BVI Visa Application Form

This form is provided free of charge

SECTION 2 – About you

Please tell us your details below.

2.1 Full name, as it appears in your passport. Please underline your family name.

2.2 Passport number (See 4.1)

2.3 Date of birth

2.4 Place of birth

2.5 Nationality

2.6 Sex
Male Female

2.7 Marital status
Single Married Divorced Widowed Separated

2.8 What is your father’s full name?

2.9 What is your mother’s full name?

2.10 Permanent home address

2.11 Correspondence address if different from 2.10

SECTION 3 – Your family

3.1 If you are married or living with your partner, what is your spouse/partner’s name?

3.4 Is your spouse / partner traveling with you?
Yes No

3.5 Do you have any children?
Yes No

If you have answered yes to question 3.5, please give their details below.

SECTION 4 – Previous applications and travel

4.1 Passport number (this passport)

4.4 Is this your first passport?
Yes No

4.8 Have you traveled outside your home country?
Yes No

4.9 Have you previously visited the BVI?
Yes No

4.10 Have you ever been refused a visa for the BVI, or been refused entry to the BVI or had leave to enter or remain cancelled?
Yes No

4.11 Have you ever been deported, removed, or otherwise required to leave the BVI?
Yes No

4.12 Have you ever been refused a visa for another country?
Yes No

4.13 Where was your previous application made?

4.14 When was it made?

4.15 What happened? Please give the details of any forms that were served on you.

4.16 Have you ever been refused entry to, deported from, or otherwise required to leave, another country?
Yes No

If yes, please give details below

4.17 Do you have any criminal convictions in any country?
Yes No

4.18 What was your conviction for?

4.21 Have you ever been concerned in the commission, preparation, organization or support of acts of terrorism or have you ever been a member of an organization which has been involved in or advocated terrorism in furtherance of its aims?
Yes No

4.22 Have you ever been concerned in the commission, preparation or organization of genocide or crimes, including crimes against humanity and war crimes, committed in the course of armed conflict?
Yes No

SECTION 5 – About your stay in the BVI

5.1 How long do you intend to stay in the BVI?

5.2 On what date do you intend to arrive?

5.3 Why are you going there?

5.4 Please give the full address and telephone number of all the places where you will be staying during your visit, and the name and relationship of the person(s) you will be staying with

SECTION 6 – Your finances and employment details

6.3 What is your work address?

6.7 What is your monthly income from employment?

6.8 Do you receive income from any other sources, including friends or family:
Yes No

6.9 Do you own any assets, for example property?
Yes No

If you have answered yes to questions 6.8-6.9 please give details below

6.10 How much money is available to you for your trip?

6.11 Who is paying for your trip?

SECTION 7 – Other information

Is there any other information you wish to give about your application?

SECTION 8 – Declaration

To be completed by all applicants

Data Protection Statement

The British Virgin Islands, Visa Section is processing the personal data on this form and related data for the purposes of promoting and protecting the interests of the British Virgin Islands. The data may be disclosed to other BVI Government Departments and public authorities.

Declaration

I hereby apply for an entry clearance for the British Virgin Islands for myself and any dependants listed in this form. The information I have given is complete and is true to the best of my knowledge. I also declare that the photograph(s) submitted with this form is / are a true likeness of myself and any dependants included in the application. I confirm that if, before this application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I will inform the British Virgin Islands diplomatic post at which I have applied. I am aware that it is an offence under the Immigration & Passport Ordinance, Cap 130, to make to a person acting in execution of the Act a statement or representation which the maker knows to be false or does not believe to be true, and to obtain or seek to obtain leave to enter in the British Virgin Islands by means which include deception.

I declare that the information given on this form is correct to the best of my knowledge and belief.

For office use only