eea2

15
Version 05/2008 This form is to be used for applications made on or after EEA2 Version 05/2008 - page 1 of 15 EEA2 RESIDENCE CARD APPLICATION FOR A APPLICATION FOR A RESIDENCE CARD IN THE UK RESIDENCE CARD IN THE UK BY BY NON-EUROPEAN ECONOMIC AREA NON-EUROPEAN ECONOMIC AREA (NON-EEA) NATIONAL FAMILY MEMBERS (NON-EEA) NATIONAL FAMILY MEMBERS OF EEA NATIONALS RESIDING IN THE UK OF EEA NATIONALS RESIDING IN THE UK OR BY OR BY NON-SWISS OR NON-EEA NATIONAL NON-SWISS OR NON-EEA NATIONAL FAMILY MEMBERS OF SWISS NATIONALS FAMILY MEMBERS OF SWISS NATIONALS RESIDING IN THE UK RESIDING IN THE UK WORKING TOGETHER TO PROTECT THE PUBLIC Please read the guidance notes at the front of this form before making your application. Our application forms change periodically. If you obtain this form some time before applying, please check that it is still the version which must be used when you are ready to apply. There is no fee for an application on this form. For information about other EEA forms, see page 4. If you need help in completing this form telephone 0845 010 5200. Applications on this form may only be made by post. You must send your application to the following address: UK Border Agency European Applications EEA2 PO Box 306 Dept 45 Liverpool L2 0QN

Upload: mashkiach

Post on 08-Sep-2014

205 views

Category:

Documents


3 download

TRANSCRIPT

Page 1: eea2

VVeerrssiioonn 0055//22000088

TThhiiss ffoorrmm iissttoo bbee uusseedd ffoorr aapppplliiccaattiioonnssmmaaddee oonn oorr aafftteerr

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 11 ooff 1155

EEEEAA22RREESSIIDDEENNCCEE

CCAARRDD

AAPP PP LL II CC AA TT II OONN FF OO RR AAAAPPPP LL II CC AA TT II OONN FF OORR AARR EE SS II DD EE NNCC EE CC AARRDD II NN TT HH EE UUKK RR EE SS II DD EENN CC EE CC AARRDD II NN TT HH EE UU KK

BB YYBB YYNNOONN -- EE UU RROOPP EEAANN EE CC OONNOOMM II CC AARR EE AA NNOO NN -- EE UURROOPP EE AANN EE CCOONNOOMM II CC AARR EEAA

(( NN OONN -- EE EE AA )) NN AA TT II OO NNAA LL FF AAMM II LL YY MMEEMMBBEERRSS(( NNOONN -- EE EE AA )) NNAA TT II OONNAA LL FF AAMM II LL YY MMEEMMBBEE RRSSOO FF EE EE AA NN AA TT II OONNAA LL SS RR EE SS II DD II NN GG II NN TT HH EE UUKKOO FF EE EE AA NNAA TT II OONNAA LL SS RR EE SS II DD II NNGG II NN TT HH EE UU KK

OORR BB YYOORR BB YYNNOONN -- SSWW II SS SS OORR NNOO NN -- EE EE AA NN AA TT II OO NNAA LL NNOONN -- SSWW II SS SS OORR NNOONN -- EE EE AA NNAA TT II OONNAA LL

FF AA MM II LL YY MMEEMMBBEE RRSS OO FF SSWW II SS SS NNAA TT II OONNAA LL SSFF AAMM II LL YY MMEEMMBB EERRSS OO FF SSWW II SS SS NN AA TT II OO NNAA LL SSRR EE SS II DD II NNGG II NN TT HH EE UU KKRR EE SS II DD II NN GG II NN TT HH EE UUKK

WWOORRKKIINNGG TTOOGGEETTHHEERR TTOO PPRROOTTEECCTT TTHHEE PPUUBBLLIICC

PPlleeaassee rreeaadd tthhee gguuiiddaannccee nnootteess aatt tthhee ffrroonntt ooff tthhiiss ffoorrmm bbeeffoorree mmaakkiinnggyyoouurr aapppplliiccaattiioonn..

OOuurr aapppplliiccaattiioonn ffoorrmmss cchhaannggee ppeerriiooddiiccaallllyy.. IIff yyoouu oobbttaaiinn tthhiiss ffoorrmm ssoommeettiimmee bbeeffoorree aappppllyyiinngg,, pplleeaassee cchheecckk tthhaatt iitt iiss ssttiillll tthhee vveerrssiioonn wwhhiicchh mmuussttbbee uusseedd wwhheenn yyoouu aarree rreeaaddyy ttoo aappppllyy..

TThheerree iiss nnoo ffeeee ffoorr aann aapppplliiccaattiioonn oonn tthhiiss ffoorrmm..

FFoorr iinnffoorrmmaattiioonn aabboouutt ootthheerr EEEEAA ffoorrmmss,, sseeee ppaaggee 44..

IIff yyoouu nneeeedd hheellpp iinn ccoommpplleettiinngg tthhiiss ffoorrmm tteelleepphhoonnee 00884455 001100 55220000..

AApppplliiccaattiioonnss oonn tthhiiss ffoorrmm mmaayy oonnllyy bbee mmaaddee bbyy ppoosstt..

YYoouu mmuusstt sseenndd yyoouurr aapppplliiccaattiioonn ttoo tthhee ffoolllloowwiinngg aaddddrreessss::

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA22PPOO BBooxx 330066 DDeepptt 4455LLiivveerrppoooollLL22 00QQNN

Page 2: eea2

FFOORRMM EEEEAA22 :: GGUUIIDDAANNCCEE NNOOTTEESS 11 FFOORR WWHHIICCHH AAPPPPLLIICCAATTIIOONNSS SSHHOOUULLDD YYOOUU UUSSEE FFOORRMMEEEEAA22??

TToo aappppllyy ffoorr aa rreessiiddeennccee ccaarrdd aass ccoonnffiirrmmaattiioonn ooff aa rriigghhtt ttoorreessiiddee aass aa nnoonn--EEEEAA nnaattiioonnaall ffaammiillyy mmeemmbbeerr ooff aann EEEEAAnnaattiioonnaall wwhhoo iiss eexxeerrcciissiinngg TTrreeaattyy rriigghhttss iinn tthhee UUKK oorr ffoorr ppeerr--mmaanntt rreessiiddeennccee iinn tthhiiss ccaappaacciittyy. See part 14 of these notesfor information about Treaty rights.

