Free Move Up UK Assessment

V1 2021 Assess

Step 1 of 10

Applicant Email
Email*
Travel Intent
Specify Travel Intent*
Please clarify the reason for your travels to the UK (multi-select enabled):
Date of departure
Clarify the expected departure date:
MM slash DD slash YYYY
Have you paid for your plane tickets?*
This is not a compulsory requirement. Paid for flights is not a UK visa requirement.
- Yes. Tickets have been paid for.
- No. Tickets have not been paid for (yet).
Appointment Preferences
Preferred Date of Visa Appointment
MM slash DD slash YYYY
Preferred Time of Appointment
Preferred Visa Application Centre*

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Trip Arrangements
UK Accommodation Arrangements*
Where are you going to be staying whilst in the UK:
Street Address Address Line 2 City ZIP / Postal Code Country
Hosted By*
Please clarify your hosting arrangements. Your UK accommodation will be hosted by:
Telephone number of host
Expected Arrival Date at Host
When will you arrive there?
MM slash DD slash YYYY
Expected Departure Date at Host
When will you leave your host residence?
MM slash DD slash YYYY
Expected Costs
Travel Costs
Who will pay for the travel costs (flights and transportation)?
Who will pay for travel expenses?
Who will pay for the travel expenses (accommodation, food and entertainment)?
Total Expected Expenses
How much (approximately) will the expected travels cost the applicant (in South African Rands)?

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Applicants Information
Full name of applicant
As per their passport.
First Middle Last
Other known names
Please clarify if you are known by any other names (or have previously held a different surname)
First Last
Applicants Nationality*
Please clarify which nationality(s) the applicant holds.
Basic Information
Applicants Date of Birth
MM slash DD slash YYYY
Applicants ID number
Applicants Identified Gender
Please specify the applicants' gender at the time of visa submission.
- Female
- Male
Applicants Country of Birth*
Contact Details
Applicants mobile number
Please specify the applicants' contact details during visa submission.
Where does the applicant reside?
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicants Accommodation Status
Applicants Occupation Date
What date did the applicant move into this address (approximate)?
MM slash DD slash YYYY
Applicants Marital Status*

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Applicants Employment Status
Please specify applicants employment status:*
If salary employed
Employers Details
Where is the Applicants employer-based?
Does the applicant have a UK job offer?
- Yes. The applicant has a UK job offer.
- No. The applicant does not have a UK job offer.
Who does the applicant report to?
Name of applicants employer?
First Last
Employers Email
Employers phone number
Employers Operating Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicants Occupation
Applicants Start Date of Employment
MM slash DD slash YYYY
Additional Consideration
Has the Applicant worked for the following organisations?
Please select if the applicant has worked for any of the following entities:
Does the Applicant have any other jobs at present?
If they do, please specify details in the text box below: (Start date, occupation, hours worked, contact details of employer)

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Applicants Household Finances
Applicants remuneration structure*
- Salary Fixed
- Salary Fluctuating
- Hourly or Weekly Wage
Applicants average monthly income
Please specify how much remuneration the applicant receives each month (on average in the last 12 months). Approximate accepted.

Applicants last 3 months income

Please list the net income (after-tax) that the applicant has received in the last 3 months. We recommend referencing incomes reflecting in the applicants' bank statements. Please specify the amount and what the source of income is.

Date of receipt	Income amount	Income source

How much does the applicant have available for their visit?
How much does the applicant spend on living costs?
How much does the applicant use to support family?
How much will the applicant have in cash savings (to fund their trip)?*

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Countries Visited

Please list the reason for visiting the UK?

Please note applicants need to only list their last two visits. Please specify the Date of arrival, Date of departure and Reason for each visit.

Arrival Date	Departure Date	Reason for visit

Please list reason for visiting secure countries?

Please note applicants need to only list their last three visits. The secure countries are defined as any European Union country, USA, Australia, New Zealand and Canada. Please specify the date of arrival, date of departure and reason for each visit.

Country Visited	Arrival Date	Departure Date	Reason for visit

Please list reason for visiting other countries?

Country	Date of arrival	Date of departure	Reason for travel

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Other Applicants

Any other applicants joining the applicant on their next flight?

Full Name	Date of Birth	Email Address	Contact number

Other Information
Any other information you wish to be made known?
Is there any extra detail that needs to be added?
Consent
I agree to the privacy policy.
By consenting to receive communications, you agree to the use of your data as described in our privacy policy. You may opt-out of receiving communications at any time.

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Full Name	Passport number	Nationality	Date of birth	Travel with Applicant (Y/N)

V1 2021 Assess

Step 1 of 10

Applicant Email

Travel Intent

Appointment Preferences

Trip Arrangements

Expected Costs

Applicants Information

Basic Information

Contact Details

Applicants Passport Information

Current Passport (Valid)

Previous Passport

Applicants Employment Status

If salary employed

Additional Consideration

Applicants Household Finances

Immigration History

Countries Visited

Applicants Family

Applicants Father

Applicants Mother

Children of the Applicant

Partner of the Applicant

Previous Partner of the Applicant

Other Applicants

Other Information

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V1 2021 Assess

Step 1 of 10

Applicant Email

Travel Intent

Appointment Preferences

Trip Arrangements

Expected Costs

Applicants Information

Basic Information

Contact Details

Applicants Passport Information

Current Passport (Valid)

Previous Passport

Applicants Employment Status

If salary employed

Additional Consideration

Applicants Household Finances

Immigration History

Countries Visited

Applicants Family

Applicants Father

Applicants Mother

Children of the Applicant

Partner of the Applicant

Previous Partner of the Applicant

Other Applicants

Other Information

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