1. Title:
Mr
Mrs
Miss
Dr
Prof
Ds
2. First name/s:
*
3. Last name:
*
4. Language preference:
English
Afrikaans
*
5. Date of birth:
*
6. Place of birth:
7. Nationality:
Afghanistan (VN)
Albania (VN)
Algeria (VN)
American Samoa
Andorra (VN)
Angola
Anguilla (CW)
Antigua and Barbuda (CW)
Argentina
Armenia (VN)
Aruba
Ashmore and Cartier Islands
Australia (CW)
Austria (EU)
Azerbaijan ( VN)
Bahamas (CW)
Bahrain (VN)
Baker Island
Bangladesh (VN/CW)
Barbados (CW)
Bassas da India
Belarus (VN)
Belgium (EU)
Belize (CW)
Benin (VN)
Bermuda (CW)
Bhutan (VN)
Bolivia
Bosnia and Herzegovina (VN)
Botswana (CW)
Bouvet Island
Brazil
British Antarctic Territory (CW)
British Virgin Islands (CW)
Brunei (CW)
Bulgaria (VN/EC)
Burkina Faso (VN)
Burma
Burundi (VN)
Cambodia (VN)
Cameroon (VN/CW)
Canada (CW)
Cape Verde (VN)
Cayman Islands
Cayman Islands (CW)
Central African Republic (VN)
Chad (VN)
Chile
China (VN)
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia (VN)
Comoros (VN)
Congo (VN)
Cook Islands (CW)
Coral Sea Islands
Costa Rica
Croatia (VN)
Cuba (VN)
Cyprus (CW/new EU)
Czech Republic (new EU)
Denmark (EU)
Djibouti (VN)
Dominica
East Timor
Ecuador (VN)
Egypt (VN)
El Salvador
Equatorial Guinea (VN)
Eritrea (VN)
Estonia (EC/new EU)
Ethiopia (VN)
Europa Island
Falkland Islands (Islas Malvinas) (CW)
Faroe Islands
Fiji (VN/CW)
Finland (EU)
France (EU)
French Guiana
French Polynesia
Gabon (VN)
Gambia (VN/CW)
Georgia (VN)
Germany (EU)
Ghana (VN/CW)
Gibraltar (CW)
Glorioso Islands
Greece (EU)
Greenland
Grenada (CW)
Guadeloupe
Guam
Guatemala
Guernsey
Guinea (VN)
Guinea-Bissau (VN)
Guyana (VN/CW)
Haiti (VN)
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Howland Island
Hungary (EC/new EU)
Iceland EEA
India (VN/CW)
Indonesia (VN)
Iran (VN)
Iraq (VN)
Ireland (EU)
Isle of Man (CW)
Israel
Italy (EU)
Ivory Coast (VN)
Jamaica (CW)
Jan Mayen
Japan
Jarvis Island
Jersey
Jersey (CW)
Johnston Atoll
Jordan (VN)
Juan de Nova Island
Kazakstan (VN)
Kenya (VN/CW)
Kingman Reef
Kiribati (CW)
Korea (dem.People's Rep) (VN)
Kuwait (VN)
Kyrgyzstan (VN)
Laos (VN)
Latvia (EC/new EU)
Lebanon (VN)
Lesotho (CW)
Liberia (VN)
Libya (VN)
Liechtenstein (EEA)
Lithuania (EC/new EU)
Luxembourg (EU)
Macau
Madagascar (VN)
Malawi (CW)
Malaysia (CW)
Maldives (VN/CW)
Mali (VN)
Malta (CW/new EU)
Marshall Islands
Martinique
Mauritania (VN)
Mauritius (VN/CW)
Mayotte
Mexico
Midway Islands
Moldova (VN)
Monaco
Mongolia (VN)
Montserrat (CW)
Morocco (VN)
Mozambique (VN/CW)
Myanmar (VN)
Namibia (CW)
Nauru (CW)
Navassa Island
Nepal (VN)
Netherlands Antilles
Netherlands (EU)
New Caledonia
New Zealand (CW)
Nicaragua
Niger (VN)
Nigeria (VN/CW)
Niue (CW)
Norfolk Island (CW)
Northern Mariana Islands
Norway EEA
Oman (VN)
Pakistan (VN/CW)
Palau
Palmyra Atoll
Panama
Papua New Guinea (VN/CW)
Paracel Islands
Paraguay
Peru (VN)
Philippines (VN)
Pitcairn Islands (CW)
Poland (EC/new EU)
Portugal (EU)
Puerto Rico
Qatar (VN)
Reunion
Romania (VN/EC)
Ross Dependency (CW)
Russia (VN)
Rwanda (VN)
Saint Chrisopher-Nevis (CW)
Saint Helena (CW)
Saint Kitts and Nevis
Saint Lucia (CW)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines (CW)
Samoa
San Marino
Sao Tome and Principe (VN)
Saudi Arabia (VN)
Senegal (VN)
Serbia and Montenegro
Seychelles (CW)
Sierra Leone (VN/CW)
Singapore (CW)
Slovakia (VN/new EU)
Slovenia (EC/new EU)
