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ApplicationSummary

VISASIRELAND

FOROFFICIALUSEONLY

ApplicationReference/TransactionNumber:

21924182

TypeofVisa:

ShortStay

JourneyType:

MultipleJourney

VisaCategory:

VisitFamily/Friend

Surname:

FINOLGARCIA

Forename:

ALICIAMARGARITA

Othernames:
DateofBirth:

21/10/1945

Gender:

Female

Nationality:

Venezuela

Passport/TravelDocumentNumber:

051573623

IssueDate:

10/11/2011

ExpiryDate:

09/11/2016

DatesofTravelFrom:

09/11/2015

DatesofTravelTo:

27/01/2016

Pleasenotetheaddress/contactdetailsoftheIrishEmbassy/Consulate/VisaOfficetowhich
yourapplicationhasbeensent.
EmbassyofIreland,76Cda.BoulevardAvilaCamacho
Pis03,Col.LomasdeChapultepec
C.P.11000MexicoD.F
Mexico
PhoneNo:00525555205803
Email:mexicovisa@dfa.ie
Website:http://www.irishembassy.com.mx
Pleasecheckabovewebsitefordetailsofwhereyoushouldnowsubmitthefollowing
documentation,togetherwiththerelevantvisafee.Documentsmustbesubmittedwithin30
daysofcompletingyouronlineapplication.
1. Printedandsignedapplicationsummarysheet
2. Originalpassport
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3. Passportsizedcolourphotographs
4. Evidenceofpaymentofthevisafee(unlessyouarefeeexempt)
5. Supportingdocumentsfortherelevantvisacategory(Seewww.inis.gov.ieformoreinformation.
IfyouareapplyingtotheVisasOfficesinAbuja,AbuDhabi,Beijing,London,MoscoworTurkey
pleasechecktherelevantwebsiteforanyadditionallocalrequirements)
6. AllsupportingdocumentationmustbeinEnglishoraccompaniedbyanotarisedtranslation
Pleasenotethatyourapplicationwillbeheldonlinefor30daysanditcanberetrievedand
printedanytimeduringthisperiod.However,itwillnotbepossibleforyoutomakechanges
toanyofthedetailsyouhaveprovided.Ifyouneedtoadviseusofanythingyouhaveomitted
orincorrectlyentered,youshouldsubmitthisinformationinwritingtotheEmbassy/Consulate
orVisaOfficeshownabove,withyoursupportingdocumentation.
DECLARATIONBYAPPLICANT
Youmustnowreadthedeclarationbelowandsignit.Thismustbesignedbytheapplicant
personally.
Anapplicationforapersonundertheageof18shouldbecompletedbytheparentorlegal
guardian.
DECLARATION
IherebyapplyforavisatoIreland.TheinformationIhavegiveniscompleteandistruetothebestof
myknowledge.Ialsodeclarethatthephotographsubmittedwiththisformisatruelikenessofme,the
applicant.Iconfirmthatif,beforetheapplicationisdecided,thereisamaterialchangeinmy
circumstancesornewinformationrelevanttothisapplicationbecomesavailable,Iwillinformthe
Embassy/Consulate/VisaOfficehandlingmyapplication.
IunderstandthatImayberequiredtoprovidemybiometricinformation(fingerprintsandfacialimage)
beforemyapplicationwillbeprocessedandthatanysuchinformation,togetherwithmybiographical
information,willbecollectedbytheUnitedKingdomHomeOfficeoranotherauthorisedagentonbehalf
oftheIrishNaturalisationandImmigrationServiceoftheDepartmentofJusticeandEquality.Iagree
andconsenttothisprocessandtoprovidemybiometricinformationifrequired.
IamawarethattheIrishNaturalisationandImmigrationService,DepartmentofJusticeandEqualityis
thedatacontrollerofthepersonaldatasuppliedforthepurposesofthisapplication.Iconsenttothe
personaldatasuppliedbeingprocessedbytheIrishNaturalisationandImmigrationService,the
DepartmentofForeignAffairsandTradeandanyotherbodiesinaccordancewithIrishlawincluding
dataprotectionlawforthepurposesofpromotingtheinterestsofIrelandanditscitizens,maintainingfair
andeffectiveimmigrationcontrols,includingconfirming/establishingidentityand/orimmigration
history/criminalhistory,andpreservingandstrengtheningtheCommonTravelArea.Iconsenttothe
personaldataprovidedbeingretainedbytheIrishNaturalisationandImmigrationServiceforfurther
processingfortheabovestatedpurposes.Iconsenttomybiometricand/orbiographicalinformation
beingsharedwithandretainedbytheUnitedKingdomHomeOfficeforfurtherprocessinginaccordance
withthelawforthepurposeofmaintainingfairandeffectiveimmigrationcontrolsacrosstheCommon
TravelArea.
Iagreethatthedatainmyapplication,and/oranyfurtherdatasupplied,includingbiometricinformation
andtheresultsofcheckscarriedoutonrelevantdatabases,maybedisclosedtootherIrishGovernment
Departmentsand/orAgencies,includingAnGardaSochna(IrishPolice),aswellastopublic
authoritiesoftheMemberStatesoftheEuropeanUnion/EEAand/orotherStates,includingforthe
purposeofconfirmingidentityand/orimmigrationhistory/criminalhistory.
IunderstandthatImayberecordedbyelectronicmeans(CCTV)whenIattendatacentreforthe
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ApplicationSummary

purposeofprovidingmybiometricsandbiographicaldetailsorlodgingmydocumentsandthatanysuch
recordingsmayberetainedforthepurposeofmaintainingtheintegrityofthevisaapplicationprocess.
Iunderstandthatadditionalinformationmayberequiredbeforemyapplicationcanbeprocessed.I
understandthatfailuretoprovidesuchdata,ifrequestedtodosobytheEmbassy/Consulate/Visa
Office,mayresultintherefusalofmyapplication.
Iunderstandthatanyfalseormisleadinginformation,orfalsesupportingdocumentation,mayresultin
therefusalofmyapplicationwithouttherightofappeal,andthatthismayresultinmebeingprevented
frommakingfurthervisaapplicationsforaperiodofuptofiveyears.
IalsounderstandthatifIhaveincorrectlyclaimedtobeexemptfromtherequirementtoprovide
biometricsmyapplicationmayberefusedwithouttherightofappeal,andImaybepreventedfrom
makingfurthervisaapplicationsforaperiodofuptofiveyears.
IagreethattheoutcomeofthisvisaapplicationmaybemadeavailabletotheUnitedKingdomHome
OfficeforthepurposeofpreservingtheintegrityoftheCommonTravelArea.
Iagreethattheapplicationformandsupportingdocumentation,orcopiesthereof,maybeconveyedto
theIrishdecidingauthoritybyreasonablemeansasconsideredappropriatebythereceivingoffice,
includingcommercialcourier(insealedpackage)orotherpostalorelectronicmeans.
IagreetobecontactedbytheIrishNaturalisationandImmigrationServiceoftheDepartmentofJustice
andEqualityforthepurposesofconductingpolicyresearchand/orcustomerfeedbacksurveys.Any
additionalinformationprovidedwillbeusedsolelyforthispurpose.
Iagreethattheconsentsinthisdeclarationshallconstituteallnecessaryconsentsforthepurposesof
anylegalrequirementwhatsoeverforthepurposesofthisvisaapplication.
Signatureofapplicant/parentorlegalguardian
(incaseofanapplicantunder18yearsofage)

Date

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