You may include your family members in the application ifthey are also non-EEA nationals.

A non-EEA national is a national of a country which is notpart of the European Economic Area.

TToo aappppllyy ffoorr aa rreessiiddeennccee ccaarrdd aass ccoonnffiirrmmaattiioonn ooff aa rriigghhtt ttoorreessiiddee aass aa nnoonn--SSwwiissss oorr nnoonn--EEEEAA nnaattiioonnaall ffaammiillyy mmeemmbbeerrooff aa SSwwiissss nnaattiioonnaall rreessiiddiinngg iinn tthhee UUKK oorr ffoorr ppeerrmmaanneenntt rreessii--ddeennccee iinn tthhiiss ccaappaacciittyy.

You may include your family members in the application ifthey are also non-Swiss or non-EEA nationals.

Although Switzerland is not a Member State of the EEA theAgreement between the European Community, its MemberStates and the Swiss Confederation on the free movementof persons gives similar rights of residence to the familymembers of Swiss nationals who are not themselves eitherSwiss or EEA nationals.

You and any family members included in the applicationmust be in the UK to apply.

22 RREELLEEVVAANNTT UUKK LLEEGGIISSLLAATTIIOONN

The relevant legislation for applications on this form is TheImmigration (European Economic Area) Regulations 2006.You can consult it on our website at wwwwww..uukkbbaa..hhoommeeooffffiiccee..ggoovv..uukk or obtain a copy from HMSO.

33 WWHHOO CCAANN AAPPPPLLYY OONN TTHHIISS FFOORRMM??

Only non-EEA or non-Swiss family members of EEA or Swissnationals residing in the UK.

44 WWHHEENN TTOO AAPPPPLLYY

You may apply at any time during your lawful stay in the UK.If you apply when you are here unlawfully, that will be takeninto consideration in deciding your application.

55 MMAAKKIINNGG SSUURREE YYOOUURR AAPPPPLLIICCAATTIIOONN IISS CCOOMMPPLLEETTEE

Your application will be delayed if it is incomplete. To avoidthat, you must:

mmaakkee iitt oonn tthhee ccuurrrreenntt vveerrssiioonn ooff EEEEAA22

pprroovviiddee aallll tthhee pphhoottooggrraapphhss ooff yyoouurrsseellff aanndd aannyy ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn aass ssppeecciiffiieedd iinn tthhee ffoorrmm

pprroovviiddee aallll ddooccuummeennttss ssppeecciiffiieedd iinn tthhee ffoorrmm

ccoommpplleettee aallll sseeccttiioonnss ooff tthhee ffoorrmm aass rreeqquuiirreedd

ssiiggnn aanndd ddaattee tthhee ddeeccllaarraattiioonn iinn tthhee ffoorrmm..

66 CCOOMMPPLLEETTIINNGG TTHHEE FFOORRMM

Please note the following guidance and information whenyou complete the form.

UUssee aa bbllaacckk ppeenn to complete the form - and capital letters fornames, addresses and similar details.

CCoommpplleettee aallll sseeccttiioonnss as required, including the PersonalHistory section.

SSeeccttiioonn 11 This is where you give your own details. Leave aspace between each name and part of the address(es)required in this section (do the same where names andaddresses are required in other sections).

SSeeccttiioonnss 11 aanndd 22 It’s essential that you provide the photo-graphs of yourself and your family members included in theapplication. Please use a paper clip in each person’s caseto attach the photographs to the spaces provided. Do notuse staples, glue or any other sticky adhesive. See part 7below for more guidance on photographs.

If there is any difference between the personal details givenin these sections and those contained in your and/or yourfamily member(s) passports of identity cards, we will alwaysuse those given in the passport(s) or identity card(s).

AAllll sseeccttiioonnss If you are at present unable to provide any ofthe information or details requested in any of the relevantsections, please explain the reasons in a letter and encloseit with the application form. If you need help with any of thequestions, you can seek advice by telephoning 00884455 00110055220000..

SSeeccttiioonn 99 This section lists the documents and photo-graphs which you have to provide. If you can’t provide any ofthe documents specified in the application form, pleaseexplain why in a letter with the form and say when you willbe able to provide them. See part 8 below for more guid-ance on documents.

Ensure that your passport or identity card and those of anyfamily members included in the application are signed asrequired.

SSeeccttiioonn 1100 You must sign and date the declaration. If youdon’t, it will delay your application.

77 PPHHOOTTOOGGRRAAPPHHSS

You must provide the following photographs:

TTwwoo iiddeennttiiccaall ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff yyoouurrsseellffwwiitthh yyoouurr nnaammee wwrriitttteenn oonn tthhee bbaacckk ooff eeaacchh oonnee..

TTwwoo iiddeennttiiccaall ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff aannyy ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn wwiitthh tthheeiirr nnaammeess wwrriitttteenn oonn tthhee bbaacckk ooff eeaacchh oonnee..

The photographs should be in colour, recent (within the lastmonth), and approximately 45 millimetres high and 35 mil-limetres wide, the size of a passport photo.

Each photograph must show the individual’s full face clearlyagainst a light background. Sunglasses are not acceptable.Nor is any head covering unless this has to be worn for religious or cultural reasons. But if the covering conceals the face, this will not be acceptable.

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 22 ooff 1155

Page 3: eea2

FFOORRMM EEEEAA22 -- GGUUIIDDAANNCCEE NNOOTTEESSUse one staple or paper clip in each person’s case toattach the photographs to the spaces provided. When sta-pling, do so at the edge of the photograph so as not todamage the image of the face. DDoo nnoott uussee,, gglluuee oorr aannyyootthheerr ssttiicckkyy aaddhheessiivvee ttoo aattttaacchh tthheemm..

If the application(s) is/are successful, the photograph(s)provided will be reproduced in your and your family mem-bers’ residence card(s).

88 DDOOCCUUMMEENNTTSS

TThhee ddooccuummeennttss pprroovviiddeedd wwiitthh tthhee aapppplliiccaattiioonn mmuusstt bbee oorriiggii--nnaallss..

Copies of any kind are not acceptable unless there are validreasons for not being able to provide the original document.In such circumstances, we may accept a copy certified by thebody or authority which issued the original (for example, acopy of a savings book certified by the building society orbank), or by a notary.

