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Applicant Biographic Details and Travel Date: Official Use Only

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Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

APPLICANT BIOGRAPHIC DETAILS AND TRAVEL DATE

APPLICATION ID: GWF030632366

GIVEN NAMES: BUBA

FAMILY NAME: ABUBAKAR

DATE OF BIRTH: 25 NOV 1964

PLACE OF BIRTH: GWOZA

SEX: MALE

NATIONALITY: NIGERIA

PASSPORT NUMBER: A04262241

VISA APPLICATION NUMBER:

GWF030632366
DATE APPLICATION 22 FEB 2014
SUBMITTED ONLINE:

DATE OF PLANNED ARRIVAL 12 APR 2014


IN THE UK:

VISA APPLICANT CONTACT DETAILS

APPLICANTS EMAIL buba.abubakar@yahoo.com


ADDRESS:

APPLICANTS PRIMARY 08033127824


NUMBER:

APPLICANTS SECONDARY 08056696563


NUMBER:

VISA APPLICATION FEE AND PAYMENT CONFIRMATION >> OFFICIAL USE ONLY

PAYMENT REFERENCE: 3140028867

TOTAL FEE: USD 136.00

PAYMENT MADE: YES - ONLINE

PAYMENT DATE: 22 FEB 2014

VISA APPLICATION SUBMISSION LOCATION

SUBMISSION METHOD: IN PERSON

VISA APPLICATION UK BORDER AGENCY - ABUJA


LOCATION:

>>OFFICE USE ONLY

CATEGORY: GENERAL VISITOR

TYPE: (GENERAL) SINGLE, DOUBLE AND MULTIPLE, VALID UP TO 6


MONTHS

EC NUMBER:

Created: 22/02/2014 Page 1 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

DECLARATION
I declare that the information given on this form whether input by myself, input on my behalf by a third party or automatically pre-populated is complete
and correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me. I confirm that if,
before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I
will inform the United Kingdom diplomatic mission handling my application.

I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am aware
that the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information I
provide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,
foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance with
the Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.

I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I
understand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I have
provided and documents I have submitted with this application. I further understand that the Home Office (or a trusted third party) may also make
reasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have complied
with the terms of any visa granted.

I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I have
applied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. I
understand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in these
circumstances my application will still be handled in line with Home Office published customer service standards.

I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of a
visa, therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused or
granted for a shorter time period than I applied for. I also understand that my visa application fee will be refunded only if the application is withdrawn in
writing within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.

I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, may
be shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse / partner if we
apply for visas for a trip together) for the sole purpose of considering my application. I am aware that if there is any information I do not want you to
disclose to them I will tell you by enclosing a letter with my supporting documentation. If such requests prevent you from making legitimate inquiries, my
application may be refused.

I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie or
withhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a false
document, lie or withhold relevant information my details may be passed to law enforcement agencies.

I understand that I may be required to provide a record of my fingerprints and a photograph of my face (“biometric data”) as part of my application. If I
refuse to do so, my application may be treated as invalid and, if so, will not be considered further. (See Statutory Instrument 2006 No 1743 - The
Immigration (Provision of Physical Data) Regulations 2006, Regulation 7(1)).

I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay in
the UK.
I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.

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 may be used can be obtained from the Home Office website.

I am aware that it is an offence under the Immigration Act 1971 (as amended) to make a statement which I know to be false, or not believe to be true, in
order to obtain a visa/entry clearance to the UK.

I hereby apply for a visa/entry clearance to the United Kingdom.

Information for sponsors

Personal information which is provided about a person acting in support of an application, including any documentary evidence provided by or about
them, will be processed in accordance with the Data Protection Act 1998 by the Home Office, which is the data controller in relation to the information
provided.
The Home Office will use this information to make decisions about the application and to prevent and detect fraud. We may share this information with
other government departments or agencies, local and public authorities, foreign governments, companies (including financial and utility companies),
employers or other bodies in order to make reasonable checks to verify the information provided in the application and confirm that sponsors have or
will comply with the terms of any visa which may be or have been granted. Any information received by the Home Office about a sponsor may be used
in reaching a decision on the application. Full details of the way in which the data may be processed can be found on the Home Office website at
http://www.ukba.homeoffice.gov.uk/

I confirm that, where I have a sponsor, I have informed my sponsor of the information set out above and my sponsor has confirmed that they consent to
me providing the information about them which is set out in this application.

