Complete Your Ireland Visa Application Form – IaM (Immigration and Migration)

"*" indicates required fields

Step 1 of 25

What type of visit visa do you want*

Single Entry

Multiple Entry

Single Journey Visa will allow you to seek entry to Ireland on one occasion only. Multiple Journey Visa will allow you to seek entry to Ireland on multiple occasions within the dates shown shown on your visa.

What is the reason for travel?*

It is important that you select the correct reason for travel. If you select an incorrect reason, your application will not be processed by the Irish Government. The application fee is non-refundable.

Purpose of Travel*

Passport Type*

Passport/Travel Document Number*

Proposed dates you wish to enter Ireland*

DD slash MM slash YYYY

Proposed dates you wish to leave Ireland:*

DD slash MM slash YYYY

About the Applicant

Surname

Last

Given name(s)

First

Date of Birth*

DD slash MM slash YYYY

Gender

Male

Female

Country of Birth

Country of Nationality

Current Location

Current Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Your Phone Number

Your Email Address

Current Residency

Length of residence in present country (Years)

Length of residence in present country (Months)

Do you have permission to return to that country after your stay in Ireland?

Yes

Have you applied for an Irish Visa/Preclearance before?

Yes

Have you ever been issued with an Irish Visa/Preclearance before?*

Yes

Please provide the location, transaction number and year of issue*

Have you ever been refused an Irish Visa/Preclearance?*

Yes

If you have been refused before, please provide location of application, year and reference number.*

Have you ever been in Ireland before?*

Yes

If you have ever been in Ireland before, please give details **

Do you have family members living in Ireland?*

Yes

If you have family members living in Ireland, please give details.*

Have you ever been refused permission to enter Ireland before?*

Yes

Have you ever arrived at a port of entry to Ireland and been refused permission to enter the State by an Immigration Officer, whether or not you were in possession of a visa ?

If you've ever been refused permission to enter Ireland before, please give details.*

Have you ever been notified of a deportation order to leave Ireland?*

Yes

If you have ever been notified of a deportation order to leave Ireland, please give details.*

Have you ever been refused a visa to another country?*

Yes

If you have ever been refused a visa to another country, please give details*

Have you ever been refused entry to, deported from, overstayed permission in, or were otherwise required to leave any country?*

Yes

If you have you ever been refused entry to, deported from, overstayed permission in, or were otherwise required to leave any country please give details**

Have you any criminal convictions in any country?*

Yes

If you have had any criminal convictions in any country, please give details.

Passport Details

Passport/Travel Document Number:

Type of Travel Document:

Country or organisation that issued the travel document.

Date of Issue:*

DD slash MM slash YYYY

Date of Expiry:*

DD slash MM slash YYYY

Is this your first Passport?*

Yes

Occupation Details

Are you currently employed in your country of residence*

Yes

Current Employer:*

Name of Employer

Duration Of Employment: (|Years)*

Duration Of Employment: (|months)*

Position Held:*

What is your work address?

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Employer's Phone:

Employer's Email:

Are you currently a student in your country of residence **

Yes

Name of school or college:*

What is your School/College address?

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

School/College Phone:

School/College Email:

Travel Partners

Will you be travelling with any other person e.g. business colleague, family member, group?*

Yes

Lead Person or Group Leader*

Name of Person 1

Relationship*

Relationship to Applicant

Person 2

Name of Person

Person 2 Relationship*

Relationship to Applicant

Person 3

Name of Person

Person 3 Relationship*

Relationship to Applicant

Person 4

Name of Person

Person 4 Relationship*

Relationship to Applicant

Person 5

Name of Person

Person 5 Relationship*

Relationship to Applicant

Accommodation in Ireland

Contact details for Contact / Host in Ireland. If you are applying for a short stay tourist visa, please give accommodation name and address. If you are applying for any other short stay visa, you must fill out the contact details of your reference in Ireland in this section. If you are applying for a Long Stay Visa/Preclearance, you must fill out the contact details of your reference in Ireland in this section.

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Contact Phone:*

Contact phone in Ireland

Is the contact/host in Ireland personally known to you (e.g: family / Friends) *

Yes

Surname/Family Name (as in passport):*

Forename (as in passport):*

Country of Nationality:*

Occupation:*

Relationship To Applicant:*

Department of Justice Reference number (for non-EEA nationals):

Date

DD slash MM slash YYYY

Email of Family member/Friend in Ireland

Family Details

Personal Status:*

Is your spouse/partner travelling with you?*

Spouse/Partner's Details

Surname / Family Name(as in passport):*

Forenames(as in passport):*

Other Name(s)(Maiden or name at birth):

Date of Birth: **

DD slash MM slash YYYY

If your spouse is travelling with you is it on your passport or his/her own passport?*

Passport Number (Spouse):*

Gender:*

Male

Female

In what country does your spouse/partner currently live?*

How many dependant children do you have? Please provide the details of any dependant children.

