Application Form

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The document outlines the application process for a student visa in the UK, requiring details about the applicant, sponsor, and course of study. It also details the declaration and consent sections.

The application requires information about the applicant and sponsor, including names, passport details, contact information, relationship status, nationality, and sponsor license numbers.

Documents that need to be submitted include proof of finances, CAS number, birth certificate, consent letters, bank statements, and third party declarations if relying on other evidence.

UK Visas & Immigration

APPLICANT NAME: EMMA FREDY MARTIN


UNIQUE APPLICATION NUMBER: 1212-0001-3101-3761/00
GWF NUMBER: GWF070267613
PASSPORT NUMBER: W3212509
COUNTRY OF NATIONALITY: India
DATE OF BIRTH: 24 February 2021
GENDER: Female
DATE OF APPLICATION: 25 April 2023 10:25 British Summer Time (BST)
TYPE OF VISA / APPLICATION: PBS, Start-up, Innovator or Global Talent – Child
visa
SERVICE OPTION: Standard
TOTAL FEE: 38342.00 INR
SUBMISSION METHOD: Online
PAYMENT REFERENCE: 3PGC036833620
CONTACT EMAIL: [email protected]
CONTACT LANGUAGE: English

Personal information

Email address [email protected]

The person you are joining or accompanying

Given name(s) ABHIRAMI

Family name SURESH

Travelling to the UK I am travelling after ABHIRAMI SURESH

What is ABHIRAMI SURESH's country of India


nationality?

What is ABHIRAMI SURESH's date of birth? 16 December 1994

Do you know ABHIRAMI SURESH's passport or Yes


travel document number?

Enter ABHIRAMI SURESH's passport or travel V4789597


document number

GWF070267613 EMMA FREDY MARTIN Page 1 of 10


UK Visas & Immigration
Which visa is ABHIRAMI SURESH applying for or Student visa
been granted?

Do you have one of these reference numbers for Yes, I have their GWF number
ABHIRAMI SURESH?

GWF number GWF066165928

Sponsor institution name University of Hertfordshire Higher Education


Corporation

Are you going to be a student union sabbatical No


officer?

Qualification at the end of course RQF7/SCQF11

Course name MSc Advanced Computer Science with Work


Placement

Course start date 19 September 2022

Course end date 31 October 2024

What is the address of ABHIRAMI SURESH's main University of Hertfordshire


site of study? College Lane
Hatfield
Hertfordshire
AL10 9AB

Do you have a Confirmation of Acceptance for Yes


Studies (CAS) number for ABHIRAMI SURESH?

Confirmation of Acceptance for Studies reference E4G7MK7J44R0A3


number

What is ABHIRAMI SURESH's sponsor licence 9BMPDBW39 University of Hertfordshire Higher


number? Education Corporation

Does ABHIRAMI SURESH already have their Yes


Student visa immigration permission?

Student Loan

Are any of the funds you and ABHIRAMI SURESH No


are relying on in the form of a student loan?

Sponsor

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UK Visas & Immigration
Does ABHIRAMI SURESH receive money from an No
official financial sponsor for their studies?

Does ABHIRAMI SURESH receive money from an No


official financial sponsor for their studies?

Travel information

Will you be travelling to the UK as part of an No


organised group?

Will you be travelling to the UK with someone who Yes


is not your partner, spouse, or dependant?

Given names ABHIRAMI

Family name SURESH

Country of nationality India

Relationship to you Parent

Enter their relationship to you

Date you plan to arrive in the UK 6 June 2023

Personal information

Given name(s) EMMA

Family name FREDY MARTIN

Are you now or have you ever been known by No


another name?

Have you formed an independent family unit or are No


you living an independent life?

Who does this email address belong to? You


[email protected]

Do you have another email address? No

What is your sex, as shown in your passport or Female


travel document?

What is your relationship status? Single

GWF070267613 EMMA FREDY MARTIN Page 3 of 10


UK Visas & Immigration
Country of nationality India

Country of birth India

Place of birth ERNAKULAM, KERALA

Date of birth 24 February 2021

Do you have a valid national identity card? No

Do you currently hold, or have you ever held, any No


other nationality or citizenship?

Address VADHYAMPARAMBIL HOUSE


AROOR
ALAPPUZHA
KERALA
688534
India

Is this address also your correspondence address? Yes

Address VADHYAMPARAMBIL HOUSE


AROOR
ALAPPUZHA
KERALA
688534
India

How long have you lived at this address? 2 years

What is the ownership status of your home? Other

Give more details about your living situation, such My father owns the property and I live with my
as who you live with and who owns the property grandparents.

Provide your telephone number 447833875426

Where do you use this telephone number? For use whilst in the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

What is ABHIRAMI SURESH's relationship to you? Mother

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UK Visas & Immigration
Passport details

Passport number or travel document reference W3212509


number

Issuing authority COCHIN

Issue date 19 July 2022

Expiry date 18 July 2027

Your parent's or legal guardian's details

Who is your parent or legal guardian who has given ABHIRAMI SURESH
consent for you to make this application?

Dependant details

Does anyone rely on you for financial support? No


Include both those travelling with you and those
who are not.

