Partnering Governments.

Providing
Solutions.

CHECK & VERIFY FORM

Please fill in the details with utmost attention, You MUST complete this form in
full. Any incorrect or missing information may led to verification refusal. If there is
insufficient space in any section please attach a separate sheet.

Visa Ref. Number VISA category

1. Personal Details
Biju Chandy Berin
Surname Given Name
Biju Varghese V4113778
Father’s Name* Passport Number

Place of birth*
Kozhencherry, Kerala Date of Birth 28/04/2000
(dd/mm/yy)
00917894720906 Email Address [email protected]
Mobile/Landline
(Applicant)*
Current Address Flat No. 102, House No. 2-64/112,
RJ Residency, PJR Nagar,
Rahmat Gulshan Colony, Gachibowli
Rangareddy - 500032
City Telengana Pin code* 500032 Country India
Permanent Address Kollemparambil House, Ithithanam P.O,
Kurichy, Kottayam

City Kerala Pin code* 686535 Country India

Voter card no / Driving license no* GST / TIN No (if applicable)
3353732018

2. Immediate Family Members Details ( Parents, Spouse & Dependent Children)

Full Name Relationship Occupation Phone & Email Address Permanent/current address
Biju Varghese Father Engineer 00918075491574 Kollenparampil,
[email protected] Ithithanam, Changanacherry,
Kottayam DT, Kerala

Sheeba Biju Mother Teacher 00919947520713 Kollamparambil House,

[email protected] 43/1X, Kurichy, Ithithanam PO,
Kottayam, Kerala - 686535

All fields are mandatory Strictly Private & Confidential

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3. Do you have any sponsor from Ireland? If yes, please provide details
Full Name Relationship Occupation Phone & Email Address GNIB No/IRP & Address

4. Provide details of your education and qualifications (listing from most recent qualifications
first).
Qualification
Name of Contact Details
Dates from Dates to obtained & Name of
School/College/university Address/Email/Tel/Website*
Education Board
National Institute of 23/07/2018 30/06/2022
Technology Rourkela

INTL Indian School PO Box 01/04/2017 26/05/2018

1188 Al Jubail K S A

INTL Indian School PO Box 01/04/2015 28/05/2016

1188 Al Jubail K S A

5. Provide details of your employment history since completing your formal education.
Contact Details
Name of Employer Dates from Dates to Position and salary
Address/Email/Tel/Website*
Deloitte India Consulting
Private Limited

6. Provide details of your current employment (If self – Employed, please mention details).
Name of Employer Dates from Dates to Position and salary Employer’s website

Employer’s address Name & Title of contact person & their

telephone/mobile number and email address*

All fields are mandatory Strictly Private & Confidential

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7. Main Sponsor (1) – (you must submit your ITRs and all financial documentation for the
Visa Office to verify the information you have provided for below person).
Name Relationship
Date of Birth* Pan Number*
Mobile / landline Email (Sponsor)*

Home Address

Employer/Business
Address & Contact
details
Bank Name – 1. ITR E-Acknowledgement number

Bank Name – 2.

Sponsor’s Declaration and Authorization:

I hereby confirm that I am willing to sponsor as indicated above. I
authorize the financial institutions listed above to reply to any requests for information concerning my bank account/
loan account/ fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.

Signed Date

Main Sponsor (2) – (you must submit your ITRs and all financial documentation for the Visa
Office, to verify the information you have provided for below person).
Name Relationship
Date of Birth* Pan Number*
Mobile / landline Email (Sponsor)*

Home Address
Employer/Business
Address & Contact
details
Bank Name – 1. ITR E-Acknowledgement number

Bank Name – 2.

Sponsor’s Declaration and Authorization:

I hereby confirm that I am willing to sponsor as indicated above. I
authorize the financial institutions listed above to reply to any requests for information concerning my bank account/
loan account/ fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.
Signed Date

All fields are mandatory Strictly Private & Confidential

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Check&Verify (C&V)Service
Customer declaration:

1. I…………………………………………………………….. [FULL NAME OF THE CUSTOMER] wish to

use the Check&Verify Service and I have carefully read and understood the terms and
conditions as set out in the brochure for the Check&Verify Service provided by VFS Global
through itself or third parties.
2. I understand and agree that by disclosing my information to VFS Global, who then may share
or verify this information with external agencies, that those external agencies may provide VFS
Global with additional information about me.
3. I understand and agree that VFS Global and its partners have no influence over the decision to
issue or refuse an Ireland visa.
4. I understand and agree that my visa application will be forwarded to the respective diplomatic
mission for processing regardless of whether all verification checks have been completed after
making 3 attempts to conduct each verification check, as mandated.
5. I understand and agree that the service fee payable to VFS is non-refundable and I shall not
hold VFS liable or claim any refund whatsoever and that I have applied for the Check&Verify
Service through VFS after fully understanding the terms and conditions.

Consent:

I consent to the personal information that I have provided in connection with my visa application being
processed by VFS Global and/or its authorized solution partners strictly for the purposes of checking and
verifying this information and that the supporting documentation provided in connection with my visa
application for (Visa Category) is true and accurate.

Customer’s Signature:
Date: Place:

IMPORTANT TO READ: HOW WE SECURELY FETCH YOUR BANK/ITR DETAILS

STEP 1: You will receive an email from [email protected] containing a secure web link for
Bank Statement/ITR Verification.

STEP 2: You must activate the link to complete the verification process by clicking it. Please be assured this
link is genuine and has adequate safeguards embedded to protect your data. Once opened, the link is active
for 20 minutes only.

STEP 3: Enter your correct IRL reference ID on the secure authentication page. Entering an incorrect IRL
reference ID will not allow you to move forward.

STEP 4: Proceed to an encrypted webpage to enter your bank account/ITR login details and complete the
security process. A maximum of two attempts are allowed for entering the right password. No other party,
including VFS Global, can view login data entered into this secure page. Once the process is complete, and
your bank/ITR e-statement is securely fetched, you will receive a ‘thank you’ message.

VFS Global employs robust and exhaustive data protection safeguards at multiple levels (virtual
and physical) and adheres to the highest standards of data security as per the European Union-
mandated General Data Protection Regulation for completion of this process. In case of any queries
with regards C&V service please write to: [email protected]

All fields are mandatory Strictly Private & Confidential

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