Partnering Governments. Providing Solutions.
CHECK & VERIFY FORM
Please fill in the details with utmost attention, You MUST complete this form in full. Any
incorrect or missing information may led to verification refusal. If there is insufficient
space in any section please attach a separate sheet.
Visa Ref. Number IRL59145072 VISA category Long Stay
1. Personal Details
Sharma Harekrishna
Surname Given Name
Mr. Vijay Sharma S1659647
Father’s Name* Passport Number
Burhanpuram Date of Birth 13/04/2000
Place of birth* (dd/mm/yy)
+91-9826651270 Email Address Harekrishna13@gmail.com
Mobile/Landline
(Applicant)*
Current Address
Maharshi Dayanand ward, Burhanpuram , Madhya Pradesh
City - Burhanpur
Pin code* - 450321 Country - India
Permanent Address
Maharshi Dayanand ward, Burhanpuram , Madhya Pradesh
City - Burhanpur Pin code* - 450321 Country - India
Voter card no / Driving license GST / TIN No (if applicable)
no*- MP60N-2018-0030034
2. Immediate Family Members Details ( Parents, Spouse & Dependent Children)
Full Name Relationship Occupation Phone & Email Address Permanent/current address
Mr. Vijay Father Government- +91-9434343385 & Maharshi Dayanand ward,
Sharma Employee vijaykrishna@gmail.co m Burhanpuram , Madhya Pradesh,
450321
Mrs. Manju Mother House wife +91-9409951641 & Maharshi Dayanand ward,
Sharma manju@gmail.com Burhanpuram , Madhya Pradesh,
450321
Ms. Sejal Sister Data Scientist +91-770980147 & Maharshi Dayanand ward,
Sharma shahsej@gmail.com Burhanpuram , Madhya Pradesh,
450321
All fields are mandatory Strictly Private & Confidential
1
Ver/1/VFS/MG/06/23
Partnering Governments. Providing Solutions.
3. Do you have any sponsor from Ireland? If yes, please provide details
Full Name Relationship Occupation Phone & Email Address GNIB No/IRP & Address
N/A N/A N/A N/A
N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
4. Provide details of your education and qualifications (listing from most recent qualifications
first).
Qualification
Name of Contact Details
Dates from Dates to obtained & Name of
School/College/university Address/Email/Tel/Website*
Education Board
SRM University-AP, 23/07/2018 13/06/2022 Bachelor of Neerukonda – Kuragallu Village Mangalagiri
Mandal Guntur District, Andhra Pradesh – 522502
Andhra Pradesh Technology in
Tel:: +91-8632343000
Computer Science Email:
Engineering Website:
Macro Vision Academy 10/05/2017 26/05/2018 Senior Secondary Mohammadpura, Behind Mahila Polytechnic College,
Burhanpuram
Tel: +91-8632343000
Email: // Website:
Macro Vision Academy 20/04/2015 28/05/2016 Secondary Education Mohammadpura, Behind Mahila Polytechnic
College,Burhanpur & +91-9300110033
Email: // Website:
5. Provide details of your employment history since completing your formal education.
Contact Details
Name of Employer Dates from Dates to Position and salary Address/Email/Tel/Website*
Intelligence InfoTech Private 01/12/2022 01/07/2023 Internship – Data Contact Name - Vishal Sonawal
Ltd, Pune, Maharashtra, India Analytics with python Contact Number - +91 8208031535
Address -
Office Number 103A, Haware Grand
Heritage, opp. Ambience Hotel, Near
Kalewadi Phata, Wakad, Pimpri-
Chinchwad, Wakad, Maharashtra
411057
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
6. Provide details of your current employment (If self – Employed, please mention details).
Name of Employer Dates from Dates to Position and salary Employer’s website
01/12/2022 01/07/2023 Internship - Data
Itelligence InfoTech https://etlhive.com/wakad/
Private Analytics with
Ltd, Pune, Maharashtra, Python
All fields are mandatory Strictly Private & Confidential
2
Ver/1/VFS/MG/06/23
Partnering Governments. Providing Solutions.
Employer’s address Name & Title of contact person & their telephone/mobile
number and email address*
Office Number 103A, Haware Grand Heritage,
opp. Ambience Contact Name - Vishal Sonawal
Hotel, Near Kalewadi Phata, Wakad, Contact Number - +91 8208031535
PimpriChinchwad, Wakad, Maharashtra 411057 Title - HR Executive
Email- vishals.etlhive@gmail.com
All fields are mandatory Strictly Private & Confidential
3
Ver/1/VFS/MG/06/23
Partnering Governments. Providing Solutions.
7. Main Sponsor (1) – (you must submit your ITRs and all financial documentation for the
Visa Office to verify the information you have provided for below person).