Solomon Islands (CW)
Somalia (VN)
South Africa (CW)
South Georgia and South Sandwich Islands
Southern Ocean
Spain (EU)
Spratly Islands
Sri Lanka (VN/CW)
Sudan (VN)
Suriname (VN)
Svalbard
Swaziland (CW)
Sweden (EU)
Switzerland
Syria (VN)
Taiwan (VN)
Tajikistan (VN)
Tanzania (VN/CW)
Thailand (VN)
Togo (VN)
Tokelau (CW)
Tonga (CW)
Trinidad and Tobago (CW)
Tromelin Island
Tunisia (VN)
Turkey (VN)
Turkmenistan (VN)
Turks and Caicos Islands (CW)
Tuvalu (CW)
Uganda (VN/CW)
Ukraine (VN)
United Arab Emirates (VN)
United Kingdom (EU/CW)
United States
Uruguay
Uzbekistan (VN)
Vanuatu (CW)
Vatican City (Holy See)
Venezuela
Vietnam (VN)
Virgin Islands
Wake Island
Wallis and Futuna
Western Sahara
Western Samoa (CW)
Yemen (VN)
Yugoslavia (VN)
Zambia (VN/CW)
Zimbabwe (VN/CW)
*
8. Marital Status:
Single
Married
Divorced with children
Divorced without children
Widower
Widow
*
9. Spouse's Nationality:
Afghanistan (VN)
Albania (VN)
Algeria (VN)
American Samoa
Andorra (VN)
Angola
Anguilla (CW)
Antigua and Barbuda (CW)
Argentina
Armenia (VN)
Aruba
Ashmore and Cartier Islands
Australia (CW)
Austria (EU)
Azerbaijan ( VN)
Bahamas (CW)
Bahrain (VN)
Baker Island
Bangladesh (VN/CW)
Barbados (CW)
Bassas da India
Belarus (VN)
Belgium (EU)
Belize (CW)
Benin (VN)
Bermuda (CW)
Bhutan (VN)
Bolivia
Bosnia and Herzegovina (VN)
Botswana (CW)
Bouvet Island
Brazil
British Antarctic Territory (CW)
British Virgin Islands (CW)
Brunei (CW)
Bulgaria (VN/EC)
Burkina Faso (VN)
Burma
Burundi (VN)
Cambodia (VN)
Cameroon (VN/CW)
Canada (CW)
Cape Verde (VN)
Cayman Islands
Cayman Islands (CW)
Central African Republic (VN)
Chad (VN)
Chile
China (VN)
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia (VN)
Comoros (VN)
Congo (VN)
Cook Islands (CW)
Coral Sea Islands
Costa Rica
Croatia (VN)
Cuba (VN)
Cyprus (CW/new EU)
Czech Republic (new EU)
Denmark (EU)
Djibouti (VN)
Dominica
East Timor
Ecuador (VN)
Egypt (VN)
El Salvador
Equatorial Guinea (VN)
Eritrea (VN)
Estonia (EC/new EU)
Ethiopia (VN)
Europa Island
Falkland Islands (Islas Malvinas) (CW)
Faroe Islands
Fiji (VN/CW)
Finland (EU)
France (EU)
French Guiana
French Polynesia
Gabon (VN)
Gambia (VN/CW)
Georgia (VN)
Germany (EU)
Ghana (VN/CW)
Gibraltar (CW)
Glorioso Islands
Greece (EU)
Greenland
Grenada (CW)
Guadeloupe
Guam
Guatemala
Guernsey
Guinea (VN)
Guinea-Bissau (VN)
Guyana (VN/CW)
Haiti (VN)
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Howland Island
Hungary (EC/new EU)
Iceland EEA
India (VN/CW)
Indonesia (VN)
Iran (VN)
Iraq (VN)
Ireland (EU)
Isle of Man (CW)
Israel
Italy (EU)
Ivory Coast (VN)
Jamaica (CW)
Jan Mayen
Japan
Jarvis Island
Jersey
Jersey (CW)
Johnston Atoll
Jordan (VN)
Juan de Nova Island
Kazakstan (VN)
Kenya (VN/CW)
Kingman Reef
Kiribati (CW)
Korea (dem.People's Rep) (VN)
Kuwait (VN)
Kyrgyzstan (VN)
Laos (VN)
Latvia (EC/new EU)
Lebanon (VN)
Lesotho (CW)
Liberia (VN)
Libya (VN)
Liechtenstein (EEA)
Lithuania (EC/new EU)
Luxembourg (EU)
Macau
Madagascar (VN)
Malawi (CW)
Malaysia (CW)
Maldives (VN/CW)
Mali (VN)
Malta (CW/new EU)
Marshall Islands
Martinique
Mauritania (VN)
Mauritius (VN/CW)
Mayotte
Mexico
Midway Islands
Moldova (VN)
Monaco
Mongolia (VN)
Montserrat (CW)
Morocco (VN)
Mozambique (VN/CW)
Myanmar (VN)
Namibia (CW)
Nauru (CW)
Navassa Island
Nepal (VN)
Netherlands Antilles
Netherlands (EU)
New Caledonia
