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WORK PERMIT AUTHORIZATION FORM

(for an individual who is currently NOT in the UK)
DEPARTMENT FOR WORK & PENSIONS, UNITED KINGDOM

Please refer to the guidance notes and then on the information given to you with this form. The relevance of the
information given may determine the authorization of the Work Permit .

Read, PRINT & Fill the Spaces as indicated and return it back to us.

Work permit authorization fee (370 Pounds) GBP.

1. If not up-to 20 years , state No If you’re up-to 18 state No; do not proceed.
Yes
Yes; please continue.

2. Are you currently in the UK? No, continue If Yes, please use the form

Details of the Applicant :

3. Surname/Family name

4. First Name

5. Other names

6. Sex Male Female 7. Date of birth

7. Nationality
8. Passport number

9. Have you previously held a UK work permit or Working Visa ? No Yes

Residential / Home address , :

Qualifications and experience

10. Please give details of your higher education, vocational or professional qualifications and membership.

Qualifications & Dates Subject Awarding Institution

Professional memberships if any :

11. Please give relevant details of yours current Job.

12. Please describe your qualifications and skills.

13. Please give details of why you want to work in that particular Organisation / Hotel or Company in UK.

Details of Employment

14. For how long do you need to work in the company? until: or for: mths/yrs

15. Job Position title

16. What will be your salary? (please specify below)

Monthly ? Salary:
17. Are you applying for a multiple entry work permit ? No Yes

Place of employment

18. Which Part of UK do you intend to work?

Company / Hotel / Employers

Contact Details

Name of Employer / Company

Name of Administrator/ Manager

Telephone number: E-mail address:

.
I declare that all the given statements
are true to the best of my knowledge.
Applicant’s Signature : Date :
** THIS FORM SHOULD BE FILLED & RETURN BACK TO US AS SOON AS POSSIBLE *