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Personal Details
Email:
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*Email Required
Telephone Number
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(Include + and the country code. Example +1-703-555-5678):
*Telephone Number Required
Address:
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*Address Required
Postal code or zip code (optional):
City:
*
*City Required
Country:
*
*Country Required
Are you now, a citizen or national of any other country?
*
(Include any nationalities you have had in the past.)
Yes
No
*Required
Country:
*
Please Select
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Do you have a job?
*
(This includes if you are self-employed)
Yes
No
*Required
Enter your job
*
(For example, teacher. If you have more than one job, list all of them):
*
Have you ever had a criminal conviction?
*
Include convictions from any country.
You do not need to tell us about convictions for activities that are legal in the UK, for example trade union membership or same-sex relationships.
Please Select
Yes
No
*Required
Have you been convicted of a crime in the last 12 months?
*
Include convictions from any country.
You do not need to tell us about:
parking fines
speeding tickets
convictions for activities that are legal in the UK, for example trade union membership or same-sex relationships
Please Select
Yes
No
What crime were you convicted of?
*
Give a brief description of the crime
Which country were you convicted in?
*
Were you sentenced to more than 12 months in prison?
*
Please Select
Yes
No
Have you ever had a prison sentence of more than 12 months?
*
Include convictions from any country.
You do not need to tell us about:
any sentences you have already told us about in this application
sentences for activities that are legal in the UK, for example trade union membership or same sex relationships
Please Select
Yes
No
What crime were you convicted of?
*
Give a brief description of the crime
What date were you convicted?
*
Format MM-DD-YYYY
Which country were you convicted in?
*
Have you ever been involved in, or suspected of, any of the following?
*
war crimes, genocide or crimes against humanity
terrorism including support for, or membership of, terrorist groups
supporting extremist groups or
expressing extremist views
Please Select
Yes
No
*Required
War crimes
*
This includes genocide or crimes against humanity.
Please Select
Yes
No
Terrorism
*
This includes support for, or membership of, terrorist groups.
Please Select
Yes
No
Extremism
*
This includes support for extremist groups or expressing extremist views.
Please Select
Yes
No
I confirm that the answers and information in this application are true and correct to the best of my knowledge and belief. I further confirm that I have read and agree with the ''Terms & Conditions" of uketaonlineapplication.com
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*Please Accept Terms & Conditions