VAF 1: 2021/2022 VFN:

17748/WPM PRT/DT: 01/AUGUST

No. of
2 Photographs Type Of Visa
To be submitted
with Non –
1 application Please put S
Please put M
Single S
form
VISA Visa (Up to 3

APPLICATION FORM Transit Visa (Up to 3

Other types
Monday - Friday

Part1:PersonalDetaiOV Part 2: Visiting DetaiOV

Mr. / Miss / Mrs. / Master
Given Name ( First Name)
SABUJ Date(s) of visit(s) to (If than
( Family 3 please note only the last 3
SARKAR
Maiden Applicant’s Name NOT APPLICABLE
NOT APPLICABLE . LATE SUNIL KUMAR SARKAR
Nationality at of
INDIAN JOB
Evidence of
Birth Date of Birth
FOR OR LONG STAY
CALCUTTA , WEST BENGAL , INDIA 30/11/1980 (please see No. 2.3
status (Please circle (APPOINTMENT LETTER) .
Single Married Divorced Widow(er) Other (BRITANNIA INTERNATIONAL HOTEL , LONDON , U.K.) .
( Please specify position presently held )
(ELECTRICAL/ ELECTRONICS) MAINTENANCE ENGINEER Date of in (NOTE: You must
Employer / Institution
3 months the date of
INSTITUTION OF ENGINEERS (INDIA) .
30 , ARABINDA ROAD , POST OFFICE - NABAGRAM , of
DISTRICT - HOOGHLY , CITY - CALCUTTA , STATE - WEST BENGAL ,
PIN - 712246 , COUNTRY - INDIA .
3 YEARS .
Telephone (+91) 9836924380 . in
THE BRITANNIA INTERNATIONAL HOTEL
(If ADD - MARSH WALL , LONDON E14 9SJ
(SAME AS ABOVE) . UNITED KINGDOM .

Telephone (+91) 9836924380 . NOT APPLICABLE.

Name, Date and Place of Birth of To beyond
(If accompany on
ForAttention ofApplicants:
(NOT APPLICABLE) . I hereby confirm that t h e purpose of my visit to
United Kingdom is already identified in this application form
and the information given is correct and complete.
A - 5955362 .
No:.......................................................................................... Note: Visa fee is non-refundable
CALCUTTA , INDIA .
Issued At:................................................................................. Signature..........................................................................................
30/07/1998 .
Date of Issue:.........................................................................
29/07/2008 . 16/04/2021 .
Date...................................................................................................
Expiry Date:..........................................................................

Official Use Only

Type of Visa:.................................................................. Note
Category:................................... No :.............................
Date of Issue:.................................................................
Expiry Date:...................................................................
Signature:........................................................................
Consular Officer