Please complete this form to help us assess your UK immigration needs. Your information will remain confidential and enable us to provide tailored advice.

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All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Contact information

Prefix

First name *

Middle name

Last name *

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

CLARITY VISAS

Contact information

Gender

Are you currently inside or outside the UK?

BRP number (if any)

NI number (if any)

Nationality

Place of birth

Passport number

Issuing authority

Passport start date

Passport expiry date

How did you enter the UK? (Visa type and place of entry)

Current visa

Visa start date

Visa expiry date

Current accommodation details of Land lord, rent amount and rooms

Details of people living with you who are related

UK Address History (last 5 years):

Do you have family members in the UK? If yes, please specify.

Work details if employed

Have you ever been refused a visa or immigration application?

Explain

Do you have any medical conditions (not including blood pressure or diabetes)?

Explain

Do you have any criminal convictions (in the UK or abroad)?

Explain

ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU