Case File
efta-efta01190960DOJ Data Set 9OtherFront:
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01190960
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Front:
To: Jeffrey -cjrx.yacation(
tnail.cont>
Date: Tue. 25 Aug 2015 14:19:41 .0000
Inline-Images: 1:M6_2577:J9G: INIG_2578.JPG: IN16_2579.JPG. IMG_2580.196
DATE OF TRAVEL
25 0C120I0
COUNTRY VISITED
EGYPT
REASON FOR THE TRIP
TOURISM
DATE OF TRAVEL
?S JUL 2011
COUNTRY VISITED
TURKEY
REASON FOR THE TR.
TOuRLSM
37
OO YOU HAVE A UK NATIONAL INSURANCE NUMBER)
NO
38
OO YOU HAVE ANY CRIMINAL CONVICTIONS IN ANY
NO
COUNTRY
(INCLUDING SPENTAJNSPENT CONVICTIONS AND
TRAFFIC OFFENCES)?
39
HAVE YOU EVER BEEN CHARGED IN ANY COUNTRY
NO
WITH A CRIMINAL OFFENCE FOR MUCH YOU HAVE NOT
YET BEEN TRIED IN THE COURT (INCLUDING TRAFFIC
OFFENCEW
40
HAVE YOU EVER BEEN INVOLVED IN. SUPPORTED OR
NO
ENCOURAGED TERRORIST ACTIVITIES IN ANY
COUNTRY" HAVE YOU EVER BEEN A MEMBER OF OR
GIVEN SUPPORT TO AN ORGANISATION THAT HAS
BEEN CONNECTED WITH TERRORISM'
41
HAVE YOU EVER. BY ANY MEANS OR MEDIUM
NO
EXPRESSED VIEWS THAT JUSTIFY OR GLORIFY
TERRORIST VIOLENCE OR THAT MAY ENCOURAGE
OTHERS TO COMMIT ACTS OF TERRORISM OR OTHER
SERIOUS CRIMINAL ACTS?
42
IN TIMES OF EITHER PEACE OR WAR HAVE YOU EVER
NO
BEEN INVOLVED IN. OR SUSPECTED OF INVOLVEMENT
94 WAR CRIMES. CRIMES AGAINST HUMANITY OR
GENOCIDE?
43
HAVE YOU ENGAGED IN ANY OTHER ACTIVITIES THAT
NO
MIGHT INDICATE THAT YOU MAY NOT BE ADMITTED TO
THE UK'
44
IF WE NEED TO INTERVIEW YOU. WHAT LANGUAGE
ENGLISH
WOULD YOU LIKE TO USE IN THE INTERVIEW'
PART 3> FAMILY DETAILS
SPOUSE/PARTNER
46
VA4AT IS YOUR MARITAL STATUS'
SINGLE
FATHER
46
NATIONALITY
RUSSIA
47
FAMILY NAME SURNAME
(IF THEY ONLY HAVE ONE NAME PLEASE ENTER IT
HERE AND IN THE GIVEN NAME BOX)
EFTA01190960
46
GIVEN N0JAE(S) / FORENAME(S)
(IF THEY ONLY HAVE ONE NAME PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
49
DATE OF BIRTH
50
PLACE OF BIRTH
MOTHER
51
NATIONALITY
52
FAMILY NAME/SURNAME
(IF THEY ONLY HAVE ONE NAME. PLEASE ENTER IT
HERE AND IN THE GIVEN NAME BOXI
53
GIVEN NAME(S) FORENAME(S)
(IF THEY ONLY HAVE ONE NAME PLEASE ENTER IT
HERE AND IN THE FAMILY NAME BOX)
54
DATE OF BIRTH
55
PLACE Cf BIRTH
DEPENDENT CHILDREN
56
DO YOU HAVE ANY DEPENDENT CHILDREN,
RUSSIA
MssR
NO
NON DEPENDENT CHILDREN
57
ARE ANY OTHER CHILDREN TRAVELLING WITH YOU?