The reasons for not being able to provide the original docu-ment must be explained in a covering letter. As a rule, we areunlikely to be able to grant your application without the orig-inal document.

Any documents which are not in English must be accompa-nied by a reliable English translation.

Make sure passports or identity cards are signed.

99 AAPPPPLLYYIINNGG BBYY PPOOSSTT -- TTHHEE AADDDDRREESSSS

The address to which you must post an application on formEEA2 is:

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA22PPOO BBooxx 330066DDeepptt 4455LLiivveerrppoooollLL22 00QQNN

Posting it to any other address will delay it.

Please also use this address for any other correspondenceabout your application. Applications on this form have to bemade by post. TThheeyy ccaannnnoott bbee mmaaddee iinn ppeerrssoonn aatt aannyy ooff oouurrppuubblliicc eennqquuiirryy ooffffiicceess aass wwee ddoo nnoott ooffffeerr tthhiiss sseerrvviiccee ffoorraapppplliiccaattiioonnss mmaaddee oonn ffoorrmm EEEEAA22..

If you use Recorded or Special Delivery, this will help us torecord the receipt of your application. Please make surethat you keep the Recorded or Special Delivery number.

We will return your passport(s) and other documents byRecorded Delivery. If you would like them to be returned bySpecial Delivery, you must provide a prepaid SpecialDelivery envelope which is large enough.

1100 DDEECCIISSIIOONN TTIIMMEESS

We aim to decide applications as soon as possible. Forinformation on the curent processing times for residencecard applications or for permanent residence on form EEA2, see the “EEA/EU nationals” page on our website.

1111 CCOONNTTAACCTTIINNGG UUSS AAFFTTEERR YYOOUU HHAAVVEE AAPPPPLLIIEEDD

If you need to contact us after you have applied please doso as instructed below.

TToo sseenndd uuss mmoorree iinnffoorrmmaattiioonn aabboouutt yyoouurr aapppplliiccaattiioonn, writeto the address in part 9 and give the following details inyour letter:

the applicant’s full name, date of birth and nationality

any Recorded or Special Delivery number

the date on which the application was posted

the Home Office reference number if you have one.

IIff yyoouu nneeeedd yyoouurr ppaassssppoorrtt bbeeccaauussee yyoouu hhaavvee ttoo ttrraavveelluurrggeennttllyy aanndd uunneexxppeecctteeddllyy, call 00884455 001100 55220000 and providethe personal and other details listed immediately above.

1122 OOBBTTAAIINNIINNGG AANNOOTTHHEERR FFOORRMM

You can obtain application forms via the UKBA website atwwwwww..uukkbbaa..hhoommeeooffffiiccee..ggoovv..uukk

1133 OOTTHHEERR TTEELLEEPPHHOONNEE EENNQQUUIIRRIIEESS

For enquiries other than obtaining an application form call00884455 001100 55220000..

1144 YYOOUURR RRIIGGHHTT TTOO RREESSIIDDEE IINN TTHHEE UUKK

The non-EEA family members of an EEA national have aright to reside in the UK if their EEA national family memberis exercising a Treaty right in one of the following cate-gories:

• WWoorrkkeerr:: a person who is pursuing an effective and genuine activity for remuneration as an employed person;

•SSeellff--eemmppllooyyeedd •SSttuuddeenntt•EEccoonnoommiiccaallllyy sseellff--ssuuffffiicciieenntt•RReettiirreedd:: a person who has been economically active; or•IInnccaappaacciittaatteedd:: a person who is permanently incapacitatedand unable to pursue employment, having been economi-cally active.

The following nationals may exercise Treaty rights in theUnited Kingdom:

Austria BelgiumBulgaria** Cyprus*Czech Republic DenmarkEstonia FinlandFrance GermanyGreece HungaryIceland Irish RepublicItaly Latvia Liechtenstein LithuaniaLuxembourg MaltaNetherlands NorwayPoland PortugalRomania** SlovakiaSlovenia SpainSweden Switzerland (but see part 1 of these notes)

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 33 ooff 1155

Page 4: eea2

*A document issued by the Turkish Republic of NorthernCyprus does not establish that the person is an EEA nation-al. Only a document issued by the Republic of Cyprus stat-ing that the holder is a national of the Republic of Cyprusestablishes that the person is an EEA national and accord-ingly entitled to free movement within the EU.

**The nationals of Bulgaria and Romania joined theEuropean Union on 1 January 2007. Guidance and applica-tion forms for Bulgarian and Romanian nationals are to befound at wwwwww..wwoorrkkiinnggiinntthheeuukk..ggoovv..uukk

1155 FFAAMMIILLYY MMEEMMBBEERRSS FFRROOMM TTHHEE AACCCCEESSSSIIOONN SSTTAATTEESS ((tthhiissppaarrtt aapppplliieess oonnllyy ttoo aapppplliiccaattiioonnss ffoorr aa rreessiiddeennccee ccaarrdd))

If your family member (spouse) is a national of one of the 8relevant Accession States i.e the Czech Republic, Estonia,Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia(Cyprus and Malta are exempt), and you are not yourself anEEA national, you will not be eligible for a residence cardunless your family member has completed 12 months’ con-tinuous lawful employment in the United Kingdom and iseligible for a registration certificate.

However, if they are registered under the WorkerRegistration Scheme, you can apply for a family memberresidence stamp on form FMRS, available on our website,and send it to the address given on that form.

1166 OOTTHHEERR EEEEAA FFOORRMMSS

The other EEA forms are as follows:

EEEEAA 11 for registration certificate applications by EEA nation-als and their EEA national or Swiss national family mem-bers and by Swiss national and their Swiss or EEA nationalfamily members

EEEEAA33 for permanent residence applications by EEA nation-als and their EEA or Swiss national family members and bySwiss nationals and their Swiss or EEA national familymembers

EEEEAA44 for permanent residence applications by non-EEAnational or non-Swiss national family members of an EEAnational or Swiss national

FFMMRRSS for residence stamp applications by non-EEA nationalfamily members of persons required to register under theWorker Registration Scheme.

