Supplementary Visit Family /friend Application Form: New Delhi Visa Office, Embassy of Ireland

New Delhi Visa Office, Embassy of Ireland
Supplementary Visit Family /Friend Application Form

You MUST complete this form in full. If there are significant omissions your application may be returned to you
WITHOUT a decision, or REFUSED for failing to supply sufficient information.
If there is insufficient space in any section please attach a separate sheet.
Declaration
Surname Given Name
Passport Number Visa Ref. No.
Passport expiry Place of birth

date *
Date of Birth Nationality
*If your passport expires within 6 months of making your visa application, you will need to apply for a new passport before
making your visa application. Your passport must be valid for 6 months from the date that you intend to leave Ireland.
I hereby apply for a visa to visit Ireland. In signing this declaration I am undertaking that:
I understand the questions and content of this form. The information I have given is true and correct. All documentation I am
submitting with my application is authentic and does not contain any false or misleading information. Where any documents are
not in English I have included a notarised translation.
I understand that providing false and misleading documents or information may lead to my application being refused without the
right to an appeal and I confirm I will observe the conditions of my visa (if granted). I will not attempt to enter Northern Ireland,
the United Kingdom, or any other State without obtaining the necessary visas from the relevant authorities and I will leave
Ireland on the expiry of my permission.
I understand that any breach of these conditions may lead to my removal from the State.
Signed Date
For Date SVAF Invitation Employment PCC for travel Bank a/c Sponsor’s Sponsor’s Passport Travel Immigration
Office received Completed letter or education 1st time Ins - employment bank a/c declaration date checks
Use from letter, pay traveller applicants letter & to submit
sponsor slips - salary entry
Only
applicants details stamps on
return
1
Personal and Family Details
1. Personal Contact Details
Mobile Landline
Drivers licence no Voter card no
Your TIN No (if Your GST No (if

applicable) applicable)
Valid Email Address
Current Address
2. Immediate Family Members Details ( Parents, Siblings, Spouse & Dependent Children)
Full Name Relationship Occupation Phone & Email Address Permanent/current address
3. Do you have any family members living in Ireland? If yes, provide details
Full Name Relationship Occupation Phone & Email Address GNIB No/IRP
4. Do you have family members living in any other country? If yes, provide details below
Full Name Relationship Occupation Phone & Email Address Permanent/current address
2
Immigration History
5. If you have EVER been refused a visa for any country provide details below.
Country Application reference Date and place of Visa Type and main refusal reason: (enclose a copy
application of the refusal letter)
Failure to provide full details may result in delays in your application whilst details are verified.
6. If you have EVER been refused entry to, or required to leave any country provide details below
Country Date Details
Education/Employment
7. If you are a student - Provide details of your education and qualifications
Name of Dates Qualification obtained & Contact Details
School/College/university from/to graduation date Address/Email/Tel/Website
8. If you are employed - Provide details of your employment history

Name of Employer Dates Position and salary Name & Contact Details of Contact
from/to person
Employer’s address Employer’s website Employer’s TIN No (if Employer’s GST No (if applicable)
applicable)
3
Host in Ireland
9. Provide details of who you intend to visit and stay with in Ireland
Name of Family member/friend Address Reason for visiting family member/friend
Mobile/Tel number Email address Nationality
Duration in Ireland Passport No GNIB/IRP No
Occupation & place of work Salary or monthly income – Amount in savings – Have you submitted 6 months of
have you submitted pay slips bank statements from your host
and/or P60 from your host
Family Details
10. Self *insert N/A if they don’t apply to you
Name Married or Single
Spouse’s name Spouse’s Date of Birth
How many children do How many children are

you have? dependent on you
Occupation Spouse’s Occupation & salary

details
Salary details /ITRs Will your family be travelling

submitted with you to Ireland – if yes,
provide names
Amount in Savings – Have Have you submitted your

you submitted 6 months employer’s letter in relation to
of bank statements your leave of absence from
work
11. If you are using the services of an Agent please complete here
Company Name
Contact Name
Email Landline
4
New Delhi Visa Office, Embassy of Ireland
Supplementary Visit Application Form Guidance
You MUST complete this form in full. If there are significant omissions your application may be returned to you WITHOUT a
decision, or REFUSED for failing to supply sufficient information.
If there is insufficient space in any section please attach a separate sheet.
You must submit all the relevant documentation with your application for verification purposes. The Visa Office will not
contact you if there are missing documents and this may lead to a refusal if the application cannot be verified.
The 1st page must be fully completed, signed and dated by the applicant. The For Office Use Only
box at the bottom of the form is to be left blank for the New Delhi Visa Office to complete.
Page 2:
 A valid mobile number must be provided for the visa office to contact you.
 Use an additional page if this is required for part 2, 3 and 4.
 If you have a drivers licence, voter card, TIN or GST number these must be provided and a
copy submitted to the Visa Office
Page 3:
 You must provide full disclosure of any adverse immigration history in part 5 and 6. Failure
to do so will result in your application being refused and a five year ban preventing you from
making an Irish visa for five years.
 All your education details should be completed in part 7 if you are a student.
 All your employment details need to be completed in part 8 if you are working. If your
employer has a TIN or GST number this must be provided on the form.
Page 4:
 Complete the host details in part 9. If you are not staying with the host provide the details of
where you will be staying for the duration of your visit.
 Complete your family details in part 10.
 If you used an agent to apply for an Irish visa and submit your application, then you must
provide all these details in part 11 on page 4.

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New Delhi Visa Office, Embassy of Ireland

Supplementary Visit Family /Friend Application Form

Surname Given Name

Passport Number Visa Ref. No.

Passport expiry Place of birth

Drivers licence no Voter card no

Your TIN No (if Your GST No (if

8. If you are employed - Provide details of your employment history

Mobile/Tel number Email address Nationality

Duration in Ireland Passport No GNIB/IRP No

Spouse’s name Spouse’s Date of Birth

How many children do How many children are

Occupation Spouse’s Occupation & salary

Salary details /ITRs Will your family be travelling

Amount in Savings – Have Have you submitted your

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