers allowance∙ Income related employment support allowance ∙ Income support11∙Personal independence payment ∙Pension credit ∙Severe disablement allowance ∙Social fund payment ∙State pension credit ∙ Working tax creditIf Yes, please state for each public fund you are receiving:Section 7 – Spouse/partner financial detailsIf Yes, please provide details of the nature of their employment and their salary, including what income they receive in each relevant period (weekly/monthly/annual)Employment:Salary:If Yes, please provide details and value of assets:Please specify the relevant currency:12If Yes, please provide details and value of savings or investments:Please specify the relevant currency:NoIf Yes, please state for each public fund your spouse/partner is receiving:Please continue on a separate sheet if necessary.Section 8 – Additional InformationPlease provide any additional information that you feel we should take into account in determining whether you should be exempt from paying a fee for the FLR(O)DeclarationI can confirm that I have included all the necessary information and evidence that supports this application for a Fee Exemption.I am aware that it is an offence under the Immigration Act 1971, as amended bythe Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to make to a person acting in execution of any of those Acts a statement or representation which I know to be false or do not believe to be true, or to obtain or to seek to obtain leave to remain in the United Kingdom by means which include deception.I confirm that I have provided full and complete details of my financial situation and that of my spouse/partner, and confirm that the information provided is accurate and truthful. I will notify the Home Office if my circumstances change whilst my application is being considered.I understand that all information provided by me to the Home Office will be treated in confidence; that it may be disclosed to other government departments, agencies, local authorities, the police, foreign governments and other bodies for immigration purposes or to enable them to perform their functions; and if such bodies provide the Home Office with any information about me, which may be relevant for immigration purposes, it may be used in reaching a decision following this application.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 can be obtained from the Home Office website at:.I have completed Section 9 of FLR(O) which gives consent for the Home Office to request verification checks of the documents I have supplied to show that I am destitute in order to make an application on Form FLR(O) without paying a fee.Signature:Print Name:Date:Checklist:Have you fully completed this form?Have you enclosed full documentary evidence required by this form?Have you also enclosed a fully completed FLR (O) 04/2013 form? (If not, or if youhave enclosed the wrong form, your application will be rejected.)14。
英国签证个人资料表
英国签证个人资料表二、联络细节：三、家庭信息：四：以前申请和旅游情况：1、在过去10年内，您是否去过英国？是否（如果是，请在下面提供详情）日期：停留时间：访问目的：2、在过去10年内，您是否去过其他国家？是否（如果是，请在下面提供详情）日期：国家名称：停留时间：访问目的：3、您是否曾被英国或其他国家拒签过？是否（如果是，请在下面提供详情）日期：被拒签国家名称：拒签原因：签证受理号：4、在过去10年内，您是否获得过英国签证？是否(如果是，请在下面提供详情）日期：访问目的：停留时间：签证受理号：5、在过去10年内，您是否曾被英国或其他国家拒绝入境？是否（如果是，请在下面提供详情）日期：国家名称：原因：受理号6、在过去10年内，您是否曾被英国或其他国家驱除出境？是否（如果是，请在下面提供详情）日期：国家名称：原因：受理号：7、在过去10年内，您是否向英国内政部申请留在英国？是否（如果是，请在下面提供详情）日期：申请原因：是否被批准：8、您是否有英国国家保险？（曾在英国工作者有此保险）是否保险号码：您获得此号码的原因是？9、您是否有过犯罪记录？包括交通犯罪？是否10、您曾经是否被控诉过？是否11、您是否从事过恐怖活动？或是恐怖组织的成员？或宣扬过恐怖活动？是否12、您是否曾经参加过旨在种族灭绝的屠杀或犯罪？这些犯罪包括：反人类罪或战争罪。
