New Delhi Visa Office, Embassy of Ireland

Supplementary Employment Application Form

You MUST complete this form in full. If there are significant omissions your application may be returned to you
WITHOUT a decision, or REFUSED for failing to supply sufficient information.
If there is insufficient space in any section please attach a separate sheet.

Declaration

Surname Given Name

Passport Number Visa Ref. No.

Passport expiry date Place of birth

*
Date of Birth Nationality

*If your passport expires within 12 months of making your visa application, you will need to apply for a new passport before
making your visa application. Your passport must be valid for 12 months from the date that you arrive in Ireland.

I hereby apply for a visa to work in Ireland. In signing this declaration I am undertaking that:
I understand the questions and content of this form. The information I have given is true and correct. All documentation I am
submitting with my application is authentic and does not contain any false or misleading information. Where any documents are
not in English I have included a notarised translation.

I understand that providing false and misleading documents or information may lead to my application being refused without the
right to an appeal and I confirm I will observe the conditions of my visa (if granted). I will only work for the employer named on
the employment permit. Should I need to leave the State for any period of time, I will inform the Department of Business,
Enterprise and Innovation, and the Irish Naturalisation and Immigration Service before I leave the State. I will not attempt to
enter Northern Ireland, the United Kingdom, or any other State without obtaining the necessary visas from the relevant
authorities and I will leave Ireland on the expiry of my permit, unless my permission has been renewed.

I understand that any breach of these conditions may lead to my removal from the State.

Signed Date

For Date SEAF Previous Qualifications PCC Med Work Employment Start Documents Interview Immigration
Office received Completed Employment Ins Permit offer letter & date submitted required checks
Use or contract &
ATWS completed
Only

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 Personal and Family Details
1. Personal Contact Details
Mobile Landline

Drivers licence no Voter card no

Your TIN No (if Your GST No (if

applicable) applicable)
Valid Email Address

Current Address

2. Immediate Family Members Details ( Parents, Siblings, Spouse & Dependent Children)
Full Name Relationship Occupation Phone & Email Address Permanent/current address

3. Do you have any family members living in Ireland? If yes, provide details
Full Name Relationship Occupation Phone & Email Address GNIB No/IRP

4. Do you have family members living in any other country? If yes, provide details below
Full Name Relationship Occupation Phone & Email Address Permanent/current address

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 5. If you have EVER been refused a visa for any country provide details below.
Country Application reference Date and place of Visa Type and main refusal reason: (enclose a copy
application of the refusal letter)

Failure to provide full details may result in delays in your application whilst details are verified.

6. If you have EVER been refused entry to, or required to leave any country provide details below
Country Date Details

Education / Employment
7. Provide details of your education and qualifications listing from most recent qualifications first
Name of Dates Qualification obtained, graduation Contact Details
School/College/university from/to date & Name of Education Board Address/Email/Tel/Website

8. Provide details of your employment history since completing your formal education
Name of Employer Dates Position and salary Contact Details
from/to Address/Email/Tel/Website

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 9. Provide details of your current employment or if currently unemployed your last employer, of if self -
employed, details of that employment
Name of Employer Dates from/to Position and salary Name & Title of contact person
& their telephone/mobile
number and email address

Employer’s address Employer’s website Employer’s TIN No (if Employer’s GST No (if applicable)
applicable)

Provide details of all your Have you submitted Have you ever visited, lived, Who is responsible for the cost
tasks and responsibilities in your salary slips or studied or worked in Ireland – of your flights to Ireland
your current role ITRs and 6 months provide details
of bank statements

10. Provide details of where you intend to work in Ireland

Name of employer Position Salary details

Start Date Permit Holder/ATWS Employment Permit Class

ID/Researcher No

Employment Permit /ATWS No Duration of permit Employer’s address

Employment Sector Place of Employment Qualifications & experience required for position

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 Family Details
All applicants must complete this section
11. Self *insert N/A if they don’t apply to you
Name Married of Single

Spouse’s name Spouse’s Date of Birth

How many children do How many children are

you have? dependent on you
Occupation Spouse’s Occupation

Will your family be Spouse’s monthly salary

accompanying you to
Ireland, if yes, provide
their names
Applicant’s bank name Is this an online internet bank Applicant’s ITR Pan No &ITR E-Acknowledgement
account? number

Sponsor’s date of birth (if Sponsor’s bank name – is this Sponsor’s ITR Pan No &ITR E-Acknowledgement
applicable) an online internet bank number
account?