1177 CCHHOOOOSSIINNGG AANN IIMMMMIIGGRRAATTIIOONN AADDVVIISSEERR

If you engage an immigration adviser, you should take carewhen choosing one. The Office of the Immigration Services Commissioner (OISC) regulates immigration advisers. Theirwebsite at wwwwww..ooiisscc..ggoovv..uukk contains a list of authorisedadvisers. It also has links to websites for solicitors, barris-ters and legal executives. If you have a complaint about animmigration adviser or need other information, the OISCcontact details are:

OOffffiiccee ooff tthhee IImmmmiiggrraattiioonn SSeerrvviicceess CCoommmmiissssiioonneerr55tthh FFlloooorr CCoouunnttiinngg HHoouussee5533 TToooolleeyy SSttrreeeettLLoonnddoonn SSEE11 22QQNN

Telephone: 00884455 000000 00004466

Alternatively the Solicitors Regulation Authority, which regu-lates solicitors in England and Wales, can help you find a solic-itor if you contact them on 00887700 660066 22555555 or visit their web-site at wwwwww..ssrraa..oorrgg..uukk

The address and telephone number for any complaints abouta solicitor are:

LLeeggaall CCoommppllaaiinnttss SSeerrvviicceeVViiccttoorriiaa CCoouurrtt88 DDoorrmmeerr PPllaacceeLLeeaammiinnggttoonn SSppaaWWaarrwwiicckksshhiirreeCCVV3322 55AAEE

Telephone: 00884455 660088 66556655

1188 CCOOMMPPLLAAIINNTTSS AABBOOUUTT OOUURR SSEERRVVIICCEE

If you wish to make a complaint about our service, pleaserefer to the complaints page on our website for detailed infor-mation about how to do so.

If you are unable to access the website or if you need furtheradvice after reading the information on the complaints page,please telephone our contact centre on 00884455 001100 55220000.

1199 DDAATTAA PPRROOTTEECCTTIIOONN NNOOTTIICCEE

We will treat all information provided by you in confidencebut may disclose it to other government departments,agencies, local authorities, the police, foreign governmentsand other bodies for immigration purposes or to enablethem to perform their functions.

We may also use the information provided by you for train-ing purposes.

FFOORRMM EEEEAA22 -- GGUUIIDDAANNCCEE NNOOTTEESS

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 44 ooff 1155

Page 5: eea2

EEEEAA22RREESSIIDDEENNCCEE

CCAARRDD

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 55 ooff 1155

Your full name as in your passport or identity card (ID card)

Surname or family name

Passport or identity card number Home Office reference if you have one

11..33

11..44

11..66

Any other name(s) by which you are or have been known

11..77

National insurance number if you have one

11..88

11..99

11..1111

Nationality

Your UK address - please inform us immediately if this changes

Your daytime telephone number

11..1155

Your e-mail address if you have one

Your mobile telephone number if you have one

Post code

SS EE CC TT II OONN 11 -- AA PPPP LL II CC AANN TT ’’ SS DDEE TT AA II LL SS

11..1144

If you have completed 11..1144 and the address is that of your immigration adviser, please state their Office of the ImmigrationServices Commissioner (OISC) number

11..1122

11..55

11..1133

Your title - please tick

Your date of birth

If ootthheerr, what is your title?

OtherMsMissMrs11..11

11..22Day Month Year

Mr

Your gender - please tick Male Female

Post code

Date youlast enteredthe UK

Day Month Year 11..1100

Name and address in the UK for all correspondence about your application if different from 11..1111

SSttaappllee hheerree

Attach two identicalphotographs of you

(the applicant)here with staple or

paper clip

DDoo nnoott uussee gglluuee oorr ootthheerr ssttiicckkyy aaddhheessiivvee

Page 6: eea2

SSEE CC TT II OONN 22 -- NN OONN -- EE EE AA OORR NNOONN -- SSWW II SS SS NN AA TT II OONNAA LL FF AAMM II LL YY MMEEMMBB EERRSSII NN CC LL UUDDEEDD II NN YY OOUU RR AAPP PP LL II CC AA TT II OONN

PPlleeaassee ggiivvee ddeettaaiillss bbeellooww ooff aannyy nnoonn--EEEEAA oorr nnoonn--SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn.. IIff mmoorree tthhaann 33 aarree aappppllyy--iinngg,, pplleeaassee ggiivvee tthheeiirr ddeettaaiillss,, wwiitthh pphhoottooggrraapphhss,, oonn aa ccooppyy ooff tthhiiss ppaaggee aanndd eenncclloossee iitt wwiitthh tthhiiss ffoorrmm..

IIff tthhee ffaammiillyy mmeemmbbeerr iiss yyoouurr cchhiilldd,, pplleeaassee pprroovviiddee ddooccuummeennttaarryy eevviiddeennccee ooff tthhee rreellaattiioonnsshhiipp ((iiee ffuullll bbiirrtthh cceerrttiiffiiccaattee)),, iiff yyoouurr ddeettaaiillss aarreennoott sshhoowwnn iinn tthhee cchhiilldd’’ss ppaassssppoorrtt oorr IIDD ccaarrdd..

IIff tthhee ffaammiillyy mmeemmbbeerr iiss aa rreellaattiivvee ootthheerr tthhaann aa cchhiilldd ((eegg ppaarreenntt,, bbrrootthheerr,, ssiisstteerr,, ccoouussiinn)),, pplleeaassee pprroovviiddee aapppprroopprriiaattee ddooccuummeennttaarryy eevvii--ddeennccee ttoo ccoonnffiirrmm tthhee rreellaattiioonnsshhiipp ((iiee ffuullll bbiirrtthh,, mmaarrrriiaaggee oorr cciivviill ppaarrttnneerrsshhiipp cceerrttiiffiiccaatteess))..

Your family member’s full name

Nationality

Date of birth Gender -please tick

Relationship to you

Day Male Female Year Month

Your family member’s full name

Nationality

Date of birth Gender -please tick

Relationship to you

Day Male Female Year Month

Your family member’s full name

Nationality

Date of birth Gender -please tick

Relationship to you

Day Male Female Year Month

Home Office referenceif they have one

Home Office referenceif they have one

Home Office referenceif they have one

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 66 ooff 1155

SSttaappllee hheerree

Attach two identicalphotographs of your (family member)

here with staple orpaper clip

DDoo nnoott uussee gglluuee oorr ootthheerrssttiicckkyy aaddhheessiivvee

SSttaappllee hheerree

Attach two identicalphotographs of your (family member)

here with staple orpaper clip

DDoo nnoott uussee gglluuee oorr ootthheerrssttiicckkyy aaddhheessiivvee

SSttaappllee hheerree

Attach two identicalphotographs of your (family member)

here with staple orpaper clip

DDoo nnoott uussee gglluuee oorr ootthheerrssttiicckkyy aaddhheessiivvee

Page 7: eea2

SS EECC TT II OONN 33 -- YY OOUURR EE EE AA OORR SSWW II SS SS NNAA TT II OONNAA LL FF AAMM II LL YY MMEEMMBB EERR (( SS PP OONNSSOORR ))

PPlleeaassee ggiivvee tthhee ppeerrssoonnaall ddeettaaiillss ooff yyoouurr EEEEAA oorr SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerr bbeellooww..

