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Questions
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Answers
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1
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Given Names (from pas)
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NODIRBEK
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2
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Surname (from pas)
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URINBAEV
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3
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Other names
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ERKINOVICH
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4
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If you changed family name, so write you other family names and reason for changing
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5
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Mobile Telephone (for example +380506331426)
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+998914887733
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6
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e-mail
Please check your email every day
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nodirbekurinbaev89@gmail.com
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7
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Do you hold any other nationalities?
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Yes
No✓
if yes, so write which one
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8
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Date of birth (00/02/1111)
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18/04/1989
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9
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Does any direct relatives travel with you (father, mother, wife, children)? Write last name and first name in English and who this person is for you
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No
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10
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Current passport or travel document number (in the format FK747744)
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FA0522699
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11
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Date of issue (day/month/year)
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03/08/2019
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12
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Date of expiry (day/month/year)
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02/08/2029
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13
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Issuing authority
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MIA 3000
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14
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Place of issue of passport
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Andijan IIB
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15
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Is this your first passport?
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Yes✓
No
If no, write travel documents number and send the copy of that
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16
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What is your marital status?
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Married
single✓
If you married, send copy of your marriage Certificate
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17
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Do you have any children
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Yes
No✓
If yes, write name and surname and date of birth
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18
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Place of birth (for example Lviv)
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Andijan
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19
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Country of birth
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Uzbekistan
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20
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Do you have directly relatives in Great Britain?
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Yes
No✓
If yes -who is it? How many? Their address and do you plan to visit them?
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21
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Your address in Uzbekistan
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Apt/Floor/Suite/Room/Street
2A, Yorqin street, Bagishamal
City/Town/Village
Andijan
Region
Andijan
Country
Uzbekistan
Post code
171100
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22
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How long have you lived at this address? (how many years)
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32 years
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23
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Name, surname and tel number of person, which we can contact if something happened
(For example Pavlo Melnyk +380675586465)
and all your mobile numbers (for example +380506565656)
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URINABEVA ZULKHUMOR
+998912881202
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24
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Your immigration history
Have you been granted a UK visa?
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Yes
No✓
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25
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Have you ever travelled to the UK?
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Yes
No✓
If so, indicate the type of visa, date, duration, and purpose of stay. Which airport / border crossing point? Land, air transport?
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26
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Have you been or worked illegally in the UK?
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Yes
No✓
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27
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Have you ever been deported‚ removed or otherwise required to leave the UK?
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Yes
No✓
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28
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Do you have any others UK visa applications valid at the moment? Are there any appeals against the refusal of a visa to the UK?
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Yes
No✓
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29
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Have you ever been refused a visa for the UK?
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Yes
No✓
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30
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Have you been refused entry on arrival to the UK ?
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Yes
No✓
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31
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Have you made an application to the Home Office to remain in the UK in the last 10 years?
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Yes
No✓
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32
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Have you ever travelled outside your country or residence‚ in the last 10 years?
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Yes
No✔
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33
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Have you ever been refused a visa for any country?
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Yes
No✓
If yes, write the reason
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34
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Have you ever been deported‚ removed or otherwise required to leave another country?
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Yes
No✓
If yes, write which country and reason
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35
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Do you have any criminal convictions in any country (including traffic offences)?
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Yes
No✓
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36
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Information about your family
Will any other children be travelling with you?
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Yes
No✓
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37
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Name and surname (in English) of your spouse, your children, their passport data, date of birth, nationality
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No
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38
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Father's given name
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DIVORCED
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39
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Father's family name
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N/A
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40
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Father's date of birth
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N/A
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41
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Father's place and country of birth (for example Lviv/Ukraine )
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N/A
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42
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Father's nationality/nationalities.
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N/A
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43
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Mother's given name
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ZULKHUMOR
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44
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Mother's family name
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URINBAEVA
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45
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Mother's date of birth
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13/12/1958
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46
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Mother's place and country of birth (for example Lviv/Ukraine)
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Andijan/Uzbekistan
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47
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Mother's nationality/nationalities
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Uzbek
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48
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Additional Information
Please provide detailed information on jobs, including any qualifications, be sure to indicate your experience in agriculture in Uzbekistan or abroad
Do you have documented experience in driving specialized vehicles and passenger vehicles?
If yes, indicate which one (tractor, combine, loader, minibus, bus, etc.)
Yes
No
Others
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Experience: 8 months practice in green house in oq oltin farm in 2021 picking soft fruits and vegetables ( strawberries and raspberries apples cherries etc.)
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49
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English language proficiency
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1 – poor✓
2 – satisfactory
3 – good
4 - very good
5 – excellent
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50
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Do you have health problems that may affect your ability to do work?
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Yes
No✓
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51
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Do you have any form of criminal record or affiliation with any terrorist organization?
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Yes
No✓
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52
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Do you understand that all work will be related to agriculture and will need to work outdoors and weather conditions can affect the duration of work ?
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Yes✓
No
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53
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Reasons why you will return home after your stay in the UK?
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Family, Home, Marriage
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54
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What kind of work are you interested in?
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picking soft fruits (strawberries, raspberries, cherries, apples, pears, etc.)✓
collection of salads and vegetables
collection and packaging of mushrooms
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55
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Please indicate when it is more convenient for you to start working in the UK
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Asap (as soon as possible)✓
March
April
May
June
July
August
September
October
November
December
January
February
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56
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Do you want to join us with family or friends? If so, please write their names in English (from the passport) AND THEIR PASSPORT NUMBER
The questionnaires of these people should already be in the possession of a company representative
(for example Melnyk Ivan FA323245; Rudyk Petro FJ987468)
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57
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E-mail Address
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58
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What kind of work do you have in the priority?
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picking soft fruits (strawberries, raspberries, cherries, apples, pears, etc.)✓
collection of salads and vegetables
collection and packaging of mushrooms
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59
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If you are considering other types of work, indicate this
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picking soft fruits (strawberries, raspberries, cherries, apples, pears, etc.)
collection of salads and vegetables✓
collection and packaging of mushrooms
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