Derivative residence card application form - UK Border Agency - the ...

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1.5 Your date of birth APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1 D D M M Y Y Y Y 1.6 Your full name as in your passport or ID card 1.7 Surname or family name as in your passport or ID card 1.8 Any other name(s) by which you have been known 1.9 Nationality 1.10 Place of birth – town or city and country 1.11 Passport or travel document number 1.12 Home Office reference (if applicable) 1.13 Your UK address – please inform us if this changes House number or name: Street name: Town/city: County: Postcode: (Version 08/2014) - page 10 of 46
APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1 1.14 Your daytime telephone number 1.15 Your mobile telephone number 1.16 Your email address if you have one. We may use your email address to communicate with you about the status of your application. Please write your email address clearly in block capitals and note that we can only send updates to the email address you provide 1.17 Please re-enter your email address in block capitals in the box below 1.18 Name and address in the UK for all correspondence about your application if different from 1.13 House number or name: Street name: Town/city: County: Postcode: 1.19 If you completed 1.18 and the address is that of your immigration adviser, please state their Office of the Immigration Services Commissioner (OISC) number. Please go to the relevant section for the category you ticked in question 1.1 above: A - Section 2 B – Section 3 C – Section 4 D – Section 5 E – Section 6 (Version 08/2014) - page 11 of 46
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