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

APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1
SECTION 2 – PRIMARY CARER OF AN EEA NATIONAL CHILD WHO IS
EXERCISING TREATY RIGHTS AS A SELF-SUFFICIENT PERSON
You must complete this form if you are applying for a derivative residence card on the basis that
you are the primary carer of an EEA national child who is exercising Treaty rights as a self-sufficient
person. You must also complete sections 8 to 11.
Please give details of the EEA national child of whom you are the primary carer.
2.1 Their full name as in their passport
2.2 Any other name(s) by which they are or have been known
2.3 Nationality
2.4 Do they also hold British citizenship Yes No
2.5 Their date of birth
D D M M Y Y Y Y
2.6 Their gender – please tick Male Female
2.7 Their passport, ID card or registration certificate number
2.8 Their UK address – please inform us if this changes
House number or name:
Street name:
Town/city:
County:
Postcode:
(Version 08/2014) - page 12 of 46