APPLICANT'S SIGNATURE:

DATE SIGNED:

FORM COMPLETED BY: BUBA ABUBAKAR

GWF030632366

Created: 22/02/2014 Page 2 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

APPLICANT NAME: BUBA ABUBAKAR


APPLICATION NUMBER: GWF030632366
DATE OF APPLICATION: 22/02/2014
TYPE OF VISA: General Visitor
PURPOSE OF APPLICATION: Visit
TYPE OF APPLICATION: (General) Single, double and multiple, valid up to 6 months
TOTAL FEE: USD 136.00
SUBMISSION METHOD: In Person
ISSUING OFFICE: UK Border Agency - Abuja
PAYMENT MADE: YES - ONLINE

FORM: (General) Single, double and multiple, valid up to 6 months

PART 1 > PASSPORT AND TRAVEL INFORMATION


PASSPORT / TRAVEL DOCUMENT
1 FAMILY NAME / SURNAME ABUBAKAR
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE
AND IN THE GIVEN NAME BOX)
2 GIVEN NAME(S) / FORENAME(S) BUBA
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE
AND IN THE FAMILY NAME BOX)
3 DATE OF BIRTH 25 NOV 1964
4 PLACE OF BIRTH GWOZA
5 GENDER MALE
6 NATIONALITY NIGERIA
7 DO YOU CURRENTLY HOLD, OR HAVE YOU EVER HELD, NO
ANY OTHER NATIONALITY OR NATIONALITIES?
8 CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER A04262241
9 PLACE OF ISSUE NIGERIA
10 ISSUING AUTHORITY NIGERIA
11 DATE OF ISSUE 30 JAN 2013
12 DATE OF EXPIRY 29 JAN 2018
13 CURRENT LOCATION NIGERIA
14 ARE YOU A NATIONAL OF THE COUNTRY IN WHICH YOU YES
ARE APPLYING?
15 IS THIS YOUR FIRST PASSPORT? NO
16 NATIONALITY DOCUMENT ISSUING DATE OF ISSUE DATE OF EXPIRY IS THIS DOCUMENT
NUMBER AUTHORITY LOST, STOLEN OR
IN YOUR
POSSESSION

NIGERIA A0452052 NIGERIA 10 FEB 2000 08 FEB 2010 IN YOUR


POSSESSION

NIGERIA A2530863 313 21 JUL 2004 20 JUL 2009 IN YOUR


POSSESSION

NIGERIA A00297709 PORTHARCOURT 10 APR 2008 09 APR 2013 IN YOUR


POSSESSION

TRAVEL INFORMATION
17 ARE YOU TRAVELLING WITH ANYONE? YES

Created: 22/02/2014 Page 3 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

18 NATIONALITY FAMILY NAME GIVEN NAMES DATE OF BIRTH VISA HELD

NIGERIA ABUBAKAR FANNA BUBA 29 SEP 1980 NO

NIGERIA ABUBAKAR FATIMA BUBA 18 NOV 2001 NO

NIGERIA ABUBAKAR ABUBAKAR BUBA 26 SEP 2004 NO

NIGERIA BUBA HAFSAT ABUBAKAR 22 JUL 2009 NO

NIGERIA ABUBAKAR MOHAMMED BUBA 19 FEB 2010 NO

19 DATE OF PLANNED ARRIVAL IN THE UK 12 APR 2014


20 HOW LONG DO YOU INTEND TO STAY IN THE UK? 2 WEEKS
21 WHAT IS THE MAIN ADDRESS AND CONTACT DETAILS LINE 1: SOUTH KENSINGTON APARTMENTS
OF WHERE YOU WILL BE STAYING WHILST IN THE UK? LINE 2: 142 CROMWELL ROAD,KENSINGTON
PRIMARY CONTACT NUMBER: 447969177472

PART 2 > PERSONAL DETAILS AND TRAVEL HISTORY


PERSONAL DETAILS
22 WHAT IS YOUR PERMANENT RESIDENTIAL ADDRESS LINE 1: FHA ESTATE, T/AMADI, PORTHARCOURT
AND CONTACT DETAILS? COUNTRY: NIGERIA
PRIMARY CONTACT NUMBER: 08033127824
SECONDARY CONTACT NUMBER: 08056696563
EMAIL: BUBA.ABUBAKAR@YAHOO.COM
23 HOW LONG HAVE YOU LIVED AT THIS ADDRESS? 6 YEARS
24 ARE YOUR PREFERRED CONTACT DETAILS DIFFERENT NO
FROM THE CONTACT DETAILS ALREADY PROVIDED
ABOVE?

