FORM AN
Application for naturalisation as a
British citizen
June 2014
Application for naturalisation as
a British citizen
IMPORTANT: Before completing this form, you should read the Guide
AN as well as the Booklet AN. Fill in those parts of the form that apply
to your application. If there is not enough space for your answer, use
page 15 to provide additional information.
If you want help to complete your application form, you may wish to contact a
competent adviser, for example a solicitor or agent registered with the Office of
the Immigration Services Commissioner (see page 5 of the Guide AN which
accompanies this form for details). Or you may wish to use the Nationality
Checking Service operated by a number of local authorities. Your Register
Office will advise if one is operated in your area.
We recommend that you keep a copy of this application.
NOTE: Some of the information you provide on this form will be stored on a
computer which is registered under the Data Protection Act.
Please ensure that you read the Guide AN and the Booklet AN. You should
ensure that you understand the criteria for naturalisation before submitting your
application. Full fees cannot be returned for applications that fail.
Please write in BLOCK CAPITALS using black or blue ink.
Please enter all dates as dd-mm-yyyy, e.g. 01/09/2013
Please note that each individual applying for naturalisation must complete a
separate application form. Therefore husbands, wives and civil partners
wishing to naturalise, must complete separate forms. For a “joint” application
attracting a single fee the applications for a married or civil partnership couple
must be submitted together. Family applications should include separate forms
for each child, either an AN Form where the child is now an adult (aged 18 or
over) or an MN1 Form for a minor (under the age of 18). WE DO NOT NEED
APPLICATIONS FOR ADULTS OR MINORS WHO ARE ALREADY BRITISH.
If you are acting as responsible adult for someone who is not of sound mind
and unable to make and understand their own application (see page 10 of the
Booklet AN), you must take full responsibility for the accuracy of the
information provided and sign the declaration on behalf of the applicant. This
includes liability in law.
2
Section 1: Personal Information
1.1 Please give previous Immigration and Nationality Directorate or Border and
Immigration Agency or UK Border Agency, or Home Office reference numbers
1.2 Current passport/travel document number
1.3 Please say when you were given indefinite leave to enter/remain in the UK (not necessary if you are a Commonwealth
citizen with right of abode in the United Kingdom). If you are an EEA
national, a Swiss national or a family member of an EEA or Swiss
national you should read pages 9-10 of the Booklet AN.
D D
M M
Y Y Y Y
1.4
Title
Mr
Mrs
Miss
Ms
Other Title
1.5 Surname/Family Name (Please note: The name you give here will be the name shown on your certificate so
please ensure it is spelt correctly and you have written it in the correct order.)
1.6 Other names (Please note: Your name will be shown on your certificate so please ensure it is spelt correctly and you
have written it in the correct order. We would expect this to be the same as on your official documents. If this name is not
the name used on your current passport or travel document, or is spelt differently, you must explain why on page 15)
1.7 Name at birth if different from above. (If the names you have given are different or spelt differently from the name
shown on your passport, please explain why on page 15)
1.8 If you are or have ever been known by any name or names apart from those mentioned above, please give details here.
1.9 Your present nationality
1.10 National Insurance Number
1.11 Date of birth
D D
M
1.12 Village or town or city of birth
M
Y
Y
Y
Y
1.13 Country of birth
1.14 Sex (Please tick ( ) appropiate box)
Male
Female
1.15 Current marital / civil partnership status (Please tick ( ) one box only)
Are you:
Married?
In a civil partnership?
Civil partnership dissolved?
Widowed?
Divorced?
Legally seperated?
Single/Never married?
1.16 Present address You must give us any change of address in writing while we are considering this application.
Postcode
Please state the date that you moved into this address
D
D
M
Contact Details
Daytime/mobile telephone number
Evening telephone number
e-mail address
For validation purposes, please write your e-mail address again in the box below
3
M
Y
Y
Y
Y
1.17 Please provide your addresses for the past five years. (Continue on page 15 if necessary)
D
D
M
M
Y
Y
Y
Y
From:
D
D
M
M
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
To:
Postcode
D
D
M
M
Y
Y
Y
Y
From:
D
D
M
M
Y
Y
To:
Postcode
D
D
M
M
Y
Y
Y
Y
From:
D
D
M
M
Y
Y
To:
Postcode
D
D
M
M
Y
Y
Y
Y
From:
D
D
M
M
Y
Y
To:
Postcode
D
From:
D
M
M
Y
Y
Y
Y
D
D
M
M
Y
Y
To:
Postcode
4
If someone is representing you, for example an agent, solicitor or you are making the application through a consulate,
please tell us their:
1.18 Name
1.19 Address
Postcode
1.20 Telephone Number
If you have completed 1.18 and the address is that of your immigration advisor, please state their Office of the
Immigration Services Commissioner (OISC) number:
1.21 If your application is approved, you will need to take part in a citizenship ceremony. The venue will normally be
within a local authority area near where you live. If you want to have your ceremony in another area you should give
us details of the local authority location below.
