Partnering Governments. Providing Solutions.

CHECK & VERIFY FORM

Please fill in the details with utmost attention, You MUST complete this form in full. Any
incorrect or missing information may led to verification refusal. If there is insufficient
space in any section please attach a separate sheet.

Visa Ref. Number 66390752 VISA category student

1. Personal Details
Surname Given Name
Joseph Varghese Vinu
Father’s Name* Vincent Chiriyamkandath Passport Number
Varghese P 5249928

Place of birth* Olarikkara Date of Birth 06/09/1993

(dd/mm/yy)
Email Address
Mobile/Landline 8943929189 josephvarghesevinu@gmail.com
(Applicant)*
Current Address
Chiriyamkandath house,Paravatty P.O, Thrissur
City Thrissur Pin code* 680507 Country India
Permanent Address

Chiriyamkandath House, Pavaratty P.O, Thrissur

City Thrissur Pin code* 680507 Country India

Voter card no / Driving license no* GST / TIN No (if applicable)
279625302601

2. Immediate Family Members Details ( Parents, Spouse & Dependent Children)

Full Name Relationship Occupation Phone & Email Address Permanent/current address

9497626251
Philomena N O Mother retired HM philomenaneelankavil@ CHIRIYAM KANDATH HOUSE,
gmail.com Pavaratty P.O, Thrissur

Vincent Chiriy- retired HSA Chiriyamkandath house,

Father 9446872094
amkandath Pavaratty P.O, Thrissur
cvvnop@gmail.com
Varghese
+353894787317 38 Carrigmore Terrace
Aleena Davis wife student
aleenaalludavis@gmail.com Saggart, Co.Dublin
D24DT80

All fields are mandatory Strictly Private & Confidential

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3. Do you have any sponsor from Ireland? If yes, please provide details
Full Name Relationship Occupation Phone & Email Address GNIB No/IRP & Address

4. Provide details of your education and qualifications (listing from most recent qualifications
first).
Qualification
Name of Contact Details
Dates from Dates to obtained & Name of
School/College/university Address/Email/Tel/Website*
Education Board
B.E Electrical
Anna University 12/08/2014 25/04/2018 and Electronics www.annauniv.edu
Engineering
Indian Institute of Integreted 15/08/2011 12/05/2014 Diploma in Electrical www.iist.co.in
Science and Technology and Electronics
Engineering
kerala state board 06/07/2009 29/03/2011 Higher Secondary www..dhsekerala.gov.in

5. Provide details of your employment history since completing your formal education.
Contact Details
Name of Employer Dates from Dates to Position and salary
Address/Email/Tel/Website*
Shadowfax technologies Team leader +917306552454
02/01/2023 13/10/2023 (supply chain
private limited aakpssudhi1981@gmail.com
management)
QEMAT JEBAL Musqut 19/05/2019 12/12/2022 purchase exicutive P.O.Box: 11362, Kalba, Sharjah
trading Sharjha U.A.E

SHADOWFAX technoligies 1/8/2018 30/04/2019 Sorter +917306552454

private limited
aakpssudhi1981@gmail.com

6. Provide details of your current employment (If self – Employed, please mention details).
Name of Employer Dates from Dates to Position and salary Employer’s website

Employer’s address Name & Title of contact person & their telephone/mobile
number and email address*

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7. Main Sponsor (1) – (you must submit your ITRs and all financial documentation for the
Visa Office to verify the information you have provided for below person).
Name Philomena N O Relationship MOTHER

Date of Birth* 18/05/1967 Pan Number* AJZPP9619C

Mobile / landline 9497626251 Email (Sponsor)* philomenaneelankavil@gmail.com

Home Address Chiriyamkandath house, Pavaratty P.O, THRISSUR

Employer/Business Retired Government School Head Mistres

Address & Contact
details
Bank Name – 1. HDFC BANK ITR E-Acknowledgement number
447070400250822, 555900270220921
Bank Name – 2. State Bank of India 790095310120722, 235314380140623
Bank Name - 3. Treasury Pension Account Proof

Sponsor’s Declaration and Authorization:

I hereby confirm that I am willing to sponsor Joseph Varghese Vinu as indicated above. I
authorize the financial institutions listed above to reply to any requests for information concerning my bank account/ loan
account/ fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.

Signed Date 10/05/2024

Main Sponsor (2) – (you must submit your ITRs and all financial documentation for the Visa
Office, to verify the information you have provided for below person).
Name Relationship
Date of Birth* Pan Number*
Mobile / landline Email (Sponsor)*

Home Address
Employer/Business
Address & Contact
details
Bank Name – 1. ITR E-Acknowledgement number

Bank Name – 2.

Sponsor’s Declaration and Authorization:

I hereby confirm that I am willing to sponsor Joseph Varghese Vinu as indicated above. I
authorize the financial institutions listed above to reply to any requests for information concerning my bank account/ loan
account/ fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.
Signed Date

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Check&Verify (C&V)Service
Customer declaration:

1. Joseph Varghese Vinu

I…………………………………………………………….. [FULL NAME OF THE CUSTOMER] wish to use the
Check&Verify Service and I have carefully read and understood the terms and conditions as set out in the
brochure for the Check&Verify Service provided by VFS Global through itself or third parties.
2. I understand and agree that by disclosing my information to VFS Global, who then may share or verify this
information with external agencies, that those external agencies may provide VFS Global with additional
information about me.
3. I understand and agree that VFS Global and its partners have no influence over the decision to issue or refuse
an Ireland visa.
4. I understand and agree that my visa application will be forwarded to the respective diplomatic mission for
processing regardless of whether all verification checks have been completed after making 3 attempts to
conduct each verification check, as mandated.
5. I understand and agree that the service fee payable to VFS is non-refundable and I shall not hold VFS liable or
claim any refund whatsoever and that I have applied for the Check&Verify Service through VFS after fully
understanding the terms and conditions.

Consent:

I consent to the personal information that I have provided in connection with my visa application being
processed by VFS Global and/or its authorized solution partners strictly for the purposes of checking and
verifying this information and that the supporting documentation provided in connection with my visa
application for student (Visa Category) is true and accurate.

Customer’s Signature:
Date: Place:
10/05/2024

IMPORTANT TO READ: HOW WE SECURELY FETCH YOUR BANK/ITR DETAILS

STEP 1: You will receive an email from Check_Verify@vfsglobal.com containing a secure web link for
Bank Statement/ITR Verification.

STEP 2: You must activate the link to complete the verification process by clicking it. Please be assured this
link is genuine and has adequate safeguards embedded to protect your data. Once opened, the link is active
for 20 minutes only.

STEP 3: Enter your correct IRL reference ID on the secure authentication page. Entering an incorrect IRL
reference ID will not allow you to move forward.

STEP 4: Proceed to an encrypted webpage to enter your bank account/ITR login details and complete the
security process. A maximum of two attempts are allowed for entering the right password. No other party,
including VFS Global, can view login data entered into this secure page. Once the process is complete, and
your bank/ITR e-statement is securely fetched, you will receive a ‘thank you’ message.

VFS Global employs robust and exhaustive data protection safeguards at multiple levels (virtual
and physical) and adheres to the highest standards of data security as per the European Union-
mandated General Data Protection Regulation for completion of this process. In case of any queries
with regards C&V service please write to: Check_VerifySupport@vfsglobal.com

All fields are mandatory Strictly Private & Confidential

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