UK Visas & Immigration

APPLICANT NAME: Bregier Agbon Abad

GWF NUMBER: GWF054134525
PASSPORT NUMBER: EC6951969
COUNTRY OF NATIONALITY: Philippines
DATE OF BIRTH: 17 February 1992
GENDER: Male
DATE OF APPLICATION: 20 September 2019 21:14 British Summer Time
(BST)
TYPE OF VISA / APPLICATION: Apply for a PBS Dependant or Appendix W -
Partner visa
COS NUMBER: C2G9I86527C
SERVICE OPTION: Standard
DURATION OF VISA:
TOTAL FEE: 594.00 USD
SUBMISSION METHOD: Online
PAYMENT REFERENCE: 3JLP011839974
CONTACT EMAIL: [email protected]
CONTACT LANGUAGE: English

Personal information

Email address [email protected]

The person you are joining or accompanying

Given names Ruby Sedilles

Family name Zamora

Travelling to the UK I am travelling after Ruby Sedilles Zamora

What is Ruby Sedilles Zamora's country of Philippines

nationality?

What is Ruby Sedilles Zamora's date of birth? 30 July 1991

Do you know Ruby Sedilles Zamora's passport or Yes

travel document number?

Enter Ruby Sedilles Zamora's passport or travel EC5735001

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document number

Which visa is Ruby Sedilles Zamora applying for or Tier 2 (General) visa
been granted?

Do you have one of these reference numbers for Yes, I have their VAF number
Ruby Sedilles Zamora?

VAF number 1118675

What is Ruby Sedilles Zamora's sponsor licence YF8WPGWW4 Healthcare Ireland Belfast LTD
number?

Is Ruby Sedilles Zamora's work in a shortage Yes

occupation?

Do you have a Certificate of Sponsorship (CoS) Yes

reference number for Ruby Sedilles Zamora?

Ruby Sedilles Zamora's Certificate of Sponsorship C2G9I86527C

reference number

What is the length of Ruby Sedilles Zamora's 3 years or less

Certificate of Sponsorship (CoS)?

Has Ruby Sedilles Zamora's sponsor agreed to Yes

certify your maintenance when you arrive in the
UK?

Have you reviewed the guidance on professions Yes

that require an overseas criminal record check?

Is Ruby Sedilles Zamora's employment in a Yes

profession that requires an overseas criminal record
check?

Country you have been present in for 12 months or Philippines

more

Can you provide a criminal record certificate for Yes

this country?

Country you have been present in for 12 months or United Arab Emirates
more

Can you provide a criminal record certificate for Yes

this country?

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Have you been present in any other country for 12 No
months or more in the last 10 years?

Travel information

Will you be travelling to the UK as part of an No

organised group?

Will you be travelling to the UK with someone who No

is not your partner, spouse, or dependant?

Date you plan to arrive in the UK 30 October 2019

Personal information

Given names Bregier Agbon

Family name Abad

Are you now or have you ever been known by No

another name?

Who does this email address belong to? You

[email protected]

Do you have another email address? No

What is your gender, as shown in your passport or Male

travel document?

What is your relationship status? Married or a civil partner

Country of nationality Philippines

Country of birth Philippines

Place of birth DUMAGUETE CITY

Date of birth 17 February 1992

Do you have a valid national identity card? No

Do you currently hold, or have you ever held, any No

other nationality or citizenship?

Address 754 Villa Pastora, Batinguel

Dumaguete City
Negros Oriental

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6200
Philippines

Is this address also your correspondence address? Yes

How long have you lived at this address? 26 years

What is the ownership status of your home? Other

Give more details about your living situation, such The property which I am currently living in is owned
as who you live with and who owns the property by my parents.

Provide your telephone number +63 9455108575

Where do you use this telephone number? For use whilst out of the UK

Select whether this is your home, mobile or work Mobile telephone number
telephone number

Are you able to be contacted by telephone? I can be contacted by telephone call and text
message (SMS)

Passport details

Passport number or travel document reference EC6951969

number

Issuing authority DFA DUMAGUETE

Issue date 1 March 2016

Expiry date 28 February 2021

Spouse / partner details

Given names Ruby Sedilles

Family name Zamora

Date of birth 30 July 1991

Country of nationality Philippines

Do they currently live with you? No

Their address 77 Ballygomartin Road

Belfast
County Antrim
BT13 3LB

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United Kingdom of Great Britain and Northern
Ireland

Will they be travelling with you to the UK? No

What is your relationship to this partner? Married

Dependant details

Does anyone rely on you for financial support? No

Include both those travelling with you and those
who are not.

