UK Immigration Assessment - Breytenbachs Immigration Consultants

Please use this free assessment form for all UK Immigration & Nationality queries, including permit, visa, residence and citizenship issues. By filling out this form, we will be able to do a quick assessment of your circumstances. You can expect a short written response or telephone call from us within two working days. By submitting this form you agree to our Privacy Policy. You can read our full Privacy Policy on our Terms & Conditions page.

Please provide us with a short summary of your query or the basis that you hope to apply for a UK Visa*

Personal details

Title

First Name*

Last Name*

Gender*

Date of Birth

Nationality*

Marital Status*

Spouse's Nationality (if applicable)

Do you have children?

Yes
No

If yes, what are their ages?

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Email Address*

Enter Email Confirm Email

Telephone Number*

Would you like us to call you to discuss your query?*

Yes
No

If yes, during what hours would you prefer us to call you?

9h00 to 13h00
13h00 to 17h00

Present Occupation*

In what country are you currently?*

Previous visits and stays in the UK

Have you visited the UK before?

Yes
No

If yes, in what capacity have you visited the UK?

Have you lived in the UK before?

Yes
No

If yes, on what basis and what dates did you live in the UK?

Have you ever been refused an entry clearance or entry into the UK?

Yes
No

If yes, please provide details

Have you ever overstayed your leave in the UK?

Yes
No

If yes, please provide details of your overstay in the UK

Have you ever been asked to leave the UK, whether voluntarily or deported?

Yes
No

If yes, please provide details

British Ancestry

Do you have British parents?

Yes
No

If yes, were the parent born in the UK?

Yes
No

If no, please confirm how they obtained British citizenship and if they lived in the UK at any stage prior to your birth

Do you have British born grandparents?

Yes
No

Intention to take Employment or Self Employment

File

Drop files here or

If you intend to apply for a UK Visa based on employment or self-employment, you are welcome to attach your CV here. Alternatively, you can provide us with a short description in the blocks below of your qualifications and work experience.

What are your educational qualifications?

Please provide a brief summary of your work experience

Spouse or Unmarried Parter details

You could possibly qualify for a UK permit or visa, based on the qualifications of your Spouse or Unmarried Partner. If relevant, please complete this section.

Occupation of Spouse or Unmarried Partner (if applicable)

Please list the educational qualifications of your Spouse or Unmarried Partner.

Please provide us with a brief summary of the work experience of your Spouse or Unmarried Partner.

Representative of Overseas Company

If you are a business owner who plans to open a branch in the UK, you could qualify under the representative of an overseas company. In this case, please answer the questions in this section.

What is the annual turnover of the business?

How many people are employed by the business?

How long has the business been operating?

Additional Information

If you have any additional information which is not mentioned above and that you feel relevant to your application, please provide a short summary.

Marketing & E-newsletter Communication

Where did you hear about us?*

Do you wish to receive our free monthly e-newsletter with important updates on immigration changes?*

Yes
No

Note that you can unsubscribe at any time by clicking on the unsubscribe link at the bottom of our email newsletter.