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Do you take any types of medicine?

How many children do you have?

Where did you receive your current passport?

Why weren’t you allowed into this country two years ago?

Are you married, single or divorced?

What is the first letter of your middle name?

Who do we call if you need help (e.g. your husband, wife or someone related to you)?

Where were you born?

Contact details or person in case of emergency

No. of dependents

Place of issue

Country of origin

Have you ever been refused entry or a visa on a previous occassion?

marital status

Current medications

Middle Initial