您是否参加过武装冲突？是否五、停留英国情况：1、您打算在英国工作吗？是否2、您打算在英国学习吗？是否4、此次英国旅游，您打算去探望在英国的亲戚朋友吗？是否5、此次英国旅游您是否有其他的随行人员？（亲属、同事、朋友等，如有请详细写出）是否六、个人经济及就业细节1、您现在的工作状态是：(请选择)A．全职 B.兼职 C.自我经营（自己当老板） D.无业 E.退休 F.学生8、您在过去是否曾经从事过以下类型的职业？A．军队（包括服兵役） B.政府（中央或地方政府） C.司法部门 D.媒体E. 国家行政管理机关F.公共安全部门（包括警察和私人安保公司）如果您从事过以上职业，请填写以下内容:9、您现在工作的税后月收入：10、是否有其它资产收入（包括来自家庭或朋友的）？是否11、您是否拥有存款,股票,分红,房,车等财产？是否，如请提供一年收入大概多少？12、您是否有其他职业，如第二职业等？（如有请提供公司名称、地址、电话）是否如果第10-12项回答“是”请写出具体细节：12、您每月支付给你的家庭成员及其他扶养人多少钱？13、您每月的生活支出是多少钱（请根据自己的收入来合理填写）？14、此次旅游全程费用（包括机票、酒店、花费等等）？15、此次旅游的交通费用是多少？16、此次旅游的住宿费用是多少？17、如果此次旅游是由别人为您支付全部或部分费用，他将为您支付多少钱?并写出他为您付费的原因?18、您自己在英国期间大概会花费多少钱？七、其它信息您想提供给使馆有关你签证申请的其它信息。
英国签证申请个人信息表
英国签证申请个人信息表每个申请人单独填写一张姓名曾用名出生日期性别婚姻状况出生地（省，市）护照号签发地（省、市）签发日至到期日是否有旧护照？填写旧护照号旧护照签发地旧护照的签发日至到期日身份证号码现居住地址（包括省、市、区、街道）邮编现住址居住了多久时间现住址房产归属人？购买？租赁？手机号码家庭电话，如有(请注明区号)工作状况□自雇（指公司法人是自己）□受雇□学生□退休□无业税后月收入（RMB）年收入（RMB）（指自雇人员）具体职务/职位入职时间（年、月）工作职责(一两句话，简要说明即可)单位名称（中文）（若是学生，填学校名称）单位名称（英文）单位地址邮编单位电话是否有另外的收入？（建议提供相关证明）□退休金□生活津贴□由家人给的赡养费生活费等□投资（可多选）左边所选项目的年收入总额为：人民币_________□储蓄（指定期存款）人民币_________入境英国日期：离开英国日期：访问英国主要目的：□旅游□探亲□商务□其他：_________ 您的语言能力（可能电话调查）：□英文□中文□其他（请注明）：简要描述一下你的出行计划（包含你将访问的对象、城市及你将要进行的活动如观光、购物等）：是否有同行人员，如果有请注明同行人的姓名、关系、出生日期、护照号和是否持有英国签证：名字：关系：出生日期：护照号：是否持有英国签证：近10年内拜访过的国家名称、具体入境日期、停留天数和类型{旅游，学习，商务等}。
(例如：美国20**年**月**日 8天商务）您每月生活支出金額：此次出行计划花费总费用：有人为你支付此次出行的费用吗？如有请提供，姓名或组织名（英文）、地址、邮编、支付金额，如是您本人支付请写自费：您是否有需要抚养的小孩或赡养的老人？（如有，写出名字、出生日期、与其关系）：家庭成员（已故也须填写）姓名出生日期（具体到年月日）出生城市国籍住址父亲母亲配偶子女您在英国的亲属信息（如有，请填写）：姓名：关系：在英身份：□英国公民□永居□其他____________ 地址：邮编: 电话：电子邮箱：您是否还有其他亲属或朋友在英国？（如有，请填写）：姓名：关系：在英身份：□英国公民□永居□其他____________ 地址：邮编: 电话：在英期间是否住宿在以上哪位亲属住址？□是，姓名：___________ □否__酒店____（商务填一下内容）邀请单位：邀请单位业务类型：地址：电话：邀请人姓名：您跟邀请单位的关系：在英期间是否住宿在以上住址？___________________您是否有过任何拒签记录？□是□否如有，请提供拒签国家、时间、地点、签证类型及原因您在过去是否曾经从事过以下类型的职业？（1）.武装部队（包括国民或义务兵服役）（2）.政府（包括公共或民政管理以及义务国民服役）（3）.传媒机构（4）.安全机构（包括警察和私人保安公司）（5）.司法机构（包括担任法官或裁判官）如果您从事过以上职业，请填写以下内容:曾工作的单位名称:曾担任的职务: 工作时间: 年至年1、在过去10年内，您是否曾被英国或其他国家驱除出境？□是□否（如是，请在下面提供详情）日期：国家名称：原因：受理号：2、您在英国或另外一个国家有过下列任何情况吗？（必填）（1）刑事判决。
英国签证网络在线填写表格
Appendix 1 FLR(O)Request for Fee Exemption from applicant who is destitute seeking to apply for leave to remain on the basis of Article 8 right to respect for family or private life under Appendix FM or paragraph 276ADEYou should only complete this form if you are seeking a fee exemption because you are destitute and so are unable to pay the fee for your leave to remain application form FLR(O). Definition of destitutionYou will only be considered to be destitute if:a) You do not have adequate accommodation or any means of obtaining it (whether ornot your other essential living needs are met); orb) You have adequate accommodation or the means of obtaining it, but cannot meetyour other essential living needs.Please ensure that you also complete and submit Form FLR (O) 04/2013.If you wish to use a representative to assist you in completing this form, they should be registered with the Law Society or the Office of the Immigration Services Commissioner (OISC). You can also refer to the Immigration Enquiry Bureau (IEB) on 0870 606 7766 or consult our website at: .You should only complete this form if:∙You are applying for leave to remain in the UK on the basis of family or private life under ECHR Article 8 using form FLR(O); and∙You are destitute, and so are unable to pay the fee for your leave to remain application form FLR(O).You must complete every section of this form.The decision on whether you qualify for a fee exemption will be made on the basis of the information you provide in this form and the evidence submitted with it. It is up to you to provide sufficient information and evidence to show that you are destitute.12You should not complete this form if you applying for leave to remain in the UK on the basis of family or private life under ECHR Article 8 using form FLR(O) and are not destitute. In that situation you should use form FLR(O) and not submit this Appendix 1.You will need to provide full