TRAVEL HISTORY
25 HAVE YOU BEEN ISSUED ANY VISA FOR THE UK, UK YES
OVERSEAS TERRITORIES OR COMMONWEALTH
COUNTRY IN THE LAST 10 YEARS?
26 TYPE OF VISA ISSUED DATE OF ISSUE DATE OF EXPIRY ISSUING AUTHORITY

C-VISIT 04 NOV 2004 04 MAY 2005 BRITISH EMBASSY

27 HAVE YOU EVER TRAVELLED TO THE UK IN THE LAST 10 YES


YEARS?
28 DATE OF ARRIVAL DEPARTURE DATE PURPOSE OF THE TRIP

05 DEC 2004 17 DEC 2004 BUSINESS

29 HAVE YOU MADE AN APPLICATION TO THE HOME NO


OFFICE TO REMAIN IN THE UK IN THE LAST 10 YEARS?
30 HAVE YOU BEEN REFUSED ENTRY TO THE UK IN THE NO
LAST 10 YEARS
(FOR EXAMPLE AT A UK AIRPORT OR SEAPORT)?
31 HAVE YOU BEEN REFUSED A VISA FOR ANY COUNTRY NO
INCLUDING THE UK IN THE LAST 10 YEARS?
32 HAVE YOU BEEN DEPORTED, REMOVED OR OTHERWISE NO
REQUIRED TO LEAVE ANY COUNTRY INCLUDING THE UK
IN THE LAST 10 YEARS?

Created: 22/02/2014 Page 4 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

33 HAVE YOU EVER VOLUNTARILY ELECTED TO DEPART NO


THE UK?
34 ARE YOU, OR HAVE YOU BEEN SUBJECT TO, AN NO
EXCLUSION ORDER FROM THE UK?
35 HAVE YOU EVER TRAVELLED OUTSIDE YOUR COUNTRY YES
OF RESIDENCE, EXCLUDING THE UK, IN THE LAST 10
YEARS?
36 DATE OF TRAVEL COUNTRY VISITED REASON FOR THE TRIP

04 MAY 2013 UNITED STATES BUSINESS

09 JUN 2006 BELGIUM BUSINESS

11 DEC 2005 ITALY BUSINESS

18 AUG 2013 SOUTH KOREA BUSINESS

07 SEP 2001 SINGAPORE BUSINESS

02 DEC 2001 UNITED ARAB EMIRATES BUSINESS

12 NOV 2003 FRANCE BUSINESS

37 DO YOU HAVE A UK NATIONAL INSURANCE NUMBER? NO


38 DO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY NO
COUNTRY
(INCLUDING SPENT/UNSPENT CONVICTIONS AND
TRAFFIC OFFENCES)?
39 HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY NO
WITH A CRIMINAL OFFENCE FOR WHICH YOU HAVE NOT
YET BEEN TRIED IN THE COURT (INCLUDING TRAFFIC
OFFENCES)?
40 HAVE YOU EVER BEEN INVOLVED IN, SUPPORTED OR NO
ENCOURAGED TERRORIST ACTIVITIES IN ANY
COUNTRY? HAVE YOU EVER BEEN A MEMBER OF, OR
GIVEN SUPPORT TO, AN ORGANISATION THAT HAS
BEEN CONNECTED WITH TERRORISM?
41 HAVE YOU EVER, BY ANY MEANS OR MEDIUM, NO
EXPRESSED VIEWS THAT JUSTIFY OR GLORIFY
TERRORIST VIOLENCE, OR THAT MAY ENCOURAGE
OTHERS TO COMMIT ACTS OF TERRORISM OR OTHER
SERIOUS CRIMINAL ACTS?
42 IN TIMES OF EITHER PEACE OR WAR HAVE YOU EVER NO
BEEN INVOLVED IN, OR SUSPECTED OF INVOLVEMENT
IN, WAR CRIMES, CRIMES AGAINST HUMANITY OR
GENOCIDE?
43 HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT NO
MIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TO
THE UK?
44 IF WE NEED TO INTERVIEW YOU, WHAT LANGUAGE ENGLISH
WOULD YOU LIKE TO USE IN THE INTERVIEW?