33 .. 11

33 .. 55

33 .. 77 33 .. 88

33 .. 99

33 .. 1100

33 .. 66

33 .. 1111 Their relationship to you

Evidence of relationship: birth certificate/marriage certificate/civil partnership certificate ((pplleeaassee cciirrccllee ttoo iinnddiiccaattee))33 .. 1122

Date they last entered the UK33 .. 1133

Their title - please tick

If ootthheerr, what is their title?

OtherMsMissMrsMr

Their full name as in their passport or identity (ID) card

Surname or family name

Nationality

Their date of birth Day Month Year

Their gender - please tick Male Female

Home Office reference if they have one Passport, ID card or registration certificate number

Their UK address - please inform us immediately if this changes

Post code

Their telephone number

Mobile number if theyhave one

Day Month Year

33 .. 22

33 .. 33

Any other name(s) by which they are or have been known33 .. 44

Daytime number

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 77 ooff 1155

NNoottee 11.. TThheerree iiss nnoo rreeqquuiirreemmeenntt ffoorr yyoouurr EEEEAA oorr SSwwiissss ffaammiillyy mmeemmbbeerr ttoo aappppllyy ffoorr aa rreeggiissttrraattiioonn cceerrttiiffiiccaattee aanndd wwee ccaann ddeecciiddeeyyoouurr ccaassee wwiitthhoouutt hhiimm oorr hheerr aappppllyyiinngg.. HHoowweevveerr,, wwee mmuusstt rreecceeiivvee eevviiddeennccee ooff hhiiss//hheerr iiddeennttiittyy,, eegg ppaassssppoorrtt oorr iiddeennttiittyy ccaarrdd.. IIffyyoouurr EEEEAA oorr SSwwiissss ffaammiillyy mmeemmbbeerr wwiisshheess ttoo aappppllyy ffoorr aa rreeggiissttrraattiioonn cceerrttiiffiiccaattee,, hhee oorr sshhee mmaayy aappppllyy sseeppaarraatteellyy,, uussiinngg ffoorrmm EEEEAA11..

Page 8: eea2

SS EE CC TT II OONN 44 -- YY OOUURR EE EE AA OORR SS WW II SS SS NN AA TT II OONNAA LL FF AAMM II LL YY MMEEMMBBEE RR (( EEMMPP LL OO YYMMEENN TT ))

YYoouu mmuusstt ccoommpplleettee tthhiiss sseeccttiioonn iiff yyoouurr EEEEAA oorr SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerr iiss aa wwoorrkkeerr iiee aa ppeerrssoonn ppuurrssuuiinngg aann eeffffeeccttiivvee aanndd ggeenn--uuiinnee aaccttiivviittyy ffoorr rreemmuunneerraattiioonn aass aann eemmppllooyyeedd ppeerrssoonn.. IIff yyoouu aarree ssuuppppoorrttiinngg tthheemm tthhrroouugghh wwoorrkkiinngg,, yyoouu mmuusstt ccoommpplleettee tthhiiss sseeccttiioonnwwiitthh yyoouurr ddeettaaiillss..

Full name of employer (ie business or firm)44 .. 11

Business address and telephone number

Telephone number Post code

44 .. 33 Address and telephone number if the address at which your EEA or Swiss family member (or you) is employed is differentfrom the one in 44..22

Telephone number Post code

44 .. 22

44 .. 44 Type of business

44 .. 55 Position offered to, or held by, your EEA or Swiss family member (or you)

44 .. 66 Date employment started/will start Day Month Year

44 .. 77 Number of hours to be worked each week 44 .. 88 Salary/wages paid each month/week

£ a month/week (delete as appropriate)

44 .. 99 44 .. 11 00Expected duration of employment National insurance number if obtained

EEmmppllooyyeerr’’ss DDeeccllaarraattiioonn

Employer’s stamp

(employee’s name) has been employed as a worker in this business

from in accordance with the details given above.

Signature of employer

Day Month Year

EEvviiddeennccee ooff EEmmppllooyymmeenntt: Please provide us with at least one of the following and tick relevant box(es):

Contract(s) of employment

Most recent wage slips

Letter(s) from employer confirming your EEA or Swiss family member’s employment (or your employment)

Date

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 88 ooff 1155

Page 9: eea2

SSEECCTT II OONN 55 -- YYOOUURR EEEEAA OORR SSWWII SSSS NNAATT II OONNAALL FFAAMM II LLYY MMEEMMBBEERR (( SS EELLFF -- EEMMPPLLOOYYMMEENNTT ))

BBuussiinneessss DDeettaaiillss

55 .. 11

YYoouurr EEEEAA oorr SSwwiissssnnaattiioonnaall ffaammiillyy mmeemmbbeerr mmuusstt ccoommpplleettee tthhiiss sseeccttiioonn iiff hhee oorr sshhee iiss sseellff--eemmppllooyyeedd.. IIff yyoouu aarree ssuuppppoorrttiinngg tthheemmtthhrroouugghh sseellff--eemmppllooyymmeenntt yyoouu mmuusstt ccoommpplleettee tthhiiss sseeccttiioonn wwiitthh yyoouurr ddeettaaiillss..

I am established in business/following a self-employed occupation as:

Name of business

Business address

Post code

Business telephone number

Evidence of self-employment/business to be provided:

A lease on business premises

Construction Industry Scheme (CIS) card for the building trade

Bank statement(s)

Invoices/receipts

Inland Revenue self-assessment forms

Evidence of tax and national insurance contributions being paid

55 .. 55

Signature of selfemployed person

Date

55 .. 22

55 .. 33

55 .. 44

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 99 ooff 1155

Accountant’s letter

Page 10: eea2

SS EE CC TT II OO NN 66 -- YY OOUURR EE EE AA OORR SSWW II SS SS NNAA TT II OONNAA LL FF AAMM II LL YY MMEEMMBB EERR (( SS TT UUDD EENN TT ))

66 .. 11 Name and address of educational establishment at which your EEA or Swiss national family member is studying

YYoouu mmuusstt ccoommpplleettee tthhiiss sseeccttiioonn oonnllyy iiff yyoouurr EEEEAA oorr SSwwiissss ffaammiillyy mmeemmbbeerr iiss aa ssttuuddeenntt..

