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VAF1A application form - UK Border Agency - Home Office

VAF1A application form - UK Border Agency - Home Office

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Part 9<br />

additional In<strong>form</strong>ation read guidance, Part 9<br />

9.1 Is there any other in<strong>form</strong>ation you wish to be considered as part of your <strong>application</strong>?<br />

If you run out of space please use additional sheets of paper to provide us with all the relevant in<strong>form</strong>ation required as part of your <strong>application</strong>.<br />

9.2 have you ever received medical treatment in the uK? >><br />

Put a cross (x) in the relevant box<br />

9.3 did you have to pay for the treatment? >>>>>>>>>>>>>><br />

Put a cross (x) in the relevant box<br />

9.4 Where did you receive the treatment?<br />

address: >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><br />

09<br />

Yes No<br />

Yes No<br />

If ‘Yes’ go to question 9.3<br />

name of hospital/clinic/doctor’s surgery:<br />

Telephone number:<br />

GENERAL VISITOR (<strong>VAF1A</strong> JULY 2012)

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