Name
Address
Postcode
Knowledge of language / life in the UK
1.22 H
Show
how
intend
to satisfy
requirements
to have
sufficient
knowledge
of language
lifethe
in UK?
the UK,
1.22
ow do
youyou
intend
to satisfy
thethe
requirement
to have
sufficient
knowledge
of language
andand
life in
Seesee
page
page 11-15
the accompanying
Booklet
11–17
in theinaccompanying
Booklet
AN AN.
✔II have
passed
the Lifeofinlanguage
the UK test
confirmation.
met the
knowledge
andand
life attach
requirement
to qualify for settlement
I have
successfully
The
test
number is: completed an approved ESOL
with citizenship course and attach my certificate and confirmation
letter from the college.
AND EITHER
I have passed the Life in the UK test and attach confirmation. The test number is
✔I have a speaking and listening qualification in English at B1 CEFR or higher, or an equivalent
level
OR (physical and/or mental illness may not lead automatically to exemption. You should provide
I wishqualification;
to claim exemption
grounds on page 15. Your application may fail and the fee retained if insufficient reasons for exemption are provided).
✔I have obtained an academic qualification deemed by UK NARIC to meet the recognised
standard of a Bachelor’s or Master’s degree or PhD in the United Kingdom and:
IMPORTANT: The Knowledge of Language and Life in the UK (KOLL) requirement is changing on
28
(i)
UK NARIC
hasFrom
confirmed
that applicants
the qualification
was
taught or
October
2013.
this date,
will be
required
to:researched in English; or
(ii)the qualification was taught or researched in the UK or a majority English speaking country
•
pass the Life in the UK test;
(other than Canada); OR
AND
✔I am a national of a majority English speaking country; OR
•
have a speaking and listening qualification in English at B1 CEFR or higher, or an equivalent
✔I met the knowledge of language and life requirement to qualify for settlement on or after 28th October 2013;
level qualification.
OR
Further details can be found on our website.
✔I wish to claim exemption on the basis of my physical or mental condition (physical and/or mental illness
may not lead automatically to exemption. You should provide reasons on page 15. Your application may fail
the fee
retained if insufficient reasons for exemption are provided).
Details and
of your
parents
Further
guidance
1.23 Your
father’sabout
namethe knowledge of language and life in the UK requirement can be found in the Guide and
Booklet AN that accompanies this form. Additional information can also be found on our website.
1.24 Your father's town and country of birth
1.25 Your father's nationality
1.26 Your father's date of birth
D
D
M
5
M
Y
Y
Y
Y
Further details can be found on our website.
Details of your parents
1.23 Your father’s name
1.24 Your father's town and country of birth
1.25 Your father's nationality
1.26 Your father's date of birth
D
D
M
M
Y
Y
Y
Y
D
D
M
M
Y
Y
Y
Y
1.27 Your mother's full name & maiden name
1.28 Your mother's town and country of birth
1.29 Your mother's nationality
1.30 Your mother's date of birth
Details of your partner.
Please provide here the details of your husband, wife or civil partner. (A partner who is not a British citizen and wishes to
apply must submit a separate application.)
1.31 Full name of partner
If your partner is or has ever been known by
any name or names apart from those
mentioned above, please give details here
1.32 Partner’s date of birth
D
D
M
M
Y
Y
Y
Y
1.33 Partner’s village, town or city and country of birth
1.34 Partner’s nationality
D
If your partner is a naturalised British citizen enter date they
were granted this citizenship
D
M
M
Y
Y
Y
Y
Their citizenship certificate reference number
1.35 Partner’s present address.
1.36 Date and place of marriage/civil partnership
(if applicable)
If you were previously married or in a civil partnership, please give:
1.37 Full name of previous husband or wife or civil partner (before marriage/civil partnership). Provide details on page 15 if
more than one previous marriage.