Post code

Telephone number of educational establishment

66 .. 33 Course title

66 .. 44 Date course of study starts/started Date course of study will end

66 .. 55 You are required to provide the following documentary evidence of your EEA or Swiss family member’s course of study and funds:

• a school, college or university letter confirming enrolment and the completion date of the course, and

• a bank statement or evidence of a grant or scholarship.

Day Month Year Day Month Year

SS EECC TT II OONN 77 -- YY OOUURR EE EE AA OORR SSWW II SS SS NNAA TT II OONNAA LL FF AAMM II LL YY MMEEMMBB EERR (( OO TT HH EERRQQUUAALL II FF II EE DD PP EERR SSOONNSS ))

IInnccaappaacciittaatteedd

A doctor’s letter or medical report confirming that your EEA or Swiss national family member is incapacitated. Thisshould state if the incapacity is likely to be permanent.

YYoouu mmuusstt ccoommpplleettee tthhiiss sseeccttiioonn oonnllyy iiff yyoouurr EEEEAA oorr SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerr iiss eeccoonnoommiiccaallllyy sseellff--ssuuffffiicciieenntt,, rreettiirreedd oorr ppeerrmmaanneennttllyy iinnccaappaaccii--ttaatteedd.. PPlleeaassee ttiicckk tthhee aapppprroopprriiaattee bbooxx bbeellooww ttoo sshhooww tthhee bbaassiiss oonn wwhhiicchh yyoouu aarree aappppllyyiinngg ffoorr aa rreessiiddeennccee ccaarrdd aanndd pprroovviiddee tthhee ddooccuummeennttaarryy eevvii--ddeennccee rreeqquueesstteedd..

EEccoonnoommiiccaallllyy sseellff--ssuuffffiicciieenntt

Evidence that your EEA or Swiss national family member has comprehensive sickness insurance and funds suffi-cient to maintain you and other family members included in this application during the time they intend to resideon this basis. If you are the worker and are supporting your EEA or Swiss family member please provide documen-tary evidence of this.

RReettiirreedd

Evidence that your EEA or Swiss national family member is in receipt of a pension.

66 .. 22

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1100 ooff 1155

Page 11: eea2

88 .. 11 Do you or any family members included in this application have any criminal convictions in theUK or any other country (including traffic offences) or any civil judgments made against you?

YYeess NNoo

SS EE CC TT II OONN 88 -- PP EE RR SSOONNAA LL HH II SS TT OORR YY

YYoouu mmuusstt aannsswweerr aallll tthhee qquueessttiioonnss iinn tthhiiss sseeccttiioonn oonn bbeehhaallff ooff yyoouurrsseellff aanndd aannyy ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhiiss aapppplliiccaa--ttiioonn.. IItt iiss aann ooffffeennccee uunnddeerr SSeeccttiioonn 2266((11))((cc)) ooff tthhee IImmmmiiggrraattiioonn AAcctt 11997711 ttoo mmaakkee aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchhyyoouu kknnooww ttoo bbee ffaallssee oorr ddoo nnoott bbeelliieevvee ttoo bbee ttrruuee.. IInnffoorrmmaattiioonn ggiivveenn wwiillll bbee cchheecckkeedd wwiitthh ootthheerr aaggeenncciieess..

If you have answered yyeess to question 88..11 above please give details below for each criminal conviction and/or civil judgment, start-ing with the most recent one - but first see NNoottee 22 about criminal convictions. If you or any family members included in this applica-tion have received more than two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.

Date of sentence/judgmentDetails of the sentence or civil judgment (give details on a separate sheet and enclose it with this form ifyou need more space)

Country where the sentence was passed or the civil judgment was made

88 .. 22 Have you or any family members included in this application ever been charged in any countrywith a criminal offence for which you have not yet been tried in court?

YYeess NNoo88 .. 33 In times of either peace or war have you or any family members included in this application everbeen involved, or suspected of involvement, in war crimes, crimes against humanity or geno-cide?

Nature of the criminal offence or the civil action (give details on a separate sheet and enclose it with this form if you need more space)

88 .. 44

Have you or any family members included in this application ever been a member of, or givensupport to, an organisation which has been concerned in terrorism?

Have you or any family members included in this application ever, by any means or medium,expressed views that justify or glorify terrorist violence or that may encourage others to terroristacts or other serious criminal acts?

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

NNoottee 22 CCoonnvviiccttiioonnss ssppeenntt uunnddeerr tthhee RReehhaabbiilliittaattiioonn ooff OOffffeennddeerrss AAcctt 11997744 nneeeedd nnoott bbee ddiisscclloosseedd.. MMoorree iinnffoorrmmaattiioonn aabboouutt tthhee AAccttiiss ggiivveenn ttoowwaarrddss tthhee eenndd ooff tthhiiss sseeccttiioonn..

88 .. 55 YYeess

YYeess

YYeess NNoo

NNoo

NNoo

Have you or any family members included in this application ever been involved in, supportedor encouraged terrorist activities in any country?

YYeess NNoo

88 .. 66

FFoorr hheellpp iinn aannsswweerriinngg tthhee qquueessttiioonnss bbeellooww,, pplleeaassee sseeee tthhee ddeeffiinniittiioonnss oonn tthhee nneexxtt ppaaggee..

Date of sentence/judgment

Country where the sentence was passed or the civil judgment was made

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

Nature of the criminal offence or civil action (give details on a separate sheet and enclose it with this form if you need more space)

Details of the sentence or civil judgment (give details on a separate sheet and enclose it with this form ifyou need more space)

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1111 ooff 1155

Page 12: eea2

88 .. 77 Have you or any family members included in this application ever engaged in any other activitieswhich might indicate that you may not be considered to be persons of good character?

If you have answered yyeess to question 88..22,, 88..33,, 88..44,, 88..55,, 88..66 or 88..77 above please give further details in the space provided below. Ifyou need more space, continue on a separate sheet.