PART 3 > FAMILY DETAILS


SPOUSE / PARTNER
45 WHAT IS YOUR MARITAL STATUS? MARRIED / CIVIL PARTNER

Created: 22/02/2014 Page 5 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

46 WILL YOUR SPOUSE/PARTNER BE TRAVELLING WITH YES


YOU?
47 CURRENT PASSPORT OR TRAVEL DOCUMENT NUMBER A02228088
48 NATIONALITY NIGERIA
49 FAMILY NAME / SURNAME ABUBAKAR
(IF YOU ONLY HAVE ONE NAME, PLEASE ENTER IT HERE
AND IN THE GIVEN NAME BOX)
50 GIVEN NAME(S) / FORENAME(S) FANNA BUBA
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
51 DATE OF BIRTH 29 SEP 1980
52 DOES YOUR SPOUSE / PARTNER CURRENTLY LIVE WITH YES
YOU?

FATHER
53 NATIONALITY NIGERIA
54 FAMILY NAME / SURNAME NJIDDA
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE GIVEN NAME BOX)
55 GIVEN NAME(S) / FORENAME(S) BUBA
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
56 DATE OF BIRTH 15 FEB 1935
57 PLACE OF BIRTH GWOZA

MOTHER
58 NATIONALITY NIGERIA
59 FAMILY NAME / SURNAME MUSTAPHA
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE GIVEN NAME BOX)
60 GIVEN NAME(S) / FORENAME(S) FADIMATU
(IF THEY ONLY HAVE ONE NAME, PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
61 DATE OF BIRTH 19 JUN 1940
62 PLACE OF BIRTH GWOZA

DEPENDENT CHILDREN
63 DO YOU HAVE ANY DEPENDENT CHILDREN? YES

Created: 22/02/2014 Page 6 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

64 PASSP NATIO FAMILY GIVEN DATE PLACE TRAVE LIVE ADDRE ADDRE ADDRE ADDRE POSTA COUNT CONTA
ORT NALITY NAME NAMES OF OF LLING WITH SS 1 SS 2 SS 3 SS 4 L RY CT
NUMBE BIRTH BIRTH WITH YOU CODE NUMBE
R YOU R

A02228 NIGERI ABUBA FATIMA 18 NOV MAIDU YES YES FHA NIGERI
090 A KAR BUBA 2001 GURI ESTAT A
E,
TRANS
AMADI,
PORTH
ARCOU

A02228 NIGERI ABUBA ABUBA 26 SEP MAIDU YES YES FHA NIGERI
089 A KAR KAR 2004 GURI ESTAT A
BUBA E
T/AMA
DI,
PORTH
ARCOU
RT

A02228 NIGERI BUBA HAFSA 22 JUL PORTH YES YES FHA NIGERI 080331
080 A T 2009 ARCOU ESTAT A 27824
ABUBA RT E,
KAR T/AMA
DI,
PORTH
ARCOU
RT

A02228 NIGERI ABUBA MOHA 19 FEB PORTH YES YES FHA NIGERI
081 A KAR MMED 2010 ARCOU ESTAT A
BUBA RT E,
T/AMA
DI
PORTH
ARCOU
RT

NON DEPENDENT CHILDREN


65 ARE ANY OTHER CHILDREN TRAVELLING WITH YOU? NO

PART 4 > EMPLOYMENT AND INCOME


EMPLOYMENT
66 HAVE YOU EVER WORKED FOR ANY OF THE YES
FOLLOWING ORGANISATIONS:
ARMED FORCES (INCLUDING NATIONAL SERVICE)
GOVERNMENT (CENTRAL OR LOCAL)
JUDICIARY
MEDIA
PUBLIC OR CIVIL ADMINISTRATION
SECURITY (INCLUDING POLICE AND PRIVATE SECURITY
COMPANIES)?