D
1.38 Previous husband's/wife's/civil partner’s date of birth
1.39 Previous husband's/wife's/civil partner’s
village/town/city and country of birth
1.40 Previous husband's/wife's/civil partner’s nationality
6
D
M
M
Y
Y
Y
Y
1.38 Previous husband's/wife's/civil partner’s date of birth
1.39 Previous husband's/wife's/civil partner’s
village/town/city and country of birth
1.40 Previous husband's/wife's/civil partner’s nationality
1.41 Date and place of your previous marriage/civil partnership
1.42 Date, place and reason for the ending of your previous marriage/civil partnership
1.43 Dates of any marriage(s) over the last 5 years (continue on page 15 if needed)
7
Section 2: Residence requirements
2.1 Date and place of first arrival in the United Kingdom (see page 7 of the Guide).
D
D
M
M
Y
Y
Y
Y
Date
Place
2.2 Please give details of all absences from the United Kingdom during the last five years. If you are married or in a
civil partnership to a British citizen, give details for the last three years only (see page 7 of the Guide).
Failure to complete this will result in delay to your application.
If necessary, please continue on page 15 of this application form.
Country Visited
Reason
eg. Holiday,
business, visiting
relatives
More absences shown on Page 15
Date of departure
from United Kingdom
D
D
M
Yes
M
Y
No
Total Number Of Days absent (including any shown on page 15)
8
Date of return to the
United Kingdom
Y
D
D
M
M
Y
Y
Total
number
of days
absent
2.3 Please tell us in which country you intend to have your main home if you are naturalised.
If this country is outside the United Kingdom and i) you are not married to or the civil partner of a British citizen and ii)
you intend to enter into or continue Crown service, service in an international organisation or employment with a
company or association established in the United Kingdom, please include a letter of explanation.
EEA nationals exercising EC Treaty Rights
2.4 If you are an EEA national or the family member of an EEA national, please complete the following section,
showing on what basis you were in the United Kingdom for the last 6 years. This is so we can see whether you were
exercising your Treaty Rights for a continuous period and have acquired permanent residence in the United Kingdom.
If you are not an EEA national (see page 9–10 of the ‘Booklet AN’), go to section 3.
Are you an EEA national?
Or a family member of an EEA national?
Please state on what basis you were in the United Kingdom for the last six years. Continue on a separate sheet of
paper if necessary.
Date from
Date to
Basis of stay e.g. worker,
student, self-employed,
self-sufficient, retired,
incapacity
Please provide details of employment,
self-employment, school or college
2.5 If you exercised Treaty rights in employment, self-employment or study, please give details below, starting with the
most recent if more than one employer and/or place of study. If necessary, please continue on page 15 of this
application form.
Name and address of employer
or place of study
From
To
Type of business if
self-employed
2.6 If you are an A8 national (see page 10 of the Booklet AN) and you
are exercising your Treaty rights in the UK as a worker, please give date
of registration under the Worker Registration Scheme
9
D
D
Job title if employed
M
M
Y
Y
Y Y
Section 3: Good Character Requirement
In this section you need to give information which will help the Home Secretary to decide whether he can be
satisfied that you are of good character. Checks will be made with the police and possibly other Government
Departments, the Security Service and other agencies.
3.1 What is your occupation?
3.2
Are you
An employee?
A business partner?
Self-employed?
A director?
3.3 Name of employer or business
3.4 Address of employer or business
3.5 Address of tax office or tax office reference
Personal History (criminal convictions, war crimes, etc.)
This section asks about any criminal convictions, any civil judgements or civil penalties made against you and details of
any involvement you may have had in war crimes, genocide, crimes against humanity or terrorism. If you fail to answer
all of these questions as fully and accurately as possible, your application may be refused.
It is an offence under Section 46(1) of the British Nationality Act 1981 to make a statement or representation which is
known to be false or is not believed to be true. Information given will be checked with other agencies.
3.6 Have you been convicted of any criminal offence in the UK or any other country?
Yes
- go to question 3.7
No
- go to question 3.8
3.7 Please give details below for each criminal conviction, starting with the most recent one. If you have received more
than two convictions, please photocopy this page and enclose it with this form.
Note: We will carry out criminal record checks on all applicants. You must give details of all criminal convictions.
This includes road traffic offences (including all drink-driving offences).
