Application for british virgin island visa

APPLICATION FOR BRITISH VIRGIN ISLANDS VISA

BVI visas THIS FORM IS PROVIDED FREE OF CHARGE

FOR OFFICIAL USE ONLY



SECTION 1 – WHAT TYPE OF VISA ARE YOU APPLYING FOR?

• 
  Please tick the appropriate box
  

Tourist □ Resident □ Student □ Business □ Employment □

SECTION 2 – ABOUT YOU

• 
  Please tell us your:
  

2.1 Full name, as it appears in your passport. Please underline your family name. IYOMIDDINOV SHERALI ISOMIDDINOV				2.2 Passport number (See 4.1) FA2605737
2.3 Date of birth 19/19/1990	2.4 Place of birth Uzbekistan			2.5 Nationality Uzbek
2.6 Sex Male □ Female □	2.7 Martial status Single □ Married □ Divorced □ Widowed □ Separated □
2.8 What is your father’s full name? OCHILOV ISOMIDDIN IYOMIDDINOVICH (DEAD) 2015- YEAR
2.9 What is your mother’s full name? ISHONKULOVA BASHORAT ISHOKULOVNA
2.10 Permanent home address HOUSE 21, URGUT STREET, SAMARKAND CITY, SAMARKAND REGION		2.11 Correspondence address if different from 2.10
2.12 Home telephone number	2.13 Mobile Number [phone]		2.14 Personal e-mail address [e-mail]

SECTION 3 – YOUR FAMILY

3.1 If you are married or living with your partner, what is your spouse/partner’s name? ZIYAEVA OZODA
3.2 What is your spouse / partner’s date of birth? 03/06/1994	3.3 WhereUzbekistan is your spouse / partner now?
3.4 Is your spouse / partner traveling with you? Yes □ No □
3.5 Do you have any children? Yes □ No □

If you have answered yes to question 3.5, please give their details below

Full name	Date and place of birth	Please indicate whether they are traveling with you
		Yes, on my passport	Yes, on their passport		No
ISOMIDDINOV MUHAMMADALI	11/04/2017

APPLICATION FOR BRITISH VIRGIN ISLANDS VISA

BVI visas THIS FORM IS PROVIDED FREE OF CHARGE

SECTION 4 – PREVIOUS APPLICATIONS AND TRAVEL

•Please give your:

4.1 Passport number (this passport) FA2605737	4.2 Issue and expiry dates 21/04/2021, 20/04/2031	4.3 Place of issue MIA18810
4.4 Is this your first passport? If you have answered no to question 4.4 please answer questions 4.5-4.7. Otherwise, plea		se go to question 4.8
4.5 Previous passport number	4.6 Previous passport issue and expiry dates	4.7 Place previous passport was issued

4.8 Have you traveled outside your home country? Yes □ No □

4.9 Have you previously visited the BVI? Yes □ No □

4.10 Have you ever been refused a visa for the BVI, or been refused entry to the BVI or had leave to enter or remain cancelled?

Yes □ No □

4.11 Have you ever been deported, removed, or otherwise required to leave the BVI? Yes □ No □

4.12 Have you ever been refused a visa for another country? Yes □ No □
If you have answered yes to question 4.10, 4.11, or 4.12, please complete questions 4.13 – 4.15 as applicable. Otherwise, please go to question 4.16

4.13 Where was your previous application made?	4.14 When was it made?
4.15 What happened? Please give the details of any forms that were served on you.

4.16 Have you ever been refused entry to, deported from, or otherwise required to leave, another country? Yes □ No □
If yes, please give details below


4.17 Do you have any criminal convictions in any country? Yes □ No □