Created: 22/02/2014 Page 7 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

67 ORGANISATION JOB TYPE OF WORK START DATE END DATE


DESCRIPTION/TITLE/RA UNDERTAKEN
NK

GOVERNMENT MANAGER OIL AND GAS 30 DEC 1987


(CENTRAL OR LOCAL) REGULATORY
AUTHORITY

68 WHAT IS YOUR CURRENT WORKING STATUS? EMPLOYED FULL TIME


69 WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL 1,326,167
SOURCES OF EMPLOYMENT OR OCCUPATION, AFTER
TAX?
70 NAME OF COMPANY/ORGANISATION/EMPLOYER DEPARTMENT OF PETROLEUM RESOURCES
71 JOB DESCRIPTION / TITLE / RANK MANAGER
72 TYPE OF WORK UNDERTAKEN REGULATING OIL AND GAS OPERATIONS
73 ADDRESS LINE 1: 7 KOFO ABAYOMI STREET V.ISLAND,LAG
COUNTRY: NIGERIA
PRIMARY CONTACT NUMBER: 01- 4611777
74 WHEN DID YOU START THIS JOB? 02 DEC 1987
75 DO YOU HAVE ANY ADDITIONAL PAID JOBS OR NO
OCCUPATIONS?

INCOME AND EXPENDITURE


76 DO YOU HAVE SAVINGS, PROPERTIES OR OTHER NO
INCOME, FOR EXAMPLE FROM STOCKS AND SHARES?
77 HOW MUCH DO YOU SPEND EACH MONTH ON LIVING N250,000
COSTS?
78 HOW MUCH OF YOUR TOTAL MONTHLY INCOME IS N150,000
GIVEN TO YOUR FAMILY MEMBERS AND OTHER
DEPENDANTS?
79 WHAT IS THE COST TO YOU PERSONALLY OF YOUR N2,700,000
TRIP IN GBP(£)?
80 THE TOTAL AMOUNT OF MONEY YOU HAVE FOR THIS N2,300,000
TRIP
81 THE COST OF THE AEROPLANE, BOAT OR TRAIN N700,000
TICKETS
82 THE COST OF YOUR ACCOMMODATION N1,000,000
83 THE COST OF YOUR LIVING EXPENSES N800,000
84 IS SOMEONE OTHER THAN YOU PAYING FOR ALL OR A NO
PART OF YOUR TRIP?

PART 5 > FAMILY AND FRIENDS IN THE UK


FAMILY AND FRIENDS
85 PLEASE ENTER DETAILS OF WHAT YOU PLAN TO DO VISIT HISTORICAL PLACES/TOURIST ATTRACTIONS AND
WHILST IN THE UK SHOPPING
86 DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK? NO

Created: 22/02/2014 Page 8 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

PART 6 > MEDICAL TREATMENT


MEDICAL TREATMENT
87 HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN NO
THE UK?

PART 7 > ADDITIONAL INFORMATION


ADDITIONAL INFORMATION
88 IS THERE ANY OTHER INFORMATION YOU WISH TO BE
CONSIDERED AS PART OF YOUR APPLICATION?

VISA CONFIRMATION QUESTIONS


89 DO YOU INTEND TO WORK IN THE UK? NO
90 IS THE MAIN PURPOSE OF YOUR TRIP TO VISIT/STAY NO
WITH A CLOSE FAMILY RELATIVE WHO IS SETTLED IN
THE UK?
91 DO YOU INTEND TO STUDY IN THE UK? NO

Created: 22/02/2014 Page 9 CODE


Online Visa Application APPLICATION FOR UNITED KINGDOM ENTRY CLEARANCE

DECLARATION
I declare that the information given on this form whether input by myself, input on my behalf by a third party or automatically pre-populated is complete
and correct to the best of my knowledge and belief. I also declare that the photograph submitted with this form is a true likeness of me. I confirm that if,
before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I
will inform the United Kingdom diplomatic mission handling my application.