Parent details

What is this person's relationship to you? Father

Given names FREDYMON

Family name VADYAMPARAMBIL MARTIN

Date of birth 12 December 1990

Country of nationality India

Have they always had the same nationality? Yes

Parental responsibility

Confirm who has parental responsibility for you. FREDYMON VADYAMPARAMBIL MARTIN
ABHIRAMI SURESH

School

Do you attend school or college? No

Family in the UK

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UK Visas & Immigration
Do you have any family in the UK, apart from No
ABHIRAMI SURESH?

Do you know where you will be staying in the UK

Do you know where you will be staying in the UK? Yes

Address 150 STOKES ROAD


LONDON
E6 3SE

Accommodation details

Will you be staying anywhere else in the UK? No

Travel history (UK)

Have you been issued with a UK visa in the past 10 No


years?

Have you been to the UK in the past 10 years? No

Travel history (other)

How many times have you visited the following Zero


places in the past 10 years?

Australia
Canada
New Zealand
USA
Switzerland
European Economic Area (do not include
travel to the UK)
Which countries are part of the European
Economic Area (EEA)?

Austria Greece Norway


Belgium Hungary Poland
Bulgaria Iceland Portugal
Croatia Ireland Romania
Republic Italy Slovakia
of Latvia Slovenia
Cyprus Liechtenstein Spain
Czech Lithuania Sweden
Republic Luxembourg
Denmark Malta

GWF070267613 EMMA FREDY MARTIN Page 6 of 10


UK Visas & Immigration
Denmark Malta
Estonia Netherlands
Finland
France
Germany

Have you been to any other countries in the past No


10 years?

Extra information

If you needed to add more information about your


application but were not able to, you can write it
here.
If there is no further information you want to add,
click the 'Save and continue' button.
Add further details:

English language

We may have to talk to you about your application. English


Which language would you prefer to use?

Maintenance

Financial institution (such as a bank or building LLOYDS BANK


society)

Type of evidence Statements from a personal bank or building society


account

Documents

Mandatory documents The passport or travel document for EMMA


FREDY MARTIN from India

Other documents Evidence of ABHIRAMI SURESH's permission


to enter or stay in the UK. For example, a copy
of the page of ABHIRAMI SURESH's passport
showing their visa if issued or permission to
stay if already in the UK.

Letter of consent from your parent(s) or legal


guardian(s)

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UK Visas & Immigration
A letter of consent that confirms:

the relationship between you and your


parent(s)/legal guardian(s)
consent from your parent(s)/legal
guardian(s) to the application
consent from your parent(s)/legal
guardian(s) to the living arrangements in
the United Kingdom and the address
where you will be staying
whether one or both of your parent(s)
/legal guardian(s) have responsibility for
you
Both parents/legal guardians must sign the
letter of consent, except where only one
parent/legal guardian has sole responsibility
for you.

Statements from a personal bank or building


society account (LLOYDS BANK)

The birth certificate for EMMA FREDY MARTIN,


unless provided in a previous successful
application as a dependant

Payment

Post code for BRP collection AL10 9AB

Your BRP collection location Post Office - Hatfield


36 Town Centre
Hatfield
AL10 0LD

Service Standard service

Immigration Health Surcharge Reference Number IHS058334419

EMMA FREDY MARTIN's application for PBS, Start- 38342.00 INR


up, Innovator or Global Talent – Child visa

Total 38342.00 INR

Consent

If your application is successful, there will be I confirm that I understand and accept these
conditions on your visa or leave to remain. This will conditions

GWF070267613 EMMA FREDY MARTIN Page 8 of 10


UK Visas & Immigration
include, for example, whether you are able to work
in the UK.
If you stay in the UK without permission:

You can be detained


You can be prosecuted, fined and imprisoned
You can be removed and banned from
returning to the UK
You will not be allowed to work
You will not be able to rent a home in England
You will not be able to claim any benefits and
can be prosecuted if you try to
You can be charged by the NHS for medical
treatment
You can be denied access to a bank account
DVLA can prevent you from driving by taking
away your driving licence

Are you relying on evidence from someone else to Yes


prove your financial circumstances?

Any other person(s) providing evidence to prove I understand that by ticking this check box I am
your financial circumstances should download, giving consent to verification checks. I will provide a
sign and submit the declaration for third party declaration signed by each person who is providing
consent. evidence to prove my financial circumstances
If we do not have their consent then we may not
be able to take that evidence into account when
considering your application, and so your
application may be refused.

Third party declaration

Enter your name(s) Mr FREDYMON VADYAMPARAMBIL MARTIN

Telephone number 919633448768

Email address [email protected]

Address 150 STOKES ROAD


LONDON
E6 3SE

Province/Region/State LONDON

Country India

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UK Visas & Immigration
Declaration
By sending this application, you confirm that to the best of your knowledge and belief the following is correct:

the information relating to the application


the supporting evidence

I understand that the data I have given can be used as set out in the privacy policy
I consent to organisations, including financial institutions, providing information to the Home Office when
requested in relation to this application.
I understand that any passports/travel documents submitted in support of my application, which remain
uncollected after 3 months from the date they were ready for collection, will be returned to an office of the
authority that issued the document. If this happens, the Visa Application Centre will be able to advise where the
document has been sent.
I have discussed with any other applicants that I am acting on behalf of, and confirmed that the contents of the
application are correct and complete.
I agree to the terms and conditions.
I understand that if false information is given, the application can be refused and I may be prosecuted, and, if I
am the applicant, I may be banned from the UK.

I am the parent or legal guardian of the applicant who is aged under 18 and completing and submitting the form
on their behalf

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