NO
PART 4 > EMPLOYMENT AND INCOME
EMPLOYMENT
55
HAVE YOU EVER NORKE0 FOR ANY ORGANISATION
NO
(STATE OR NON-STATE) LISTED BELOW?
ARMED FORCES (INCLUDING NATIONAL SERVICE)
GOVERNMENT (CENTRAL OR LOCAL)
JUDICIARY
MEDIA
PUBLIC OR CML ADMINISTRATION
SECURITY (INCLUDING POLICE AND PRNATE SECURITY
COMPANIES)?
WHAT IS YOUR CURRENT VVORKING STATUS?
WHAT IS YOUR TOTAL MONTHLY INCOME FROM ALL
SOURCES OF EMPLOYMENT CR OCCUPATION. AFTER
TM?
61
NAME OF COMPANYTORGAMSATIONEMPLOYER
62
JOB DESCRIPTION WILE / RANK
63
TYPE OF WORK UNDERTAKEN
54
ADDRESS
59
60
a
APPLICATC% ,
PCIVirlY
ctuw.c.
USSR
EMPLOYED FULL TIME
1,000
MOOEL
FASHION MODEL
LINE I
LINE 2
POSTCODE
COUNTRY UNITED STATES
PRIMARY CONTACT
(MM.
EFTA01190961
0.w
65
WIEN DID YOU START THIS JOB?
06 00T 2009
66
DO YOU HAVE ANY ADDITIONAL PAID JOBS OR
NO
OCCUPATIONS?
INCOME AND EXPENDITURE
67
DO YOU HAVE SAVINGS. PROPERTIES OR OTHER
NO
INCOME. FOR EXAMPLE FROM STOCKS AND SHARES?
88
HOW MUCH DO YOU SPEND EACH MONTH ON LIVING
3.000
COSTS?
69
HOW MUCH OF YOUR TOTAL MONTHLY INCOME IS
0
GIVEN TO YOUR FAMILY MEMBERS AND OTHER
DEPENDANTS?
70
WHAT IS THE COST TO YOU PERSONALLY OF YOUR
17.000
TRIP IN GBP(E)?
71
THE TOTAL AMOUNT OF MONEY YOU HAVE FOR THIS
30.000
TRIP
72
THE COST OF THE AEROPLANE. BOAT OR TRAIN
5000
TICKETS
73
THE COST OF YOUR ACCOMMODATION
7.000
74
THE COST OF YOUR LIVING EXPENSES
5.000
75
IS SOMEONE OTHER THAN YOU PAYING FOR ALL OR A
NO
PART OF YOUR TRIP?
PART S> FAMILY AND FRIENDS IN THE UK
FAMILY AND FRIENDS
APPLICATICOI Oa Lorna KN0W* Dern µLava
76
pLF ACC ENTER DETAILS OF VMAT YOU PLAN TO DO
SIGHTSEEING. TATE MODERN. BRITISH MUSEUM.
IMBLST IN THE UK
SHOPPING - SELFRIDGES
77
DO YOU HAVE ANY FRIENDS OR FAMILY IN THE UK?
NO
PART 6 > MEDICAL TREATMENT
MEDICAL TREATMENT
78
HAVE YOU EVER RECEIVED MEDICAL TREATMENT IN
NO
THE UK?
PART 7> ADDITIONAL INFORMATION
ADDITIONAL INFORMATION
79
IS THERE ANY OTHER INFORMATION YOU WISH TO BE
CONSIDERED AS PART OF YOUR APPLICATION?
VISA CONFIRMATION QUESTIONS
80
DO YOU INTEND TO WORK IN THE UK?
NO
EFTA01190962
APRICATO. JO, LiWTED0•00Cm BMW CAWAICE
81
IS THE MAIN PURPOSE OF YOUR TRIP TO VISIT/STAY
NO
1MTH A CLOSE FAMILY RELATIVE WHO IS SETTLED IN
THE UK'
82
CO YOU INTEND TO STUDY IN THE UK,
NO
C
C
C
O
EFTA01190963
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