• UK Visas & Immigration

    Main Applicant Visa Renewal Questionnaire

    You must complete the mandatory fields marked with *

    Please also complete as much of the non-mandatory fields as you can. If there are fields that you are unable to complete, we will contact you to go through the incomplete fields.

    PLEASE NOTE: From 11 March 2024, care workers and senior care workers under the Health and Care Visa category are no longer permitted to bring dependents (i.e., partners and children) when they migrate to the UK. This change affects new applicants in the care sector, specifically those under the Standard Occupation Codes (SOC) 6145 for care workers and home carers and SOC 6146 for senior care workers.

    DISCLAIMER: Please note that if you, or any representative acting on your behalf, have already submitted a visa application to the Home Office, this may limit or compromise our ability to submit or manage an application for you. While we will make every effort to support your renewal, we cannot guarantee the success or outcome of any application. In cases where additional work or clarification is required due to a prior submission or conflicting information, we reserve the right to charge for the extra time involved.

    Please be aware that the fees you pay to us relate solely to the professional services we provide in preparing and supporting your visa renewal application. These fees do not include any Home Office application charges or associated government fees, which are separate and will be payable by you directly at the appropriate stage of the application process.

  • Main Applicant Details

    Please complete this section only if you have the correct details. If you do not have this information, please move on to the 'Immigration Advisor' section.

  • Date of Application
     - -
    2 digit day, 2 digit month, 4 digit year

  • Personal Details

  • Do you currently have an application with the Home Office for leave to remain for which you have not yet received a decision?*
  • In addition to the names already provided, are you now or have you ever been known by another name?*
  • Can we use this email address to contact you?*
  • Can we use this mobile number to contact you?*
  • Are you currently in the UK?*
  • When did you start living at this address?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • What is your gender, as shown in your passport or travel document?*
  • Do you have a UK driving license?*

  • Nationality Details

  • Date of birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Is your current passport valid?*
  • Date of Issue*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Date of Expiry*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • When did you start living at this address?
     - -
    2 digit day, 2 digit month, 4 digit year
  • When did you stop living at this address?
     - -
    2 digit day, 2 digit month, 4 digit year
  • Do you have a valid national identity card?*
  • Do you currently hold, or have you ever held, any other nationality or citizenship?*
  • From when have you held this nationality or citizenship?
     - -
    2 digit day, 2 digit month, 4 digit year

  • Medical History

  • Have you ever been given medical treatment in the UK?*
  • Were you told that you had to pay the hospital, clinic or doctor's surgery for your medical treatment?
  • When did you start receiving medical treatment?
     - -
    2 digit day, 2 digit month, 4 digit year
  • When did you stop receiving medical treatment?
     - -
    2 digit day, 2 digit month, 4 digit year

  • Fathers Details

  • Date of birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Has your father always had the same nationality?*
  • When did his nationality change?
     - -
    2 digit day, 2 digit month, 4 digit year

  • Mothers Details

  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Has your mother always had the same nationality?*
  • When did her nationality change?
     - -
    2 digit month, 2 digit day, 4 digit year

  • Employment Details

  • When did you begin your employment?
     - -
    2 digit day, 2 digit month, 4 digit year
  • Is your employer also your sponsor?
  • Is this application for secondary employment?

  • Travel History

  • Have you ever:

    • Entered the UK illegally
    • Remained in the UK beyond the validity of your visa or permission to stay
    • Breached the conditions of your leave, for example, worked without permission or received public funds when you did not have permission
    • Given false information when applying for a visa, leave to enter, or leave to remain
    • Breached UK immigration law in any other way
  • *

  • For either the UK or any other country, have you
    ever been:

    • Refused a visa
    • Refused entry at the border
    • Refused permission to stay or remain
    • Refused asylum
    • Deported
    • Removed
    • Required to leave
    • Excluded or banned from entry
  • *

  • At any time have you ever had any of the following in the UK or in another country?