Fixed Penalty Notices (such as speeding or parking tickets) do not form part of a person’s criminal record and will not be
considered in the caseworker’s assessment of character unless:
•
the person has failed to pay and there were criminal proceedings as a result; or
•
the person has received numerous fixed penalty notices.
Criminal conviction 1
Country where convicted
Nature of offence
Sentence given
Date sentenced
D D
If you were sentenced to a period of imprisonment, what was the length of the prison
sentence imposed (in months)?
10
M
M
Y
Y
months
Y
Y
Criminal conviction 2
Country where convicted
Nature of offence
Sentence given
Date sentenced
D D
If you were sentenced to a period of imprisonment, what was the length of the prison
sentence imposed (in months)?
M
M
Y
Y
Y
Y
months
3.8 Do you have any civil judgments against you or any civil penalty under the UK
Immigration Acts?
Yes - go to 3.9
No - go to 3.10
3.9 Give details for each civil judgment or any civil penalty under UK the Immigration Acts, starting with the most
recent one.
If you have received more than two civil judgments and/or civil penalties under the UK Immigration Acts, please
photocopy this page and enclose it with this form.
Date of judgement or civil penalty
Details of judgement or civil penalty 1
D D
M M
Y Y
Country where judgement made
Y
Y
Y
Y
Date of judgement or civil penalty
Details of judgement or civil penalty 2
D D
M M
Y Y
Country where judgement made
You must answer questions 3.10 – 3.15 below even if you have answered no to question 3.6. For help in answering
these questions, please see the definitions in the Booklet AN.
3.10 Have you received any cautions (simple or conditional), warnings or reprimands in the UK or any other country?
Yes - go to 3.11
No - go to 3.12
3.11 Give details for each caution (simple or conditional), warning or reprimand starting with the most recent one.
If you have received more than two cautions (simple or conditional), warnings or reprimands, please photocopy this
page and enclose it with this form.
Details of caution (simple or conditional), warning or reprimand 1
Date of caution, warning or reprimand
D D
M M
Y Y Y Y
Country where caution, warning or reprimand received
Details of caution (simple or conditional), warning or reprimand 2
Date of caution, warning or reprimand
D D
M M
Y Y Y Y
Country where caution, warning or reprimand received
You must answer questions 3.12 – 3.17 below even if you have answered no to question 3.6. For help in answering
these questions, please see the definitions in the Booklet AN.
11
3.12 Are your details recorded by the police in respect of certain sexual offences (i.e. on the “sex offenders register”),
or are you subject to a notification order, a sexual offences prevention order, a foreign travel order, or a risk of sexual
harm order (or equivalent order made in a British overseas territory or any other country)?
Yes
No
3.13 Have you ever been charged in any country with a criminal offence for which you have not yet been tried in court?
No
Yes
3.14 In times of peace or war have you ever been involved in, or suspected of involvement in, war crimes, crimes
against humanity or genocide?
Yes
No
3.15 Have you ever been involved in, supported or encouraged terrorist activities in any country?
Yes
No
3.16 Have you ever been a member of, or given support to an organisation which has been concerned in terrorism?
Yes
No
3.17 Have you ever, by any means or medium, expressed views that justify or glorify terrorist violence or that may
encourage others to terrorist acts or other serious criminal acts?
No
Yes
3.18 Have you ever engaged in any other activities which might indicate that you may not be considered a person of
good character?
No
Yes
3.19. If you have answered yes to question 3.12, 3.13, 3.14, 3.15, 3.16, 3.17 or 3.18 you must give further details in
the space provided below. If you need more space, continue on a separate sheet and enclose it with this form.
For the purposes of answering questions 3.12 – 3.18 please refer to the Booklet AN which provides guidance on
actions which may constitute war crimes, crimes against humanity, genocide or terrorist activities.
12
Section 4: Crown Service
4.1 Please complete this section if your application is based on your Crown service, or your husband's, wife's
or civil partner’s Crown service, or specially designated service.
If not, please go to section 5.
Please note that serving members of the Armed Forces will not automatically qualify under the Crown service
provision. (see Booklet AN page 19).
Please
Your Crown service?
Were you recruited In the United Kingdom? Yes
No
Your husband's/wife's/civil
partner’s Crown service or
specially designated service?
Were they recruited in the
United Kingdom?
