EFTA00340759.pdf

From: Lesley Groff <MIMIlle To: Lesley Groff Subject: Leon Black Meeting Notes Date: Tue, 01 Sep 2015 20:13:35 +0000 Leon Black Meeting Sept 2, 2015 9:00am I.Have you been refused a visafor any count?), including the UK in the last 10 years? 2. Have you been deported, removed or otherwise required to leave any count?), including the UK in the last 10 years? 3. Have you ever voluntarily elected to depart the UK? 4. Are you, or have you been subject to, an exclusion orderfirm the UK? 5. Have you ever travelled outside your count?), of residence, excluding the UK, in the last 10 years? Part 1-Passport and Travel Information Passport/Travel Document 6. Family Name/Surname (Ifyou only have one name, please enter it here and in the given name box) 7. Given Names(s)/Forename(s) (I you only have one name, please enter it here and in thefamily name box) 8. Date of Birth 9. Place of Birth 10. Gender 11. Nationality 12. Do you currently hold, or have you ever held, any other nationality or nationalities? 13. Current passport or travel document number EFTA00340759 14. Place of Issue 15. Issuing Authority 16 Date of Issue 17. Date of Expiry 18. Current Location 19. Are you a national of the country in which you are applying? 20. Please enter Details 21. Is this your First Passport? 22. Nationality Document Number Issuing Authority Date of Issue Date of Expiry Is this Document lost, stolen or in your possession? 23. Date of Travel -Country Visited -Reasonfor the Trip -Date of Travel -Country Visited -Reason for the trip -Date of Travel -Country Visited -Reason for the Trip -Date of Travel EFTA00340760 -Country Visited -Reasonfor the Trip -Date of Travel -Country Visited -Reasonfor the Trip -Date of Travel -Country Visited -Reason for the Trip -Date of Travel -Country Visited -Reasonfor the Trip -Date of Travel -Country Visited -Reasonfor the Trip 24. Are you travelling with Anyone? 25. Date of Planned Arrival in the UK 26 How long do you intend to stay in the UK? 27. What is the main address and contact details of where you will be staying whilst in the UK? Part 2 Personal Details and Treavel History Personal Details 28. What is your peimanent residential address and contact details? 29.How long have you lived at this address? EFTA00340761 30. Are you preferred contact details differentform the contact details already provided above? Travel History 31. Have you been issued any visa for the UK, UK overseas territories or commonwealth country in the last 10 years? 32. Type of Visa Issued Date of Issue Date ofExpiry Issuing Authority Type of Visa Issued Date of Issue Date ofExpiry Issuing Authority 33. Have you ever travelled to the UK in the last 10 years? 34. Date ofArrival Departure Date Purpose of the Trip EFTA00340762