documentary evidence along with this fee exemptionapplication to demonstrate your financial circumstances. The nature of this evidence may vary according to your individual circumstances, but some examples of relevant documents you may wish to include are stated below. Documents should be on letter headed paper from an official source. Letters from charities should show the registered charity number. Copies of bank and savings documents should be certified by the bank/financial institution. Please tick the boxes below to show which documents you are enclosing:Savings account statementsTenancy agreement or documents relating to your mortgage Utility and other relevant billsLetter confirming employment (the person writing should state their position in the company and contact details)Pay slips P60P45Letters from a charity or Local Authority confirming you are in receipt of support Letters from any friends or family who are providing you with support Letters confirming you or your spouse/partner are in receipt of public fundsOther documents –please specify what they are.If you are including other documents please give details in the box below:This isnot an application for leave to remain on the basis of Article 8 family or private life grounds. It is an assessment as to whether we consider you to be destitute in order towaive the application fee for Form FLR(O). If you are seeking a fee exemption you should submit your FLR(O) form and Appendix 1 request for fee exemption form at the same time. The FLR(O) may require you to submit additional documentary evidence.If you are granted a fee exemption, this does not guarantee that your application for leave to remain will be successful.If you decide not to continue with your application, you must contact us immediately. Section 1 - Biometric residence permits (BRP)If you qualify for a fee exemption because you are destitute, we will contact you and provide you with information about enrolling your biometric data without having to pay a fee. Failure to provide your biometric data will result in your application being rejected.If you do not qualify for a fee exemption your application will be rejected. If you wish to apply for leave to remain on the basis of your family or private life you will need to re-submit your FLR(O) form, with the relevant fee.Section 2 – Your personal details3Section 3 – DependantsPlease complete this section for children under the age of 18 years living with you in the UK4If you have more than 3 dependants please provide details on a separate sheet of paper.5REASONS WHY YOU ARE DESTITUTE:Note: You should demonstrate in your answers to questions 4.1 to 7.4 below, whether you have adequate accommodation or the means of obtaining it, and if you have adequate accommodation, whether you cannot meet your other essential living needs. If you have been without support from a third party for some time you will be expected to explain how you have supported yourself during this period and provide evidence.Please answer all the questions below. If you do not fully complete the form we may reject your application.Section 4 – Your current accommodation circumstances4.1 What address can we contact you at?House/Flat NumberStreet NameTown or CityCountyPost CodeNo4.3 If yes, when did you move into your current address?If no, where are you currently living? Please provide the full address unless you are homeless.House/Flat NumberStreet NameTown or CityCountyPost Code4.4 Please provide details of any previous UK addresses:House/Flat NumberStreet NameTown or CityCountyPost CodeContinue on a separate page if necessary.674.5 Have you been asked to leave the accommodation in which you are currently living?No4.6 If Yes, please