YYeess NNoo

DDEEFFIINNIITTIIOONNSS

For the purposes of answering questions 88..33 to 88..77,, the following information provides guidance on actions which may constitutewar crimes, crimes against humanity, genocide, or terrorist activities.

This guidance is not exhaustive. The full definitions of war crimes, crimes against humanity and genocide can be found in Schedule8 of the International Criminal Court Act 2001 at wwwwww..ooppssii..ggoovv..uukk//aaccttss//aaccttss22000011//2200001100001177..hhttmm or purchased from TheStationery Office (telephone 00887700 660000 55552222). It is your responsibility to satisfy yourself that you are familiar with the definitionsand can answer the questions accurately on behalf of yourself and any family members included in the application.

WWaarr ccrriimmeessGrave breaches of the Geneva Conventions committed during an armed conflict. This includes an internal armed conflict and aninternational armed conflict. The types of acts that may constitute a war crime include wilful killing, torture, extensive destructionof property not justified by military necessity, unlawful deportation, the intentional targeting of civilians and the taking of hostages.

CCrriimmeess aaggaaiinnsstt hhuummaanniittyyActs committed at any time (not just during armed conflict) as part of a widespread or systematic attack, directed against any civil-ian population with knowledge of the attack. This would include offences such as murder, torture, rape, severe deprivation of liber-ty in violation of fundamental rules of international law and enforced disappearance of persons.

GGeennoocciiddee Acts committed with intent to destroy, in whole or in part, a national, ethnical, racial or religious group.

TTeerrrroorriisstt aaccttiivviittiieessAny act committed, or the threat of action, designed to influence a government or intimidate the public and made for the purposesof advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger anoth-er person’s life; creates a serious risk to the health or safety of the public; involves serious damage to property; is designed to seri-ously disrupt or interfere with an electronic system.

OOrrggaanniissaattiioonnss ccoonncceerrnneedd iinn tteerrrroorriissmmAn organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes orencourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.

RREEHHAABBIILLIITTAATTIIOONN OOFF OOFFFFEENNDDEERRSS AACCTT 11997744

The Rehabilitation of Offenders Act 1974 enables criminal convictions to become 'spent' or ignored after a 'rehabilitation period'.The length of the rehabilitation period depends on the sentence given. For a custodial (prison) sentence the rehabilitation period isdecided by the original sentence, not the time served. Prison sentences of more than two and a half years can never become spentand should always be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helplineon 002200 77884400 66446644 or by obtaining a free copy of their leaflet on 002200 77884400 66442277.

SS EECC TT II OONN 88 -- PP EE RR SSOONNAA LL HH II SS TTOORR YY

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1122 ooff 1155

Page 13: eea2

IIff sseeccttiioonn 55 ((sseellff -- eemmppllooyymmeenntt)) hhaass bbeeeenn ccoommpplleetteedd, documents as evidence of your EEA or Swiss family member’sself-employment (or your self-employment), such as Construction Industry Scheme (CIS) card, a lease on business premises,bank statements, invoices, Inland Revenue self-assessment forms or national insurance contributions.

IIff sseeccttiioonn 44 ((eemmppllooyymmeenntt)) hhaass bbeeeenn ccoommpplleetteedd, evidence of your EEA or Swiss family member’s employment (or youremployment) as a worker, including letter(s) from employer(s); contract(s) of employment, and the most recent wage slips (atleast one should be provided). These should feature a full national insurance number rather than a temporary one.

IIff sseeccttiioonn 66 ((ssttuuddeenntt)) hhaass bbeeeenn ccoommpplleetteedd, a school, college or university letter confirming that your EEA or Swiss fam-ily member is enrolled on a course of study and giving the completion date. If your family member is in receipt of a grant orscholarship, provide evidence of this. If they are not, other evidence of funds such as a bank statement should be provided.

AA sscchhooooll lleetttteerr for dependent family members who are attending school (see NNoottee 33)..

IIff sseeccttiioonn 77 ((eeccoonnoommiiccaallllyy sseellff ssuuffffiicciieenntt,, rreettiirreedd oorr iinnccaappaacciittaatteedd)) hhaass bbeeeenn ccoommpplleetteedd, document(s) con-firming that your EEA or Swiss family member is:

retired and in receipt of a pension; or

permanently incapacitated, having previously been in employment/self-employment, such as a doctor’s letter or medicalreport confirming this condition.

YYoouurr EEEEAA oorr SSwwiissss ffaammiillyy mmeemmbbeerr’’ss ppaassssppoorrtt oorr IIDD ccaarrdd..

SS EE CC TT II OONN 99 -- DD OOCC UUMMEENN TT SS AANN DD PP HHOOTT OOGGRRAA PPHH SS

TTwwoo rreecceenntt,, ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff yyoouurrsseellff with your name written on the back of each photograph.Please see the guidance notes for information on what types of photograph are acceptable.

YYoouurr ccuurrrreenntt ppaassssppoorrtt oorr IIDD ccaarrdd.. If you do not have a passport or ID card, you must provide another form of identity.

TThhee ccuurrrreenntt ppaassssppoorrtt((ss)) oorr IIDD ccaarrdd((ss)) ooff eeaacchh ffaammiillyy mmeemmbbeerr included in section 2 for whom a residence card isrequired. If they do not have a passport or ID card, you must provide another form of identity for them.

TTwwoo rreecceenntt,, ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff eeaacchh ffaammiillyy mmeemmbbeerr included in section 2 for whom a residencecard is required with their name written on the back of each photograph.

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1133 ooff 1155

NNoottee 33: IIff ddeeppeennddeenntt cchhiillddrreenn aarree nnoott aatt sscchhooooll pplleeaassee pprroovviiddee aann NNHHSS ccaarrdd ttoo ccoonnffiirrmm rreessiiddeennccee..

economically self-sufficient, eg evidence of comprehensive sickness insurance and of funds, such as a a bank statement, orevidence of employment. If you are the worker and are supporting your EEA or Swiss family member you should providedocumentary evidence of this; or

FFoorr yyoouurr aapppplliiccaattiioonn ttoo bbee ccoommpplleettee,, yyoouu mmuusstt pprroovviiddee tthhee ddooccuummeennttss aanndd pphhoottooggrraapphhss lliisstteedd iinn tthhiiss sseeccttiioonn wwhhiicchhaarree rreelleevvaanntt ttoo yyoouurr aapppplliiccaattiioonn..