No
Description of relevant
service
Branch/regiment etc.
where serving
Yes
Length of Crown or
other service (dates)
13
Staff/service or
personal ID Number
Section 5: Referees and Identity
Please write your name and date of birth on the back of a photograph of yourself. This
should then be glued or pasted into the space aside.
Affix
passport
size photo
See page 11
of the guide
This part of the form is to be filled in by your referees once your photograph has been
affixed aside as explained above. Your referees should read page 11 of the guide to
confirm that they are eligible. Checks will be carried out to ensure that referees meet
the requirements below and their signatures are genuine, and we may contact them
as part of our enquiries
Name of applicant
5.1 One referee should be a person of any nationality who has professional standing, eg
minister of religion, civil servant, or a member of a professional body e.g. accountant or
solicitor (who is not representing you with this application). The other referee must normally be
the holder of a British citizen passport and either a professional person or over the age of 25.
Both should declare that:• they are not a relative, solicitor or agent of the applicant, or related to the other referee;
• they are not employed by the Home Office;
• they have not been convicted of an imprisonable offence (unless that conviction can be disregarded in line
with the table shown on page 16 of the Booklet AN);
• they have known the applicant personally for more than 3 years;
• they are willing to give full details of their knowledge of the applicant;
• they will advise the Home Office of any reason why the applicant should not be naturalised.
1st Referee declaration
2nd Referee declaration
I declare that I am qualified to act as referee.
The photograph above is a true likeness of the applicant.
I confirm each of the points in 5.1 above. I confirm that to
the best of my knowledge the details given on page 3 of
this form are correct.
5.2 Say how you know the applicant,
and state your age and profession.
I declare that I am qualified to act as referee.
The photograph above is a true likeness of the applicant.
I confirm each of the points in 5.1 above. I confirm that to
the best of my knowledge the details given on page 3 of
this form are correct.
5.2 Say how you know the applicant,
and state your age and profession.
5.3 Date of Birth
D D
M
5.3 Date of Birth
D D
M
M
Y
Y
Y
Y
5.4 1st Referee full name
5.5 Sex
5.6 Address
Male
M
Y
Y
Y
Y
5.4 2nd Referee full name
Female
5.5 Sex
5.6 Address
Male
Female
If you have been at this address for less than 3 years
please list previous addresses on page 15.
If you have been at this address for less than 3 years
please list previous addresses on page 15.
5.7 Daytime telephone number
5.7 Daytime telephone number
5.8 e-mail address
5.8 e-mail address
5.9 Current British citizen passport number (if any)
5.9 Current British citizen passport number (if any)
I understand that I may be liable for prosecution resulting in a
penalty of up to 3 months imprisonment or a fine not exceeding
£5,000 or both if I knowingly or recklessly make a false declaration.
I understand that I may be liable for prosecution resulting in a
penalty of up to 3 months imprisonment or a fine not exceeding
£5,000 or both if I knowingly or recklessly make a false declaration.
Signature
of referee
Signature
of referee
Date
Date
14
FURTHER INFORMATION NOT COVERED IN OTHER SECTIONS
15
Section 6: Declaration by applicant
WARNING: To give false information on this form knowingly or recklessly is a criminal offence punishable with up to 3
months' imprisonment or by a fine not exceeding £5,000 or both.
(Section 46(1) of the British Nationality Act 1981, as amended).
6.1 I, (full name in BLOCK LETTERS)
declare that, to the best of my knowledge and belief, the information given in this application is correct. I know of no
reason why I should not be granted British citizenship. I promise to inform the Home Secretary in writing of any
change in circumstances which may affect the accuracy of the information given whilst this application is being
considered by the Home Office. I understand that information given by me will be treated in confidence, but may be
submitted for checking against records held by other Government departments, the Security Service and other
agencies, local authorities and the police, where it is necessary for immigration or nationality purposes, or to enable
these bodies to carry out their functions.
I understand that I may be liable for prosecution if I have knowingly or recklessly provided false or incomplete
information.
I authorise the HM Revenue & Customs to provide the UK Visas and Immigration with any information relevant to this
application, and with any information needed to check the information I have provided. I understand that any
information provided to the HM Revenue & Customs in connection with this application may be used by them for the
purpose of their statutory functions.