provide details of why this is:4.7 Do you own or rent your home? Please specify:Own homeRent home4.8 If you do not own or rent your home who presently provides you with accommodation?FriendRelativeRefugeLocal AuthorityCharitable organisationOtherIf you have stated “other” please give details in the box below: 4.9 Who do you live with and what is their relationship to you?If Yes, specify how much you pay, and how regularly you pay this (weekly/monthly):84.11 Does anyone support you financially or by providing your essential living needs such as food? If so, who?4.12 Are they able to continue supporting you? If not, please explain why in the box at Section 8.4.13 Are you homeless tonight?4.14If Yes, please explain why:4.15 If yes, on what date will you become street homeless? (day/month/year)Section 5 – Your financial detailsPlease note we require evidence of your finances, including bank statements, building society savings books or other formal documentation in support of your application for a Fee Exemption. If you are being supported by a friend or relative, we require written evidence in the form of a letter confirming this, with formal documentation showing th at person’s financial resources. If you are beingsupported by a charity or other organisation, including a Local Authority, we also require formal documentation to evidence this. Please provide full details of exactly what the support entails, why you are eligible for such support and when the support began.95.3 Do you have any of the following material assets(You must tick any or all of the assets you have)∙ Cash savings∙ Property in the UK∙ Property outside of the UK∙ Land in the UK∙ Land outside the UK∙ Valuable jewellery∙ TV, DVD player, electrical goods∙ Car or vehicle5.5 What is the value of all/each of the above assets?Please specify the relevant currency:5.6 Please indicate any other material assets.5.7 Do you have any of the following monetary assets?∙ Cash held in the UK or overseas∙ Savings/investments in the UK or overseas105.8 Please provide name of bank or building society/other in which the asset is held and the name of the country where these assets are:5.9 What is the value of your savings or investments?Please specify the relevant currency:5.11 Please list any other monetary assets:Section 6 – Public Funds6.1 Do you receive any of the following public funds?You must declare any or all of the following you receive:∙ Attendance allowance ∙ Carer ’s allowance ∙ Child benefit ∙ Child tax credit∙ Contribution-based Jobseeker’s Allowance∙ Contribution-based Employment and Support Allowance ∙ Council tax benefit∙ Disability living allowance ∙ Housing benefit∙ Housing and Homelessness assistance ∙ Incapacity Benefit∙ Income based job seekers allowance∙ Income related employment support allowance ∙ Income support11∙Personal independence payment ∙Pension credit ∙Severe disablement allowance ∙Social fund payment ∙State pension credit ∙ Working tax creditIf Yes, please state for each public fund you are receiving:Section 7 – Spouse/partner financial detailsIf Yes, please provide details of the nature of their employment and their salary, including what income they receive in each relevant period (weekly/monthly/annual)Employment:Salary:If Yes, please provide details and value of assets:Please specify the relevant currency:12If Yes, please provide details and value of savings or investments:Please specify the relevant currency:NoIf Yes, please state for each public fund your spouse/partner is receiving:Please continue on a separate sheet if necessary.Section 8 – Additional InformationPlease provide any additional information that you feel we should take into account in determining whether you should be