New Zealand (CW)
Nicaragua
Niger (VN)
Nigeria (VN/CW)
Niue (CW)
Norfolk Island (CW)
Northern Mariana Islands
Norway EEA
Oman (VN)
Pakistan (VN/CW)
Palau
Palmyra Atoll
Panama
Papua New Guinea (VN/CW)
Paracel Islands
Paraguay
Peru (VN)
Philippines (VN)
Pitcairn Islands (CW)
Poland (EC/new EU)
Portugal (EU)
Puerto Rico
Qatar (VN)
Reunion
Romania (VN/EC)
Ross Dependency (CW)
Russia (VN)
Rwanda (VN)
Saint Chrisopher-Nevis (CW)
Saint Helena (CW)
Saint Kitts and Nevis
Saint Lucia (CW)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines (CW)
Samoa
San Marino
Sao Tome and Principe (VN)
Saudi Arabia (VN)
Senegal (VN)
Serbia and Montenegro
Seychelles (CW)
Sierra Leone (VN/CW)
Singapore (CW)
Slovakia (VN/new EU)
Slovenia (EC/new EU)
Solomon Islands (CW)
Somalia (VN)
South Africa (CW)
South Georgia and South Sandwich Islands
Southern Ocean
Spain (EU)
Spratly Islands
Sri Lanka (VN/CW)
Sudan (VN)
Suriname (VN)
Svalbard
Swaziland (CW)
Sweden (EU)
Switzerland
Syria (VN)
Taiwan (VN)
Tajikistan (VN)
Tanzania (VN/CW)
Thailand (VN)
Togo (VN)
Tokelau (CW)
Tonga (CW)
Trinidad and Tobago (CW)
Tromelin Island
Tunisia (VN)
Turkey (VN)
Turkmenistan (VN)
Turks and Caicos Islands (CW)
Tuvalu (CW)
Uganda (VN/CW)
Ukraine (VN)
United Arab Emirates (VN)
United Kingdom (EU/CW)
United States
Uruguay
Uzbekistan (VN)
Vanuatu (CW)
Vatican City (Holy See)
Venezuela
Vietnam (VN)
Virgin Islands
Wake Island
Wallis and Futuna
Western Sahara
Western Samoa (CW)
Yemen (VN)
Yugoslavia (VN)
Zambia (VN/CW)
Zimbabwe (VN/CW)
10. Present Occupation:
*
11. Spouse's Occupation:
12. Postal/Zip code:
Address:
13. E-mail address:
*
14. Telephone Work:
*
15. Telephone Home:
16. Mobile
17. Where are you at the moment? If you are in the UK already, please indicate on which visa you are and how much time you have left on the visa. *
*
18. Age:
19. Male/Female
Male
Female
20. Do you have children?
Yes
No
If so, what are their age(s)?
OTHER DETAILS:
21. Please provide details of your University degrees,
diplomas and/or professional qualifications *
*
22. Your post qualification experience or work experience:
Please list job titles,
names of employers and
periods of employment or
self-employment and specify how many years experience you have in each
23. Have you visited the U.K. before?
Yes
No
In what capacity?
24. Have you ever been refused a entry clearance or entry into the U.K. ?
Yes
No
(a) If yes, please give details.
25. Have you lived in the U.K. before ?
Yes
No
(a) If so on what basis?
(b) please give dates:
26. Do you or your spouse (if applicable) have any British born parents or grand parents?
Yes
No
(a) If so, specify
Parents
Grandparents
27. Have you or any of your immediate family had any criminal convictions?
Yes
No
(a) If yes, please include full details
28. Do you wish to take up employment in the U.K., or work on a self-employed basis, or start your own business?
Yes
No
(a) please provide details.
29. In which area do you require advice? We need as much information from you as possible to provide you with the best advice.
32. Living in the EU?
Yes
No
33. How did you hear about us?
TNT Magazine
The South African
SA Times
The Australian
NZ Times
In London Magazine
Google
SAReunited.com
Other
Word of mouth
hsmpcalculator.co.uk
*
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