I hereby apply for a visa for Ireland. The information I have given is complete and is true to the best of my knowledge. I also declare that the photograph submitted 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 Irish Embassy/Consulate/Visa Office at which I have applied. I understand that any false or misleading information or fraudulent supporting documentation may result in the refusal of my application without the opportunity to appeal.

The Irish Naturalisation and Immigration Service, Department of Justice, Equality and Law Reform/Department of Foreign Affairs will process the personal data on this form and related data for the purposes of promoting the interests of Ireland and its citizens.

I agree that the data in my application may be disclosed to other Irish Government Departments as well as to public authorities of the member states of the European Union/EEA. I agree also that the application form and supporting documentation, or copies thereof, may be conveyed to the Irish deciding authority by reasonable means as considered most appropriate by the receiving office, including commercial courier (in sealed package) or other postal or electronic means.