IOM CASE DETAIL SHEET

City of Departure:      Kabul, HKIA Country of Departure:      Afghanistan

City of Arrival:      Birmingham,London Country of Arrival: United Kingdom's

Passenger(s)
DOB Relation-ship Travel Document Number
SURNAME Other Names Gender Citizenship
(DD/MM/YY) to PA and expiry date

Immigration NoN
Noori ZIAULHAQ M 08 JUL 1976 PA Afghanistan
Expired      
Afghanistan
 Noori NAJILA F 26 AUG 1987 PA NON     
     

Noori MOHAMMAD YAZDAN M 06 APR 2009 Son Afghanistan Non

Noori MOHAMMAD ADNAN M 03 DEC 2011 Son Afghanistan NoN

Afghanistan
Noori HUSNA       F 18 MAY 2006 Daughter NON     
     
Afghanistan
Noori HASINA      F 13 AUG 2008 Daughter NON 
     

                       

If you have more family member, please tick the box and complete the remaining family members in the Page 2. ☐
Traveller’s Details:
*Initial Entry By Date
*Immigration File Reference Number (F,Re, BCC): UKVI3SEA028720784 on Visa: Non available
Current Address or the name of Camp: London,Birmingham,ES17, United Nation General Camp,          
Current Telephone No:      0093766995194 Email:      osrz.org@hotmail.com

Proposer’s details in Australia (if any):

Name:    United Nation ( IOM)   Relationship:  UN employees Sponser     
Address:      UK, London, Iom, Dean11, WE16  
Daytime
Email:       Iomuk@iom.int Phone: +4451897279      Mobile: +44(207951770104)

Affiliate/Secondary contact details other than the proposer      

(mandatory for loan cases):

Remarks:
Preferred period of travel: Immigration Immediately Flight Needed Risk of my life
Special Request (if any): (EXRP-3129-CNCF)

Payment method:
☒ Bank cheque or ☐ EFT (Afg $) ☒ EFT(US $) ☐ Others (please specify)
Money Order
$160.00 Paid Per person By Maseeullah
Ziarmal

FOR OFFICE USE ONLY

PF: Project ID: DOD: Case Size:
IOM Case Detail Sheet (no lkp) Ver.
Additional passenger(s):

Travel Document
Gen DOB Relation-ship
SURNAME Other Names Citizenship Number
der (DD/MM/YY) to PA
and expiry date