I authorise the UK Visas and Immigration to make enquires of
-
the Insolvency Service (England and Wales)
the Accountant in Bankruptcy (Scotland)
the Official Receiver (Northern Ireland)
other appointed Receiver concerning my declaration of bankruptcy
I agree that the relevant body may disclose personal information obtained as part of their statutory function
6.2
I confirm that I have read and understood the Guide AN and the Booklet AN
6.3
I confirm that I have enclosed the appropriate naturalisation fee and payment slip
6.4*
I confirm that I have enclosed the appropriate documents
6.5
Where I have provided a photocopy of my spouse’s or civil partner’s passport, I confirm that, to the
best of my knowledge and belief, it is a complete and full copy of that original document.
6.6
I understand that a certificate of citizenship may be withdrawn if it is found to have been obtained
by fraud, false representation or concealment of any material fact, or if on the basis of my conduct
the Home Secretary considers it to be conducive to the public good.
6.7
*I declare that, although I do not meet all of the statutory requirements for naturalisation, I believe
that, in view of the following special circumstances, the Home Secretary should treat me as fulfilling
those requirements or waive the need in my case to fulfil them.
*Delete if not applicable
6.8
Special circumstances - which requirements do you think you fail to meet and what are the special
circumstances? (continue on page 15 if necessary)
6.9
Please sign below once you are satisfied you have completed the form correctly. Fees are not fully refundable
for applications that fail. You are recommended to read the Guide AN and Booklet AN, particularly those
sections on how to qualify and the residence requirements.
Signature
Date
16
SUPPORTING DOCUMENTS.
Your application cannot be considered without certain evidence. You should provide documents to cover each of the sections
shown below that are relevant to your application, and tick to indicate the type of evidence you have enclosed. If you are
concerned about submitting your original documents then you may wish to consider using the Nationality Checking Service
described on page 3 of the Guide. We reserve the right to call for documents to satisfy ourselves as to their authenticity.
Providing forged or fraudulent documents may result in prosecution leading to fines, imprisonment and deportation.
SECTION 1 Evidence of identity: required for all applications
• *Your passport OR
• *National identity card OR
• *Home Office travel document OR
• *Home
Office entitlement card OR
SUPPORTING
DOCUMENTS.
• *Home Office ARC letter OR
Your application
cannot
be considered
without certain evidence. You should provide documents to cover each of the sections
• Your birth
certificate
OR
shown below
thatdriving
are relevant
• *Your
licenceto your application, and tick to indicate the type of evidence you have enclosed. If you are
concerned
submitting
your original
documents
thenKnowledge
you may wish
to consider
the Nationality
Checking
Service
*if
you usedabout
one of
these documents
when
you took the
of Life
in the UKusing
test you
will be expected
to use
it again by
described itonwith
page
3 of
the Guide. We
reserve the right to call for documents to satisfy ourselves as to their authenticity.
enclosing
your
naturalisation
application.
Providing forged or fraudulent documents may result in prosecution leading to fines, imprisonment and deportation.
If the name you are currently using is different from the name on your passport or travel document you should send evidence of
the
change1of
name of identity: required for all applications
SECTION
Evidence
• *Your passport OR
SECTION•22*National
Evidenceidentity
of knowledge
knowledge
English and
SECTION
Evidence
of
andofofLife
Lifeininthe
theUK:
UK:required
requiredfor
forallallapplicants
applicants:
card ORofof Language
• Certificate
of progression
from
one
levelTest,
to another
along
evidence
that the
college isand
an either
•Letter
success
in
theOR
Life ESOL
in the UK
stamped
and with
signed
by the Test
Supervisor;
*Homeconfirming
Office
travel
document
accredited
college
and
that the course
followed
by the applicant
wasatESOL-with-citizenship
•
ertificate
showing
thatconfirmation
you
have
and listening
qualification
in English
B1 CEFR or higher, or(see
an pages
•C
*Home
Office
entitlement
card
ORa speaking
12-13
Booklet
AN)
OROR or
levelARC
qualification;
• equivalent
*HomeofOffice
letter
•C
Letter
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ertificate
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Your
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• the
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• Tick to indicate
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English
speaking
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PLEASE •
NOTE:
Theawaiting
Knowledge
of Language
and Life
the certificate
UK (KOLL)
requirement
changing
onmust
28 October
2013.