I understand that all information provided by me will be processed by the Home Office in accordance with the Data Protection Act 1998. I am aware
that the Home Office is the data controller in relation to the information provided by me in this application form. I am aware that the information I
provide, including biometric data, will be treated in confidence, but it may be disclosed to other government departments, agencies, local authorities,
foreign governments, and other bodies, to enable the Home Office or those bodies to perform their functions. Any disclosures will be in accordance with
the Data Protection Act 1998. I also understand that the information provided by me may also be used for staff training purposes.

I declare that the documents that I have supplied with this application are genuine and the statements I have made with this application are truthful. I
understand that the Home Office (or a trusted third party) may make reasonable checks to confirm the accuracy and authenticity of evidence I have
provided and documents I have submitted with this application. I further understand that the Home Office (or a trusted third party) may also make
reasonable checks on any sponsors to my application to verify statements contained in the application and establish that I will comply or have complied
with the terms of any visa granted.

I understand that UK entry clearance applications may be handled by British Missions in other locations, including outside the country in which I have
applied for entry clearance and that this may involve the transferring of my application and supporting documents to and from another Mission. I
understand that the Home Office will be responsible for transferring my application and supporting documents safely. I understand in these
circumstances my application will still be handled in line with Home Office published customer service standards.

I understand that the fee payable is for an application processing and entry clearance decision-making service, not for the guaranteed delivery of a
visa, therefore I will not be entitled to a refund should my application for entry to the UK or Commonwealth and Overseas Territories be refused or
granted for a shorter time period than I applied for. I also understand that my visa application fee will be refunded only if the application is withdrawn in
writing within 3 months and 7 days of the original date of application and prior to the submission of biometric data or any processing taking place.

I also understand that the information provided by me, or information made available to the Home Office during the processing of my application, may
be shared with my sponsor(s) or any person(s) acting on their behalf or any applicant linked to my application (for example to my spouse / partner if we
apply for visas for a trip together) for the sole purpose of considering my application. I am aware that if there is any information I do not want you to
disclose to them I will tell you by enclosing a letter with my supporting documentation. If such requests prevent you from making legitimate inquiries, my
application may be refused.

I am also aware that my application will be automatically refused and I may be banned from going to the UK for 10 years if I use a false document, lie or
withhold relevant information. I may also be banned if I have breached immigration laws in the UK. I am further aware that should I use a false
document, lie or withhold relevant information my details may be passed to law enforcement agencies.

I understand that I may be required to provide a record of my fingerprints and a photograph of my face (“biometric data”) as part of my application. If I
refuse to do so, my application may be treated as invalid and, if so, will not be considered further. (See Statutory Instrument 2006 No 1743 - The
Immigration (Provision of Physical Data) Regulations 2006, Regulation 7(1)).

I am aware that I may be billed for any NHS medical treatment undertaken in the UK and that I do not have recourse to public funds during my stay in
the UK.
I understand that if I fail to pay NHS debts incurred by me this could adversely affect future entry clearance applications I make.

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 may be used can be obtained from the Home Office website.

I am aware that it is an offence under the Immigration Act 1971 (as amended) to make a statement which I know to be false, or not believe to be true, in
order to obtain a visa/entry clearance to the UK.

I hereby apply for a visa/entry clearance to the United Kingdom.

Information for sponsors

Personal information which is provided about a person acting in support of an application, including any documentary evidence provided by or about
them, will be processed in accordance with the Data Protection Act 1998 by the Home Office, which is the data controller in relation to the information
provided.
The Home Office will use this information to make decisions about the application and to prevent and detect fraud. We may share this information with
other government departments or agencies, local and public authorities, foreign governments, companies (including financial and utility companies),
employers or other bodies in order to make reasonable checks to verify the information provided in the application and confirm that sponsors have or
will comply with the terms of any visa which may be or have been granted. Any information received by the Home Office about a sponsor may be used
in reaching a decision on the application. Full details of the way in which the data may be processed can be found on the Home Office website at
http://www.ukba.homeoffice.gov.uk/

I confirm that, where I have a sponsor, I have informed my sponsor of the information set out above and my sponsor has confirmed that they consent to
me providing the information about them which is set out in this application.

APPLICANT'S SIGNATURE:

DATE SIGNED:

FORM COMPLETED BY: BUBA ABUBAKAR

GWF030632366

Created: 22/02/2014 Page 10 CODE

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