exempt from paying a fee for the FLR(O)DeclarationI can confirm that I have included all the necessary information and evidence that supports this application for a Fee Exemption.I am aware that it is an offence under the Immigration Act 1971, as amended bythe Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to make to a person acting in execution of any of those Acts a statement or representation which I know to be false or do not believe to be true, or to obtain or to seek to obtain leave to remain in the United Kingdom by means which include deception.I confirm that I have provided full and complete details of my financial situation and that of my spouse/partner, and confirm that the information provided is accurate and truthful. I will notify the Home Office if my circumstances change whilst my application is being considered.I understand that all information provided by me to the Home Office will be treated in confidence; that it may be disclosed to other government departments, agencies, local authorities, the police, foreign governments and other bodies for immigration purposes or to enable them to perform their functions; and if such bodies provide the Home Office with any information about me, which may be relevant for immigration purposes, it may be used in reaching a decision following this application.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 can be obtained from the Home Office website at:.I have completed Section 9 of FLR(O) which gives consent for the Home Office to request verification checks of the documents I have supplied to show that I am destitute in order to make an application on Form FLR(O) without paying a fee.Signature:Print Name:Date:Checklist:Have you fully completed this form?Have you enclosed full documentary evidence required by this form?Have you also enclosed a fully completed FLR (O) 04/2013 form? (If not, or if youhave enclosed the wrong form, your application will be rejected.)14。
英国学生签证信息表
英国学生签证表格信息表
注：请完整填写如下每个空格。
打算赴英入境时间：年月日
姓名：曾用名：性别：
出生日期：年月日出生地：省市国籍：有无其他国籍：婚否：
护照号：签发地：
签发日期：年月日有效期：年月日是否第一本护照：
原护照号码：原护照签发地：
原护照现在何处：
写出过去10年内所有签证记录：
时间：～，国家：，签证类别：
时间：～，国家：，签证类别：
时间：～，国家：，签证类别：
时间：～，国家：，签证类别：
家庭地址、邮编：
（请填写最接近‘家庭地址’概念的地址，该地址不会用于邮寄材料）
已居住年限：（即使实际不居住，应该填写购买产权至今的年限）
家庭电话：- (请留一个固定电话，即使不一定全天有人接)
手机：（签证递交期间内保持手机畅通，签证处有可能直接联系）
电子邮箱：
父亲姓名：父亲出生地：省市
父亲出生日期：年月日父亲国籍：
母亲姓名：母亲出生地：省市
母亲出生日期：年月日母亲国籍：
过去10年赴英记录：
时间：～，签证类别：签证号：
时间：～，签证类别：签证号：
是否有拒签史：
时间：，国家：，拒签原因：
时间：，国家：，拒签原因：
有无被拒绝入境史、驱逐出境史、犯罪史、恐怖活动史：
学生姓名：
UKEAS顾问：。
英国签证信息采集表
何时？ ；何地？ ；哪种签证? ；是否获得签证？□是，□否
是否到过英国？□否，□是：何时？ ，逗留了多久？ 。
是否在军队服役？□否，□是：服役期间？ 军种？ 职务和军衔？
是否在公检法、中央或地方政府、媒体工作过？□否，□是：工作期间？ 单位名称？ 职务？
过去十年曾进入的所有国家（可另附纸）
家庭地址
邮编： 在此地已居住多久：
工作单位
在此单位开始工作的时间： 年 月 日
单位地址
工作电话
工作传真
单位邮编
家庭电话
家庭传真
移动电话
个人电子邮箱地址
单位电子邮箱地址
月收入
每月收入中的多少钱供家庭成员和孩子使用
你每月生活花费多少钱
是否有其他的收入来源？包括朋友和家人
如有，请提供详细信息和金额：
是否有存款、房产或其他收入，如股票或分红
英国签证信息采集表（不要空项，没有的信息请填写“无”）
姓 名
曾用名
性别
□男 □女
婚姻状况
姓名拼音
访问目的
（详细）
访问时间和停留天数
年 月 日- 年 月 日，共 天
现国籍和曾经国籍
出生地
省 市
出生日期
年 月 日
身份证号
护照号码
签发日
年 月 日
有效期
年 月 日
签发地
省 市
签发机关
是否是您的第一本护照
如不是，请提供以前的护
国家
签证类型
停留时间
家庭成员表
申请人姓名
关系
姓名
婚姻状况
出生年月日、地点
现住地址
现在职业
英国签证申请表(在线申请简化表格)
□是 □否 10.您是否有英国国家社会保险号？ □是 □否 11.在英国或任何其他国家，您是否因触犯法律而被定罪？ □是 □否 12.在任何国家，您是否曾因被指控犯罪而被捕并面临判决，或正在受审？ □是 □否 13.您是否在任何国家/地区参加、支持或鼓动过恐怖主义活动，或曾经是与恐怖主义有关联 的组织的成员，或者为这类组织提供过支持？ □是 □否 14.您是否曾通过任何方式或媒介表达过观点为恐怖暴力开脱或为其美化，或可能会鼓励他人 开展恐怖主义行为或其他严重犯罪行为的观点？ □是 □否 15.无论是和平还是战争时期，您是否曾参与过或者被怀疑参与过战争罪行、反人类罪行或种 族灭绝？ □是 □否 16.您是否参与过任何其他活动可能表明您不被认为具有良好品格？ □是 □否 17.如果我们需要对您进行面试，您希望在面试中使用哪种语言？ 18.在英国或任何其他国家，您是否曾因犯罪而接受惩罚，例如：提醒、谴责、警告或类似的 惩罚？ □是 □否 19.您是否由于拖欠债务受到过法院裁决，或根据英国移民法案规定受到过民事处罚？
基金和福利 金额
其他来源（包括朋友和家人） 金额
每月生活费
每月总收入的
给家庭成员和其家属？
您个人在旅行中花费了多少费用？
为此次旅行准备的总金额
飞机、船或火车票费用
住宿费
生活费
是否有除您之外的其他人承担您的全部或部分旅行费用？ □是 □否
若是，请填写：同您的关系？□父亲 □母亲 □祖父母 □叔伯 □姑姨 □兄弟 □姐妹