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the this
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youapplicants
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onUK
your
orthe
travel
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From
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an original
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the change
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name or
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higher,
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letter
headed
and shows
your name and the title of the award. The letter should also explain when
Further details can bethe
found
on our qualification
website.
academic
was, or will be awarded; and state either the date that the certificate will be
SECTION 2 Evidenceissued (if
of knowledge
of English
of Life in
UK: required
all applicants
you have
not yet and
graduated)
orthe
confirms
that thefor
institution
is unable to re-issue the original
SECTION• 3Certificate
Evidence of
of progression
lawful residence
during
the 5level
(or, ifto the
applicant
married
or in civil
to an
a British citizen, 3)
fromor
one ESOL
another
alongiswith
evidence
that partnership
the college is
certificate
of award;
years before
the date college
of the application:
required
forthe
applications
made by
on the
the applicant
basis of residence
in the United Kingdom:
accredited
and confirmation
that
course followed
was ESOL-with-citizenship
(see pages
oan original academic transcript that is on official letter headed paper and shows your name, the name of the
required for12-13
all applicants
of Booklet AN) OR
academic institution, the course title and provides confirmation of the award; or
• Letter confirming success in the Life in the UK Test,.OR
•
our passport
showing
thatthis
yourequirement
are a national
of a majority
English
speaking country; or
•Y
Your
passports
ORyou met
Confirmation
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in order
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•
letter from
a
medical
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show
you should
beGovernment
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ofindicating
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•A
Letters
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presence
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or
• Tick to indicate that you are claiming exemption on grounds of age.
(For
applicants
outside thefor
United
Kingdom)
evidence
as directed
by the office
of the Area
Lieutenant-Governor,
the office
SECTION•
4
Evidence
of settlement
applicants
from
Switzerland
the European
Economic
or on
their
PLEASE
NOTE:
The
Knowledge
of Language
and
Life
inHigh
the Commission
UK or
(KOLL)
requirement
changing
28non-EEA
October direct
2013.
of thesee
Governor,
the
British
Embassy,
the
British
or the British is
Consulate.
family
members
page
9
–
10
of
the
Booklet
AN
From this date, applicants will be required to pass the Life in the UK test AND have a speaking and listening qualification in
•
Your
valid
passport
or
valid
EEA
national
identity
card
as
evidence
of
your
nationality;
AND
Further
canorbehigher,
found or
in the
Guide andlevel
Booklet
AN as well as in the Nationality caseworking instructions available on
English guidance
at B1 CEFR
an equivalent
qualification.
•
certifying
permanent residence or a permanent residence card issued by UKVI
our website.
Further details
can A
bedocument
found on our
website.
SECTION
3 Evidence
of lawful
residence
during the
5 (or, ifpermanent
the applicant
is married
in civil partnership
a British
citizen,
3)
Further information
on how
to apply
for a document
certifying
residence
or a or
permanent
residence to
card,
and the
current
years
the date ofcan
thebeapplication:
required
applications
made on the basis of residence in the United Kingdom:
fee forbefore
such documents
found on the
Gov.ukfor
website,
at this link:
required
for all applicants
https://www.gov.uk/browse/visas-immigration/eu-eea-commonwealth
• Your
passports
OR
Please Note:
Whilst
the submission
of a document certifying permanent residence or a permanent residence card is not
• Letters
employers,
educational
establishments
Government
Departments
indicating
UK
mandatory,
failure from
to submit
one may
lead to delays
in reachingora other
decision
on your application.
If you
do not presence
provide a in
document
certifying permanent residence or a permanent residence card then you must provide the following for consideration:
SECTION 4 Evidence of settlement for applicants from Switzerland or the European Economic Area or their non-EEA direct
exercising
Treaty
Rights for
• Evidence
family members
see of
page
9 – 10 of
the Booklet
AN5 years for the relevant EEA national. This may include:
o
Confirmation
of tax
fornational
individuals
whocard
are self-employed
business
personAND
•
Your
valid passport
orpayment
valid EEA
identity
as evidence of/ your
nationality;
o
of payslips/P60
forresidence
workers or a permanent residence card issued by UKVI
•
A Confirmation
document certifying
permanent
o Confirmation of enrolment and attendance of an accredited course for Students
of funds
comprehensive
sickness insurance
sufficientresidence
persons and
Further information o
onEvidence
how to apply
for a and
document
certifying permanent
residencefor
or self
a permanent
card,students
and the current
o Evidence
of state
(not
occupational
pension) for retired person.
