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THIS FORM IS SUPPLIED FREE OF CHARGE IM2A (Revised 12/01)

Application for United Kingdom entry clearance Reference:

Please read the information on page 3 before completing this formType of entry clearance required (please tick appropriate boxes)

Transit

Two recentphotographs to be

attached here

Dependant of any applicant in long stay categories

Permit free employment/Retired Person of IndependentMeans/InvestorWorking Holidaymaker/Work permit holder/Innovator or toestablish a business/Highly Skilled Migrant Programme (HSMP)

Please also complete formIM2C (except HSMP)

Certificate of entitlement, UK ancestry Please also complete form IM2D

Are you applying as a non-EEA dependant of an EEA national? Yes No

Please answer all questions

1. Full name (as shown inyour passport)

2. Any other names youhave been known by

Name of passportholder

Complete here if dependants included on your passport are travelling with you

Name Place Of Birth Date Of Birth Relationship To You Nationality

Visitor six months X one year Two years five years

Student Please also complete form IM2S

Settlement As spouse/fiancé(e)/other relative/partner. Please also complete form IM2B

Long Stay: Returning resident

QADEER ANJUM KHAN

QADEER ANJUM KHAN

3. Date of Birth 10.02.67

1967 4. Sex MALE 5. Place of birth GUJRAT

6. Father’s full name Mian Khan

7. Mother’s full name Sakina Bibi

8. Current Nationality Pakistani 9. Country of residence

10. Home Address Telephone number

11. Are you? Married X Single Divorced Widowed Separated

If married, full name of spouse

Date of birth of Spouse 19000 Where is your spouse now? GUJRAT

12. Passport or travel document number 40 Place of issue

Date of issue 21.01.1967 Date of expiry 10.10.2010

If not travelling on own passport please give the following details:

QADEER ANJUM Your relationship to passport holder

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13. Is this your first passport? Yes No If no, provide details of previous passport(s)

Number Place of issue Number Place of issue

14. Have you ever applied for UK entry clearance? Yes No

If yes, please give dates and places of application

15. Have you visited the UK before? Yes No

If yes, please give dates and length of each stay

16. Have you ever been refused UK entry clearance, refusedleave to enter the UK or had your leave to enter or remaincancelled?

Yes No If yes, complete IM2E

17. Have you ever been deported, removed or otherwiserequired to leave the UK? Yes No

18. Have you ever been refused an Entry Clearance or beendeported from another country? Yes No

If yes, please give country and date

19. Do you have any criminal convictions? Yes No

20. Have you ever been a charge on public funds in the UK? Yes No

21. Type of visit: (1) Private (2) Business (3) Family (4) Other

If (3): family member’s name and relationship to you

If (4): specify reason

22. Have you any other reason for travelling to the UK? Yes No Please specify

23. How long do you intend to stay in the UK? 24. Date of arrival

25. How much money is available to you for your stay?

26. Who is paying for your ticket?

27. Intended address in the UK

Postcode Telephone number

28. Do you have any friends or relatives in the UK? Yes No If yes, please give details to include acontact number

29. What is your present job?

30. What date did you start this job? 31. What is your annual income?

32. Where do you work (name, address and telephone number)?

Declaration – to be completed by all applicantsPlease tick to confirm that you have read and understood the information on page 3I declare that the information given on pages 1 and 2 of this application is correct to the best of my knowledge and belief.Information given will be treated in confidence. I understand that the information on this form may be disclosed to theDepartment of Work and Pensions in the UK for the purpose of determining benefit claims and to the Department of Healthin the UK for the purpose of investigating payment for any NHS treatment. I agree to the information on this form beingused for these purposes.

Applicant’s Signature Date

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Application for United Kingdom entry clearance

INFORMATION

Please read these instructions before completing the application form. You are asked to sign the form to confirmthat you have taken note of the contents (if you have downloaded this form from the internet, please also sign eachpage where indicated).

Completing the form

Your application form should be accompanied by:

• The correct fee (entry clearance fees will not be refunded)• Two recent passport-sized photographs (not more than six months old)• Your current passport• Other documents as required. Please refer to the information leaflets.• The appropriate fee plus postage if required

Please complete the form in black ink and tick the boxes that apply.

Applicants must complete all the questions on the form, any additional forms stated and the declaration. Applicants shouldput ‘N/A’ where a question is not applicable to them.

A separate form should be completed by every person intending to travel unless you are a dependant under 16 included onyour parent’s Passport.

Your entry clearance

An entry clearance can be a Visa or an Entry Certificate

Your visa or entry certificate will have effect as leave to enter when you arrive in the UK. Visit entry clearances will be validfor unlimited journeys within the validity period. The duration of each visit will be limited to a maximum period of six months.The expiry date reflects the date on which both the entry clearance and any leave to enter conferred by the entry clearanceare no longer effective. Therefore, you will be required to leave the UK by the expiry date.

Even if you hold a valid entry clearance you may still be examined by an Immigration Officer on arrival in the UnitedKingdom. You can still be refused entry to the UK by an Immigration Officer if they are satisfied that:

(a) your entry clearance was obtained by false representations or by failure to disclose material, whether or not youknew of these actions;

or

(b) there is a change in circumstances between the date of your application and your arrival in the UK; or refusal is justifiedon medical grounds, because you are subject to a deportation order, or because your exclusion would be conducive to thepublic good.

An Immigration Officer may also vary or suspend your leave to enter on arrival in the UK.

An Immigration Officer can ask anyone to be medically examined on arrival in the UK, if they consider it necessary. You maybe required to have a medical examination before your entry clearance is issued.

Non-EEA Dependant of an EEA national

This category is for non-EEA (European Economic Area) national family members of EEA nationals who are applying for afamily permit to go to the UK to install themselves with the EEA national. See also the EEA nationals information leaflet.

Drugs WarningThe UK has severe penalties against drug smuggling. Drug traffickers may try to bribe travellers. Ifyou are travelling to the UK avoid any involvement with drugs.

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FOR OFFICE USE ONLY

CASH REGISTER DETAILS

Issue Refuse Tier ECO Time Taken AuthorisingECO Date

Category Type Code Police Y/N?

Date Effective Date Of Expiry Vignette Number 3

Check 1 Check 2

ECM Issue Check (Name & Date)