Parent details

What is this person's relationship to you? Mother

Given names Ma. Ana Brenda Agbon

Family name Abad

Date of birth 29 November 1960

Country of nationality Philippines

Have they always had the same nationality? Yes

What is this person's relationship to you? Father

Given names Genaro Felipe

Family name Abad

Date of birth 2 September 1949

Country of nationality Philippines

Have they always had the same nationality? Yes

Employment

Previous employment organisation I have not worked in any of the jobs listed above

Family in the UK

Do you have any family in the UK, apart from Ruby No

Sedilles Zamora?

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Do you know where you will be staying in the UK

Do you know where you will be staying in the UK? Yes

Address 77 BALLYGOMARTIN ROAD

BELFAST
BT13 3LB

Accommodation details

Will you be staying anywhere else in the UK? No

Travel history (UK)

Have you been issued with a UK visa in the past 10 No

years?

Have you been to the UK in the past 10 years? No

Have you ever: No

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 No

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

Travel history (other)

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How many times have you visited the following Zero
places in the past 10 years?

Australia
Canada
New Zealand
USA
Switzerland
European Economic Area (do not include travel
to the UK)
Which countries are part of the European Economic
Area (EEA)?

Austria Greece Norway

Belgium Hungary Poland
Bulgaria Iceland Portugal
Croatia Ireland Romania
Republic Italy Slovakia
of Latvia Slovenia
Cyprus Liechtenstein Spain
Czech Lithuania Sweden
Republic Luxembourg UK
Denmark Malta
Estonia Netherlands
Finland
France
Germany

Have you been to any other countries in the past No

10 years?

Other history

In either peace or war time have you ever been No

involved in, or suspected of involvement in, war
crimes, crimes against humanity, or genocide?

I have read all of the information about war crimes,

including the guidance

Have you ever been involved in, supported or No

encouraged terrorist activities in any country?

Have you ever been a member of, or given support No

to, an organisation which has been concerned in
terrorism?

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Have you, by any means or medium, expressed No
views that justify or glorify terrorist violence or that
may encourage others to commit terrorist or other
serious criminal acts?

I have read all of the information about terrorist

activities, organisations and views, including the
guidance

Have you ever been a member of, or given support No

to, an organisation which is or has been concerned
with extremism?

Have you, by any means or medium, expressed any No

extremist views?

I have read all of the information about extremist

organisations and views, including the guidance

Have you, as a part of your employment or No

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 No

might indicate that you may not be considered to
be a person of good character?

Is there any other information about your character No

or behaviour which you would like to make us
aware of?

Current partner

Were you related to Ruby Sedilles Zamora before No

you became partners?

Convictions and other penalties

At any time have you ever had any of the following, No, I have never had any of these
in the UK or in another country?

A criminal conviction

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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 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

Working as a trainee doctor or dentist

Do you intend to work as a doctor or dentist in No

training in the UK?

Extra information

If you needed to add more information about your

application but were not able to, you can write it
here.
If there is no further information you want to add,
click the 'Save and continue' button.
Add further details:

English language

We may have to talk to you about your application. English

Which language would you prefer to use?

Relationship details

Are you still in a relationship with Ruby Sedilles Yes

Zamora?

Documents

Mandatory documents The passport or travel document for Bregier

Agbon Abad from Philippines

Other documents Evidence of Ruby Sedilles Zamora's permission

to enter or stay in the UK. For example, a copy
of the page of Ruby Sedilles Zamora's passport

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showing their visa if issued or permission to stay
if already in the UK.

Criminal record certificate for United Arab

Emirates

Criminal record certificate for Philippines

Proof of relationship to your partner - for

example, marriage or civil partnership
certificates

Proof of Ruby Sedilles Zamora's relationship

status as the married or civil partner of Bregier
Agbon Abad

Payment

Post code for BRP collection BT13 3LB

Your BRP collection location Post Office - Belfast City

12 - 16 Bridge Street
Belfast City
Belfast
BT1 1LT

Service Standard service

Immigration Health Surcharge Reference Number IHS196631372

Bregier Agbon Abad's application for Apply for a 594.00 USD

PBS Dependant or Appendix W - Partner visa

Total 594.00 USD

Consent

If your application is successful, there will be I confirm that I understand and accept these
conditions on your visa or leave to remain. This will conditions
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

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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
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

Information you do not have to provide

You do not need to prove maintenance because your sponsor is certifying your maintenance

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

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