Irish Employment Details

12. Employer in Ireland
Name Relationship

Company Registration No Expiry date

Mobile Email

Where was the job

advertised in Ireland and
when?

How were you recruited for

the position?

Date you were interviewed Was a recruitment

for position agency used

13. If you are using the services of an Agent please complete here
Company Name
Contact Name
Email Landline

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 New Delhi Visa Office, Embassy of Ireland
Supplementary Employment Form Guidance
You MUST complete this form in full. . This form will also be used by VFS if you avail of the VFS Check & Verify Service to
verify your application. If there are significant omissions your application may be returned to you WITHOUT a decision, or
REFUSED for failing to supply sufficient information.
If there is insufficient space in any section please attach a separate sheet.
You must submit all the relevant documentation with your application for verification purposes. The Visa Office will not
contact you if there are missing documents and this may lead to a refusal if the application cannot be verified.

THIS APPLICATION FORM IS TO BE COMPLETED IF YOU INTEND TO VISIT IRELAND IF YOU INTEND TO
PARTICIPATE OR ATTEND A TOURNAMENT, PERFORMANCE, EVENT OR FOR ANY OTHER REASON

The 1st page must be fully completed, signed and dated by the applicant. The For Office Use Only
box at the bottom of the form is to be left blank for the New Delhi Visa Office to complete.

Page 2:
 A valid mobile number must be provided for the visa office to contact you.
 Use an additional page if this is required for part 2, 3 and 4.
 If you have a drivers licence, voter card, TIN or GST number these must be provided and a
copy submitted to the Visa Office

Page 3:
 You must provide full disclosure of any adverse immigration history in part 5 and 6. Failure
to do so will result in your application being refused and a five year ban preventing you from
making an Irish visa for five years.
 All your education details should be completed in part 7 if you are a student.
 All your employment details need to be completed in part 8 if you are working.

Page 4:
 Complete the Employment details

Page 5:
 Complete the family details and sponsor details.
 Complete the Sponsor details if the sponsor’s details are being verified by VFS Check & Verify
Service.
 If you used an agent to apply for an Irish visa and submit your application, then you must
provide all these details on page 5.

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 Visa for Ireland - India
How to present your documents to the New Delhi Visa Office
You must tab your application from 1 to 11 in the following order (with 1 being the top document and 11 being the
last document) when you are submitting your application to VFS/Consulate or the New Delhi Visa Office in order for
the Visa office to be able to consider your application in an efficient manner. If it is not tabbed in the order outlined
below, it may take longer to process your application.

1. Application Summary Avats Summary Sheet Signed avats summary sheet

VFS cover sheets Signed Visa Ireland Cover sheet
VFS Check and Verify Signed C&V Forms
documents
C&V reports
. Supplementary application Fully completed
form
Police Clearance Certificates If applicable
Immigration Documents Previous refusal letters, immigration letters,
residence cards from the applicant
2. Host in Ireland Invitation letter from host Any documentation relating to the visit from the
Documents host in Ireland
Immigration Documents Passport copy of host. Current and previous
immigration letters & residence card of host if they
are not an EEA citizen
Accommodation details If the person is going to Ireland as a tourist
3 English language test If applicable Required for students and some employment visas
result
4. Insurance cover Travel insurance For short stay applications
Medical insurance For long stay applications
5. Applicant’s cover letter Applicants letter Required for all applications
Agent/legal letter Signed authorised letter from applicant is required
stating the applicant is using an agent or legal rep
6. Financial documents Required for all applicants Financial documents from Applicant
Financial documents from sponsor/host if the
sponsor or host is providing financial support for
this trip
7. Employment Required for all applicant who Employment letter, payslips, tax certs from
Documents are working applicant
Employment letter, payslips, tax certs from
sponsor/host if the sponsor or host is providing
financial support for this trip
8. Educational documents Required for student and some All educational documents from the applicant
employment applications
9. Applicant’s passport Copies of all passport pages Current and previous passports
10. Miscellaneous All other documents submitted Any other documents which do not come under any
of the above headings.