Child 1

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

A separate online Visa/Preclearance application must be completed for each dependent intending to travel whether they hold their own passport or are included on yours. A Visa/Preclearance processing fee is payable for each individual application.

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 2

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 3

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 4

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 5

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 6

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 7

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 8

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 9

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Child 10

Is this child travelling with you?

Yes

If yes, is the child travelling on your passport or his/her own passport:

Applicant's Passport

Own Passport

Child's Surname:*

Child's Forename(s):*

Child's Date Of Birth:*

DD slash MM slash YYYY

Child's Gender:*

Male

Female

Child's Nationality:*

Your Payment Details

Payment Method*

Card Payments

Bank Transfer

Choose a way to pay

You will be given the option to complete your payment process via bank transfer methods (including Direct Debit) and you will be issued a paid invoice after receipt of payment.

Preferred Bank Transfer Method*

Direct Debit

Bank Transfer

Choose a way to pay

Make a bank transfer payment via direct debit schemes. Useful if you want for us to take payments for this or any future payments.

To make a payment, you will be taken to a page to set up a direct debit mandate at GoCardless.

Make a bank transfer with your bank yourself.

Please make a transfer to IaM using the following details:

Bank Transfer – 'Gio Legal Services Limited' - Sort Code: 60-83-71, Account Number: 96980958
We will also send you the details via email.

You will be given the opportunity to complete your payment process via either Debit or Credit Card or PayPal.

Card Payments*

Stripe

PayPal

Choose a way to pay

You will be given the opportunity to complete your payment process via PayPal for £147 + TAX (@20%) a total of £176.40 (GBP)

Please note that you will be redirected to PayPal to complete your payment process either via Credit Card or a PayPal Account Transfer or even Paypal Credit (if you qualify).

Payment Method*

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

You will be given the opportunity to complete your payment process via Stripe for £147 + TAX (@20%) a total of £176.40 (GBP)

Credit Card*

The TOTAL you pay:

Price:

Billing Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Is the Card Holder the Applicant?*

Yes

Card Payer's Passport

Max. file size: 200 MB.

For KYC purposes, please upload the card payer's passport

Card Payer's Recent Bank Statement

Max. file size: 200 MB.

For KYC purposes, please upload the card payer's recent bank statement

Card Payer's Proof of Address

Max. file size: 200 MB.

To reduce instances of fraud, please upload a copy of the card payer's utility or bank statement dated within the last 3 months

DECLARATION BY APPLICANT

You must now read the declaration below and tick the box to confirm this.
An application for a person under the age of 18 should be completed by the parent or legal guardian.
DECLARATION

I hereby apply for a visa/preclearance to travel to Ireland. The information I have given is complete and is true to the best of my knowledge. I also declare that the photograph submitted with this form is a true likeness of me, the applicant. I confirm that if, before the application is decided, there is a material change in my circumstances or new information relevant to this application becomes available, I will inform the Embassy/ Consulate/Visa Office handling my application.

I understand that I may be required to provide my biometric information (fingerprints and facial image) before my application will be processed and that any such information, together with my biographical information, will be collected by the United Kingdom Home Office or another authorised agent on behalf of the Irish Naturalisation and Immigration Service of the Department of Justice and Equality.

I understand that I may be recorded by electronic means (CCTV) when I attend at a centre for the purpose of providing my biometrics and biographical details or lodging my documents and that any such recordings may be retained for the purpose of maintaining the integrity of the visa/preclearance application process.

I understand that additional information may be required before my application can be processed. I understand that failure to provide such data, if requested to do so by the Embassy/Consulate/ Visa Office, may result in the refusal of my application.

I understand that any false or misleading information, or false supporting documentation, may result in the refusal of my application and that this may result in me being prevented from making further Irish visa/preclearance applications for a period of up to five years. An appeal, against the decision to refuse to grant the visa/preclearance sought, may not be permitted.

I also understand that if I have incorrectly claimed to be exempt from the requirements to provide biometrics my application may be refused and I may be prevented from making further Irish visa/preclearance applications for a period of up to five years. An appeal, against the decision to refuse to grant the visa/preclearance sought, may not be permitted.

I understand that the outcome of this visa/preclearance application may be made available to the United Kingdom Home Office for the purpose of preserving the integrity of the Common Travel Area.

I understand that the application form and supporting documentation or copies thereof, may be conveyed to the Irish deciding authority as considered appropriate by the receiving office, including commercial courier (in a sealed package) or other postal or electronic means.

By ticking the box I hereby agree to all the above.*

Yes

By ticking the box I hereby agree to the Terms and Conditions of service by IaM*

Yes

Signature*