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CAYMAN ISLANDS IMMIGRATION LAW 2003 SECTION 52 APPLICATION FOR THE GRANT OF A BUSINESS VISITOR’S PERMIT Please read the accompanying information leaflet before completing this application. The completed application form and prescribed supporting documentation should be sent to: The Chief Immigration Officer, Department of Immigration, P.O. Box 1098GT, Grand Cayman, Cayman Islands. NOTES: This application is in two parts. The prospective worker MUST hold a valid passport. The first part is to be completed by the prospective worker and the second part by the employer. Each question must be completed or answered even if the answer is negative. The prescribed application filing fee and all necessary documents must accompany this application. PART 1 (To be completed by prospective worker) 1. Surname (Last Name) (Capital Letters) Given Names (First Names) 2. Nationality 3. Passport number Date of Issue Place of Issue Date of Expiry 4. Date of Birth Country of birth 5. If you are currently living in the Cayman Islands, your address: 6. If you are not currently living in the Cayman Islands what is your present address: 7. Details of any previous visits to the Cayman Islands and periods of residence 8. Dates and addresses of all places where you have lived for more than 6 months during the past 10 years if other than stated in reply to question 5 or 6. From To Address 9. What is your standard of Education? 10. What professional or technical qualifications do you have? 11. What experience, if any, do you have which is relevant to the job you wish to be employed in? 12. Have you ever previously made an application (whether granted or not) to work in the Cayman Islands? If so, please provide details, dates and state whether the applications were granted or refused. 13. If you are of Caymanian descent or have close connections with the Cayman Islands, either historically, or by marriage to a Caymanian, please provide details, as this will assist in processing your application 14. Have you ever been convicted of a criminal offence? If so, please provide details: Nature of Offence Date Place Sentence 15. Have you ever been actively involved in politics outside the Cayman Islands? If so, please give details including dates of such activities 16. Have you ever had a permit to work refused, revoked or not renewed upon applications in any country during the past 15 years? If so, when, where and for what reason 17. Do you suffer from any disease or infirmity of mind or body? DECLARATION I declare the information contained in this application to be correct to the best of my knowledge and belief and am aware that it is a criminal offence to make a statement or representation that is false in a material particular which I know to be false or do not believe to be true. Signature of prospective worker ………………………………………. Date ……………………………………….. Note: If you have not held a permit or license to work in the Cayman Islands valid within the last 6 months you should attach a police clearance certificate from your home country (or last place of residence) issued within 6 months of this application (a resident of the United Kingdom may submit a sworn affidavit). 1 FULL FACE 1 PROFILE PHOTOGRAPH PHOTOGRAPH with name and date with name and date of birth clearly of birth clearly printed on back printed on back
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