APPLICATION FORM
FOR SAINT LUCIA NONIMMIGRANT VISA(COMPLETE ALL QUESTIONS IN BLOCK LETTERS)DO NOT WRITE IN
THIS SPACE

Please attach 2 recent
photographs of theapplicant in this box.

SECTION 1
1.1

Surname (as in Passport):………………………………………………………

1.2

First and Middle Names (as in Passport): …………………………………………..

1.3

Other Names (in full) that you are known by: ……………………………………...
………………………………………………………………………………………

1.4

Maiden Name/Other Surnames Used: ………………………………………………

1.5

Date of birth (dd/mm/yyyy): ………………………………………………….........

1.6

Place of birth (City/Village): …………………….. (State/Province): …………….
Country: ………………………………….. 1.7 Nationality: ………………………

1.8

Sex: MaleFemale

1.9

Current Marital Status:

1.10

Passport Number: …………………………. 1.11 Place of Issue: …………………….

1.12

Date of Issue: ……………………………. 1.13 Date of Expiry: …………………...

1.14

National Insurance/Identification Number (If applicable):…………………………..…

1.15

Permanent Home Address: ………………………………………………………….….

SingleMarried

WidowedDivorced

Separated………………………………………………………………………………………….
1.16

Your Correspondence Address if different from 1.15: ………………………………..
…………………………………………………………………………………………

1.17

Telephone: Home ……………….. Work ………………… Mobile/Cell …….…....
Fax Numbers: Home ……………………… Personal e-mail address: ………………

SECTION 2
2.1

Name, Address and Telephone Number of Present Employer or School: ……………..
…………………………………………………………………………………………..

2.2

Your Profession: ………………………………………………………………………..

2.3

Your Present Occupation: ……………………………………………………………...

2.4

When do you intend to travel to Saint Lucia? ………………………………………..

2.5

What is the purpose of your travel to Saint Lucia? Business
Visitor in Transit

Holiday

Other (Please give details) ....................………………………

2.6

How long do you intend to stay in Saint Lucia? …………………………………..….

2.7

At what address will you stay in Saint Lucia? (Hotel/Private please give full address):……………..…………………………………………………………………………..
………………………………………………………………………………………….

2.8

If you are staying at a private address, please give the name, relationship andtelephone numbers of the person in Saint Lucia with whom you will be staying.
Name:………………………………………….

Relationship:………………

Telephone Numbers: (Home) …………….……. (Work) ……………….….….
2.9

Have you been to Saint Lucia before?

Yes

NoWhen?..................................................... For how long? ……………………………..
2.10

How much money will you take for your proposed visit? …………………………….

SECTION 3
3.1

If you are married, what is your spouse’s name? ………………………………………

3.2

What is your spouse’s date of birth? …………………………………………………...

3.3

Is your spouse travelling with you? Yes, on my passport Yes, on his/her own
passport (please give passport number) ……………………...

3.4

Will your children be accompanying you?

YesNoNo(If you have answered“Yes” to question 3.4, please give their details below)
Full Name

Date and Place of Birth

Passport Number(1) ………………………………..

………………………….

…………………

(2) ………………………………..

………………………….

…………………

(3) ………………………………..

………………………….

…………………

(4) ………………………………..

………………………….

…………………

SECTION 4 (FOR APPLICANTS TRAVELLING THROUGH THE UNITED
KINGDOM ONLY)
4.1

Do you require a visa for entry to the United Kingdom? Yes

No

4.2

Have you applied for a United Kingdom Visa? Yes

4.3

Have you been issued a visa for entry to the United Kingdom? YesNoNo

If you have answered “Yes” to question 4.2 and 4.3 please complete questions 4.4 to 4.7
4.4

Where was your visa application made? ………………………………………………

4.5

When was the visa application made? ………………………….……………………..

4.6

What kind of visa did you apply for? …………………………………………………

4.7

What is the reference number and expiry date of your United Kingdom visa?
………………………………………………………………………..……………….

SECTION 5
5.1

Was this application prepared by another person on your behalf? Yes

5.2

Application prepared by:No

Name: ……………………………………... Relationship to applicant: ……………..
Address:…………………………………………………………………………………
Signature of person preparing form:…………………………………………………..
Date (dd/mm/yyyy): ……………………………….
5.3

I certify that I have read and understood all the questions set forth in this applicationand the answers I have furnished on this form are true and correct to the best of myknowledge and belief. I also declare that the photographs submitted with this form
are a true likeness of myself. I understand that any false or misleading statement may
result in the permanent refusal of a visa or denial of entry into Saint Lucia. I
understand that possession of a visa does not automatically entitle the bearer to enter
Saint Lucia upon arrival at the port of entry if he or she is found inadmissible.
Applicant’s signature: ………………………………..

Date: ……………………

DO NOT WRITE IN THIS SPACE
Visa Issued/RefusedDate: ………………………………….

Type of Visa Issued: ……………………………… Endorsed by: …………………………
Place of Issue: …………………………………………………………………..
Visa Valid From ………………………….. to ………….……………………...
Visa Number: ………………………………

DOCUMENTS TO BE SUBMITTED WITH VISA APPLICATION•
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2 certified passport size photographs
A valid passport for up to six months
A return ticket to port of origin
Copy of travel itinerary
Proof of hotel/private accommodation
Letter of invitation (if invited by friend or relative with telephone numbers andaddress)
Students – letter from school, college or university
Proof of sufficient funds
Job letter