Name Mrs. Manju Sharma Relationship Mother
Date of Birth* 07/08/1974 Pan Number* BJQPH0750J
Mobile / landline +91-9425959841 Email (Sponsor)* Manjus@gmail.com
Maharshi Dayanand ward, Burhanpuram , Madhya Pradesh, Pin : 450329
Home Address
Employer/Business N/A
Address & Contact
details
Bank Name – 1. ITR E-Acknowledgement
number 834098050132722
SBI & ppf A/C
- 35974319325
Branch - BURHANPURAM
Branch code - SBIN0000008
Bank Name – 2.
Sponsor’s Declaration and Authorization:
I hereby confirm that I am willing to sponsor Harekrishna Sharma as indicated above. I authorize the
financial institutions listed above to reply to any requests for information concerning my bank account/ loanaccount/
fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.
Signed Date
12/07/2023
Main Sponsor (2) – (you must submit your ITRs and all financial documentation for the Visa
Office, to verify the information you have provided for below person).
Name Vijay Sharma Relationship Father
Date of Birth* 23/06/1971 Pan Number* BDLPS3698H
Mobile / landline +91-9454343385 Email (Sponsor)* Vijaykrishna@gmail.com
Maharshi Dayanand ward, Burhanpuram , Madhya Pradesh, Pin : 450329
Home Address
Employer/Business Superintendent of land records collectorate
Address & Contact Burhanpuram & 07325-254321
details
Bank Name – 1. ITR E-Acknowledgement
SBI Bank & A/C No.- 10434427496 number 830970410164922
Account Name - Vijay Sharma
Branch - Burhanpuram
Branch code - SBIN0000342
Bank Name – 2.
All fields are mandatory Strictly Private & Confidential
4
Ver/1/VFS/MG/06/23
Partnering Governments. Providing Solutions.
Sponsor’s Declaration and Authorization:
I hereby confirm that I am willing to sponsorHarekrishna Sharma as indicated above. I authorize the
financial institutions listed above to reply to any requests for information concerning my bank account/ loanaccount/
fixed deposit account/ provident fund etc. from VFS Global Pvt. Ltd.
Signed Date 12/07/2023
All fields are mandatory Strictly Private & Confidential
5
Ver/1/VFS/MG/06/23
Partnering Governments. Providing Solutions.
Check&Verify (C&V)Service
Customer declaration:
1. I…………………………………………………………….. [FULL NAME OF THE CUSTOMER] wish to use the
Check&Verify Service and I have carefully read and understood the terms and conditions as set out in the
brochure for the Check&Verify Service provided by VFS Global through itself or third parties.
2. I understand and agree that by disclosing my information to VFS Global, who then may share or verify this
information with external agencies, that those external agencies may provide VFS Global with additional
information about me.
3. I understand and agree that VFS Global and its partners have no influence over the decision to issue or refuse
an Ireland visa.
4. I understand and agree that my visa application will be forwarded to the respective diplomatic mission for
processing regardless of whether all verification checks have been completed after making 3 attempts to
conduct each verification check, as mandated.
5. I understand and agree that the service fee payable to VFS is non-refundable and I shall not hold VFS liable or
claim any refund whatsoever and that I have applied for the Check&Verify Service through VFS after fully
understanding the terms and conditions.
Consent:
I consent to the personal information that I have provided in connection with my visa application being
processed by VFS Global and/or its authorized solution partners strictly for the purposes of checking and
verifying this information and that the supporting documentation provided in connection with my visa
application for (Visa Category) is true and accurate.
Customer’s Signature:
Date: Place:
IMPORTANT TO READ: HOW WE SECURELY FETCH YOUR BANK/ITR DETAILS
STEP 1: You will receive an email from Check_Verify@vfsglobal.com containing a secure web link for
Bank Statement/ITR Verification.
STEP 2: You must activate the link to complete the verification process by clicking it. Please be assured this
link is genuine and has adequate safeguards embedded to protect your data. Once opened, the link is active
for 20 minutes only.
STEP 3: Enter your correct IRL reference ID on the secure authentication page. Entering an incorrect IRL
reference ID will not allow you to move forward.
STEP 4: Proceed to an encrypted webpage to enter your bank account/ITR login details and complete the
security process. A maximum of two attempts are allowed for entering the right password. No other party,
including VFS Global, can view login data entered into this secure page. Once the process is complete, and
your bank/ITR e-statement is securely fetched, you will receive a ‘thank you’ message.
VFS Global employs robust and exhaustive data protection safeguards at multiple levels (virtual
and physical) and adheres to the highest standards of data security as per the European Union-
mandated General Data Protection Regulation for completion of this process. In case of any queries
with regards C&V service please write to: Check_VerifySupport@vfsglobal.com
All fields are mandatory Strictly Private & Confidential
6
Ver/1/VFS/MG/06/23
