User

EdVantage International Consulting Limited

address

 

Ground Floor, 82 Symonds Street, Grafton, Auckland 1010, New Zealand

phone

 

+6421909861

Visitor Visa Assessment Form

Full Name

Travel information

1. Country I want to visit

2. Purpose of Visit

3. Number of people travelling

4. Adults:

5. Children:

Main Applicant Details

6. Family Name (as in your passport):

7. Given Name (as in your passport):

8. Date of Birth (DD/MM/YYYY):

9. Gender:

10. Single/ Married

11. Children (if any)

12. Citizenship:

13. Passport no:

14. Passport expiry:

15. Email Address:

16. Skype/Yahoo messenger id (if any):

17. Google Hangout

18. I am contactable on

19. Residence Phone :

20. Mobile phone:

21. Current Address-

Other information:


22. I am

Details of Dependents travelling with you

23. Name/s

24. Gender

25. Age

26. Nationality

27. Occuaption

Travel Details

28. Start Date

29. End Date

30. Total duration

31. I have booked my sightseeing/travel /accommodation

32. Details:

33. I need help with booking

34. Details:

35. Have you been convicted or currently face criminal charges in this country or overseas?

36. Details:

37. Have you been refused a visa or deported from any country ?

38. Details:

39. Are you pregnant or handicapped?:

40. I agree to undergo any medical checks /background or reference checks as required during the application process.

41. Do you or any dependent have any medical issues that need ongoing treatment or care?

42. Details:

43. Finance for Travel and Stay :

44. Details

45. How did you hear about Us?(referred by)

46. Any other important or relevant information?