    • A criminal conviction
    • A penalty for a driving offence, for example disqualification for speeding or no motor insurance
    • An arrest or charge for which you are currently on, or awaiting trial
    • A caution, warning, reprimand or other out-of-court penalty
    • A civil court judgment against you, for example for non payment of debt, bankruptcy proceedings or anti-social behaviour
    • A civil penalty issued under UK immigration law
  • *
  • Have you been to any other countries in the past 10 years?
  • If 'Yes', please provide details
    Rows
  • In either peace or war time have you ever been involved in, or suspected of involvement in, war crimes, crimes against humanity, or genocide?

  • .

  • Other History

  • Have you received any public funds (money) in the UK?
  • Have you ever been involved in, supported or encouraged terrorist activities in any country?
  • Have you, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to commit terrorist or other serious criminal acts?
  • Have you ever been a member of, or given support to, an organisation which has been concerned in terrorism?
  • Have you ever been a member of, or given support to, an organisation which is or has been concerned with extremism?
  • Have you, by any means or medium, expressed any extremist views?
  • Have you, as a part of your employment or otherwise, undertaken paid or unpaid activity on behalf of a non-UK government which you know to be dangerous to the interests or national security of the UK or its allies?
  • Have you ever engaged in any other activities which might indicate that you may not be considered to be a person of good character?
  • Is there any other information about your character or behaviour which you would like to make us aware of?
  • Please confirm:

  • Current Partner

  • Do you currently have partner living with you in the UK?
  • Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • When did you start living together?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Do you and your partner intend to continue to live together?*

  • Your Sponsor

  • Has your sponsor or employer confirmed you are eligible for the Health and Care visa?*
  • Do you have a Certificate of Sponsorship (CoS) reference number?*
  • What is/was your work start date?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • What is your work end date?
     - -
    2 digit day, 2 digit month, 4 digit year
  • Are you applying as a midwife or nurse?*
  • Is your job on the immigration salary list?

  • English Language

  • If you are applying as a doctor, dentist, nurse, midwife or vet, have you passed an English Language assessment accepted by the relevant regulated professional body as a requirement for registration?

  • PLEASE NOTE: If you do not have the appropriate English language skills, your renewal application is unlikely to succeed. Please contact us by email at info@harleymed.com and we will advise you on the best course of action to help you obtain the correct english language qualification.

  • Have you provided evidence of your English language ability in a previous application?
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  • Current Status

  • Do you have a current UK visa, entry clearance or grant of leave?*
  • Do you have a National Insurance number?*
  • Have you been sponsored by a Government or international scholarship agency within the last 12months?
  • What is the end date of your most recent visa, leave to enter or remain or other permission to be in the UK?
     - -
    2 digit month, 2 digit day, 4 digit year

  • Qualification

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  • Consent

  • I will provide a declaration signed by me to confirm my consent for the Home Office to request verification checks.*

  • If your application is successful, there will be conditions on your visa or leave to remain. This will include, for example, whether you are able to work in the UK.

    If you stay in the UK without permission:

    • You can be detained
    • You can be prosecuted, fined and imprisoned
    • You can be removed and banned from returning to the UK
    • You will not be allowed to work
    • You will not be able to rent a home in England
    • You will not be able to claim any benefits and can be prosecuted if you try to
    • You can be charged by the NHS for medical treatment
    • You can be denied access to a bank account
    • DVLA can prevent you from driving by taking away your driving licence

  • Declaration


    By sending this application, you confirm that to the best of your knowledge and belief the following is correct:

    • the information relating to the application
    • the supporting evidence

    I understand that the data I have given can be used as set out in the privacy policy

    I consent to organisations, including financial institutions, providing information to the Home Office when requested in relation to this application.

    I have discussed with any other applicants that I am acting on behalf of, and confirmed that the contents of the application are correct and complete.

    I agree to the terms and conditions.

    I understand that if false information is given, the application can be refused and I may be prosecuted, and, if I am the applicant, I may be banned from the UK.

    I am the applicant aged 18 or over.

  • Payment

  • VISA RENEWAL PAYMENT TO IMMIGRATION ADVISOR*

    prevnext( X )
      Main Applicant Visa Renewal
      £954.00£954.00
        
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      £0.00£0.00

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