fee for such documents
can be found
on pension
the Gov.uk
website,
at this link:
o Medical report if permanently incapacitated
https://www.gov.uk/browse/visas-immigration/eu-eea-commonwealth
• Evidence of five years continuous residence in the UK
Please Note: Whilst the submission of a document certifying permanent residence or a permanent residence card is not
• If applying as the direct family member of an EEA national, evidence of relationship to that EEA national.
mandatory, failure to submit one may lead to delays in reaching a decision on your application. If you do not provide a document
certifying permanent residence or a permanent residence card then you must provide the following for consideration:
SECTION 5 Evidence of freedom from immigration time restrictions:required for all applicants except those covered by
SECTION• 4Evidence
above of exercising Treaty Rights for 5 years for the relevant EEA national. This may include:
o Confirmation
tax payment
for individuals
who in
arethe
self-employed
/ business person
• Your passport
showing of
permission
to remain
permanently
UK OR
o Confirmation
for given
workers
• The Home
Office letter of
by payslips/P60
which you were
permission to remain permanently in the UK
o Confirmation
of an
enrolment
and attendance
of have
an accredited
for Students
• If you came
to the UK as
asylum seeker
you should
evidence course
of appeal
applications OR
o of
Evidence
of funds
and comprehensive sickness insurance for self sufficient persons and students
• Evidence
being freely
landed
o Evidence of state pension (not occupational pension) for retired person.
o Medical
reportforif applications
permanentlymade
incapacitated
SECTION 6 Evidence
of marriage
on the basis of marriage or civil partnership to a British citizen.
• Your spouse’s or civil partner’s current passport or naturalisation/registration certificate showing that he/she is a
• British
Evidence
of five
years
residence
in the
citizen.
If you
arecontinuous
making your
application
by UK
post you can send a complete and full copy of your spouse’s
• or
If applying
as thecurrent
direct passport.
family member
an EEA
relationship
toany
thatblank
EEA pages
national.
civil partner’s
Every of
page
of thenational,
passportevidence
must be of
copied
including
AND
• The marriage certificate or civil partnership certificate
SECTION 5 Evidence of freedom from immigration time restrictions:required for all applicants except those covered by
SECTION 4 above
SECTION• 7Your
Evidence
of tax
for self-employed
applicants
only
passport
showing
permission to
remain permanently
in the UK OR
The most •recent
HM Revenue
& Customs
Statement of
Accountpermanently in the UK
The Home
Office letter
by whichSelf
youAssessment
were given permission
to remain
• If you came to the UK as an asylum seeker you should have evidence of appeal applications OR
SECTION• 8Evidence
Evidenceofofbeing
Crown
service
for applications made on the basis of marriage to or civil partnership with a British
freely
landed
citizen in Crown or designated service
letter from
relevant
confirming
date
place
of recruitment,
position held,
and
the extent
SECTION• 6AEvidence
ofthe
marriage
foremployer
applications
made on
the and
basis
of marriage
or civil partnership
to a
British
citizen.to
in the employer’s
interests
for the
application
to be granted
which it would
• Yourbespouse’s
or civil partner’s
current
passport
or naturalisation/registration
certificate showing that he/she is a
17
British citizen. If you are making your application by post you can send a complete and full copy of your spouse’s
SECTION 9 Joint applications
civil partner’s
passport.
Every page of the passport must be copied including any blank pages AND
• or
Marriage
or civil current
partnership
certificate
•
•
•
•
Your passport showing permission to remain permanently in the UK OR
The Home Office letter by which you were given permission to remain permanently in the UK
If you came to the UK as an asylum seeker you should have evidence of appeal applications OR
Evidence of being freely landed
SECTION 6 Evidence of marriage for applications made on the basis of marriage or civil partnership to a British citizen.
• Your spouse’s or civil partner’s current passport or naturalisation/registration certificate showing that he/she is a
British citizen. If you are making your application by post you can send a complete and full copy of your spouse’s
or civil partner’s current passport. Every page of the passport must be copied including any blank pages AND
• The marriage certificate or civil partnership certificate
SECTION 7 Evidence of tax for self-employed applicants only
The most recent HM Revenue & Customs Self Assessment Statement of Account
SECTION 8 Evidence of Crown service for applications made on the basis of marriage to or civil partnership with a British
citizen in Crown or designated service
• A letter from the relevant employer confirming date and place of recruitment, position held, and the extent to
which it would be in the employer’s interests for the application to be granted
SECTION 9 Joint applications
• Marriage or civil partnership certificate
18