DECLARATION
I hereby apply for a visa to Ireland. The information I have given is complete and is true to the best
of my knowledge. I also declare that the photograph submitted with this form 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 Embassy/Consulate/Visa Office handling my application.