AAnnyy ddooccuummeennttss wwhhiicchh aarree nnoott iinn EEnngglliisshh mmuusstt bbee aaccccoommppaanniieedd bbyy aa rreelliiaabbllee EEnngglliisshh ttrraannssllaattiioonn..

TTiicckk tthhee bbooxxeess nneexxtt ttoo tthhee rreelleevvaanntt iitteemmss ttoo sshhooww tthhee ddooccuummeennttss aanndd pphhoottooggrraapphhss yyoouu aarree pprroovviiddiinngg.. AAttttaacchhaallll pphhoottooggrraapphhss ttoo tthhee ssppaacceess iinn sseeccttiioonnss 11 aanndd 22 aass iinnssttrruucctteedd tthheerree..

Page 14: eea2

SSEE CC TT II OONN 1100 -- DD EE CC LLAARRAA TT II OONN

I hereby apply for a residence card for myself and any non-EEA or non-Swiss national family members list-ed in this form. The information I have given in this form is complete and is true to the best of my knowl-edge. I also declare that the photographs submitted with this form are a true likeness of myself and anyfamily members included in the application form, as named on the back of each photograph.

I confirm that if, before this application is decided, there is a material change in my circumstances or newinformation relevant to this application becomes available, I will inform the Home Office.

I understand that all information provided by me to the Home Office will be treated in confidence but thatit may be disclosed to other government departments, agencies, local authorities, the police, foreign gov-ernments and other bodies for immigration purposes or to enable them to perform their functions; and that,if such bodies provide the Home Office with any information about me which may be relevant for immigra-tion purposes, it may be used in reaching a decision on my application.

I understand that documents provided in support of this application will be checked for authencity; and thatfalse documents will be retained and may result in my application being refused and in my prosecution andsubsequent removal from the United Kingdom.

I understand that the Home Office may also use the information provided by me for training purposes.

II aamm aawwaarree tthhaatt iitt iiss aann ooffffeennccee ttoo mmaakkee aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchh II kknnooww ttoo bbee ffaallssee oorr ddoo nnoottbbeelliieevvee ttoo bbee ttrruuee,, oorr ttoo oobbttaaiinn oorr sseeeekk ttoo oobbttaaiinn aa rreessiiddeennccee ccaarrdd bbyy mmeeaannss wwhhiicchh iinncclluuddee ddeecceeppttiioonn..

Date

Signed

YYoouu mmuusstt nnooww rreeaadd tthhee ddeeccllaarraattiioonn bbeellooww aanndd ssiiggnn iitt.. IItt mmuusstt bbee ssiiggnneedd bbyy yyoouu ((tthhee aapppplliiccaanntt)) aanndd nnoott bbyy aarreepprreesseennttaattiivvee oorr ootthheerr ppeerrssoonn aaccttiinngg oonn yyoouurr bbeehhaallff.. IIff yyoouu aarree uunnddeerr 1188,, yyoouurr ppaarreenntt oorr gguuaarrddiiaann mmaayy ssiiggnn..

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1144 ooff 1155

Page 15: eea2

AA PPPP LL II CC AANN TT ’’ SS CCHH EE CCKK LL II SS TT

Is EEA2 the right form for you and is it valid for use?See date on front page.

Have you completed all relevant sections of the form asspecified?

TToo eennssuurree tthhaatt yyoouurr aapppplliiccaattiioonn iiss ccoommpplleettee,, pplleeaassee mmaakkee tthhee ffoolllloowwiinngg cchheecckkss bbeeffoorree ppoossttiinngg iitt.. TTiicckk eeaacchh bbooxxtthhaatt iiss rreelleevvaanntt ttoo yyoouurr aapppplliiccaattiioonn..

Have you sent the documents and photographs specified in section 9 as listed below?

Current passport(s) or IDcard(s) including those for fam-ily member(s) and your EEA orSwiss national sponsor

Photographs

If you are unable to send us any of the documents speci-fied in section 9 which are relevant to your application,have you given an explanation and said when you will beable to send them?

Have you, or your parent/guardian if you are under 18,signed and dated the declaration in section 10?

Finally, please make sure that the application is addressed exactly as shown below.

All other relevant documents specified in section 9

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA22PPOO BBooxx 330066DDeepptt 4455LLiivveerrppoooollLL22 00QQNN

EEEEAA22 VVeerrssiioonn 0055//22000088 -- ppaaggee 1155 ooff 1155

PPHHOO TT OOGGRRAA PPHH SS AA NNDD DDOOCCUU MMEENN TT SS CC HH EECC KK LL II SS TT

PPlleeaassee ccoommpplleettee tthhiiss ppaarrtt ooff tthhee ffoorrmm ttoo hheellpp uuss cchheecckk tthhaatt wwee hhaavvee rreecceeiivveedd yyoouurr pphhoottooggrraapphhss aanndd ddooccuummeennttss,, aannddttoo kkeeeepp aa rreeccoorrdd ooff tthheemm wwhhiillee tthheeyy aarree wwiitthh uuss.. AAtt ““AA””,, tteellll uuss hhooww mmaannyy ooff eeaacchh ooff tthhee lliisstteedd iitteemmss yyoouu aarree pprroovviiddiinnggwwiitthh yyoouurr aapppplliiccaattiioonn.. AAtt ““BB””,, lliisstt aannyy ootthheerr ddooccuummeennttss pprroovviiddeedd bbyy yyoouu aanndd ssttaattee hhooww mmaannyy iinn eeaacchh ccaassee.. CCoonnttiinnuuee oonnaa sseeppaarraattee sshheeeett iiff nneecceessssaarryy aanndd eenncclloossee iitt wwiitthh tthhiiss ffoorrmm.. AAllll ddooccuummeennttss mmuusstt bbee oorriiggiinnaallss..

Photographs of yourself

Photographs of any family members

Passports and/ID cards

Your EEA or Swiss family member’s pass-port or ID card

Contracts of employment/employment let-ter/ wage slips

A lease/CIS card/ Inland Revenue form

Evidence of funds

School/college/university letter

Comprehensive sicknessinsurance document

Pension document

Doctor’s letter/medical report

AA.. LLiisstteedd iitteemmss BB.. OOtthheerr ddooccuummeennttssHHooww mmaannyy??

HHooww mmaannyy?